Billing code 27235: Fracture fixationMedicare rate & RVUs in Ohio
Percutaneous fixation stabilizes a femoral neck fracture with pins or screws through limited incisions, with or without fracture manipulation.
CMS doesn’t publish an office rate for 27235 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 27235 covers
An orthopedic surgeon stabilizes a femoral neck fracture by placing pins or screws through small incisions, commonly using guidewires and imaging to position the implants. The fracture is not exposed through an open surgical approach, and manipulation may be performed to reduce it. The procedure is typically performed in a hospital or ambulatory surgery setting, with the treatment approach based on the fracture and the patient’s clinical circumstances.
Report 27235 when percutaneous skeletal fixation is performed, whether or not manipulation is documented. The operative report should identify the femoral neck fracture, the percutaneous approach, the reduction or manipulation performed, and the fixation placed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is paid at 150% for bilateral procedures. Medicare does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and 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.
27235 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $808.82 |
How the 27235 rate is calculated
Each of 27235’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 · 27235
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 12.68Practice expense 9.72Malpractice 2.64
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27235
27235 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27235
Fracture fixation
| 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) | 1 | Permitted with supporting documentation. |
| 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 · 27235
Fracture fixation
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
27235 without 50 · national facility
$836.36
Fracture fixation
27235-50 · Bilateral: 150%
$1,254.54
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).
27235 compared with similar codes
Compare codes
27235 vs 27230 vs 27232 vs 27236: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27230Fracture treatment
- 27230 describes closed treatment of a femoral neck fracture without manipulation or percutaneous fixation. Choose 27235 when pins or screws are placed percutaneously.
- 27232Fracture treatment
- 27232 describes closed treatment with manipulation but without percutaneous fixation. Manipulation does not exclude 27235 when percutaneous fixation is performed.
- 27236Femoral neck repair
- 27236 is for open treatment of a proximal femoral fracture involving the neck, including internal fixation or prosthetic replacement; 27235 uses percutaneous skeletal fixation.
27235 billing questions
How is 27235 different from closed treatment of a femoral neck fracture?
27235 involves percutaneous skeletal fixation with pins or screws. Closed treatment codes 27230 and 27232 describe treatment without percutaneous fixation.
When is 27236 used instead?
Use 27236 for open treatment of a proximal femoral fracture involving the neck, including internal fixation or prosthetic replacement. 27235 describes fixation through a percutaneous approach.
Does manipulation change the code?
No. 27235 covers percutaneous skeletal fixation whether or not the fracture is manipulated.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care. Routine follow-up related to the operation falls within that global period.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeon payment is allowed only with supporting documentation; team surgery is not permitted.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50%. For a bilateral procedure reported with modifier 50, payment is at 150%.
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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