Billing code 27227: Acetabular fractureMedicare rate & RVUs in Ohio
Reports open surgical treatment of an acetabular fracture involving the anterior or posterior column, with internal fixation included when performed.
CMS doesn’t publish an office rate for 27227 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 27227 covers
This code describes open surgical treatment of a fracture involving one column of the acetabulum, the socket portion of the hip joint. An orthopedic surgeon typically performs the operation in a hospital operating room, exposing and treating the fracture; internal fixation is included when used. The distinction is the fracture pattern: one column, anterior or posterior, rather than a wall fracture or involvement of both columns.
Select the code from the operative report’s description of the acetabular fracture pattern and the treatment performed. Documentation should identify the involved column and support that the fracture was treated through an open approach. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
27227 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $1,448.44 |
How the 27227 rate is calculated
Each of 27227’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 27227
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 24.77Practice expense 14.56Malpractice 5.26
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27227
27227 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27227
Acetabular fracture
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27227
Acetabular fracture
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27227 without 50 · national facility
$1,489.35
Acetabular fracture
27227-50 · Bilateral: 150%
$2,234.03
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
27227 compared with similar codes
Compare codes
27227 vs 27226 vs 27228 vs 27220 vs 27222: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27226Acetabular repair
- Choose 27226 for an acetabular wall fracture treated openly. This code describes a fracture involving one acetabular column.
- 27228Acetabular fracture repair
- Use 27228 when both acetabular columns are involved; this code applies when the open-treated fracture involves one column.
- 27220Acetabular fracture care
- 27220 describes closed treatment without manipulation. This code is for open surgical treatment of a single-column acetabular fracture.
- 27222Acetabular fracture
- 27222 describes closed treatment with manipulation, rather than open treatment of a single-column fracture.
27227 billing questions
How does this code differ from 27226?
This code is for an acetabular fracture involving one column. Code 27226 describes open treatment of an acetabular wall fracture.
When is 27228 used instead?
Use 27228 when the open-treated acetabular fracture involves both columns. The operative documentation should establish the fracture pattern.
Does the code include internal fixation?
Yes. Internal fixation is included when performed as part of the open fracture treatment.
What is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment and co-surgeons for this procedure. Team surgery is not permitted.
How is bilateral treatment handled?
For bilateral procedures reported with modifier 50, CMS pays at 150%. Document the treatment of both sides.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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