Billing code 27236: Femoral neck repairMedicare rate & RVUs in Ohio
Reports open operative treatment of a proximal femoral neck fracture using internal fixation or prosthetic replacement by an orthopedic surgeon.
CMS doesn’t publish an office rate for 27236 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 27236 covers
This code describes open surgery for a fracture through the femoral neck, the part of the thigh bone connecting its head to the shaft. The orthopedic surgeon exposes the fracture and treats it with internal fixation or replaces the fractured portion with a prosthesis. It is commonly performed in a hospital operating room for patients whose femoral neck fracture requires this open approach and treatment; it is distinct from percutaneous fixation and closed fracture care.
Select the code when the operative report supports the femoral neck location, open exposure, and fixation or prosthetic replacement. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral reporting with modifier 50, CMS pays at 150%. An assistant at surgery may be paid; co-surgeons are paid only with 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.
27236 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $1,056.40 |
How the 27236 rate is calculated
Each of 27236’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 · 27236
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 17.17Practice expense 11.85Malpractice 3.61
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27236
27236 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27236
Femoral neck repair
| 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) | 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 · 27236
Femoral neck repair
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
27236 without 50 · national facility
$1,089.87
Femoral neck repair
27236-50 · Bilateral: 150%
$1,634.80
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).
27236 compared with similar codes
Compare codes
27236 vs 27235 vs 27230 vs 27232 vs 27244: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27235Fracture fixation
- Choose 27236 for open treatment of a femoral neck fracture with fixation or prosthetic replacement. Choose 27235 for percutaneous skeletal fixation.
- 27230Fracture treatment
- 27230 describes closed treatment of a femoral neck fracture without manipulation, rather than open fixation or replacement.
- 27232Fracture treatment
- 27232 describes closed treatment of a femoral neck fracture with manipulation; 27236 requires open operative treatment.
- 27244Femur fracture repair
- 27244 is for plate-and-screw treatment of an intertrochanteric, pertrochanteric, or subtrochanteric fracture, not a femoral neck fracture.
27236 billing questions
How does this differ from 27235?
27236 is for open treatment of the femoral neck fracture with fixation or prosthetic replacement. 27235 is the percutaneous fixation alternative.
Can the code cover prosthetic replacement instead of fixation?
Yes. The code includes open treatment using internal fixation or prosthetic replacement; the operative report should identify the treatment performed.
Is routine postoperative fracture care separately reported?
Related postoperative care during the 90-day global period is included. The global period also includes the preoperative visit on the day before surgery.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is 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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