Billing code 27230: Fracture treatmentMedicare rate & RVUs in Ohio
Reports closed, nonoperative treatment of a femoral neck fracture when the physician manages the fracture without manipulating it.
Medicare pays $510.07 for 27230 in the office in Ohio (Ohio). Which amount applies depends on the service address.
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 27230 covers
An orthopedic surgeon or other physician may report this service when managing a femoral neck fracture without an incision, internal fixation, or manipulation of the fracture. The treatment plan is nonoperative and may include measures such as activity restrictions and follow-up imaging to monitor healing. The code applies to the femoral neck, not a fracture of the femoral shaft or another part of the hip.
Select this code when the documented fracture location and treatment method support closed care without manipulation. The record should identify the femoral neck fracture and describe the physician’s fracture-management plan; a visit that only evaluates the injury does not by itself establish fracture treatment. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral treatment, modifier 50 is paid at 150%. CMS does not pay an assistant at surgery; co-surgeons and team surgery are 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.
27230 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $510.07 | $452.13 |
How the 27230 rate is calculated
Each of 27230’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 · 27230
RVUs × geographic indexes × conversion factor
Work5.66
5.66 RVUs× 1.000 GPCI
Practice expense9.18
9.18 RVUs× 1.000 GPCI
Malpractice1.22
1.22 RVUs× 1.000 GPCI
Adjusted RVUs
16.0600
Conversion factor
$33.4009
Medicare rate
$536.42
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27230
27230 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27230
Fracture treatment
| 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not 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 · 27230
Fracture treatment
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
27230 without 50 · national office
$536.42
Fracture treatment
27230-50 · Bilateral: 150%
$804.63
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).
27230 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27235Fracture fixation
- Choose 27230 for closed treatment without manipulation. Choose 27235 when the femoral neck fracture is treated with percutaneous skeletal fixation.
- 27236Femoral neck repair
- 27230 is closed treatment without manipulation; 27236 is open treatment of a femoral neck fracture with internal fixation or prosthetic replacement.
- 27232Fracture treatment
- Both describe closed treatment without manipulation, but 27230 is for the femoral neck and 27232 is for the femoral shaft.
27230 billing questions
When is 27230 appropriate instead of 27235?
Use 27230 for closed management of a femoral neck fracture without manipulation. Code 27235 describes percutaneous skeletal fixation, a different treatment method.
How does 27230 differ from 27236?
27230 describes closed treatment without manipulation. 27236 is for open treatment of a femoral neck fracture, including internal fixation or prosthetic replacement.
Can 27230 be used for a femoral shaft fracture?
No. It is specific to the femoral neck; 27232 describes closed treatment without manipulation of a femoral shaft fracture.
What documentation supports reporting 27230?
Document the femoral neck fracture, the physician’s nonoperative management plan, and that the fracture was treated without manipulation.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.
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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