$208.68–$226.04
Both codes concern coccygeal fractures. Use 27202 for open surgical treatment; 27200 describes closed treatment without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
27202 Coccyx fracture Medicare reimbursement rates in Oregon
Reports open surgical treatment of a coccygeal fracture when the surgeon exposes the fracture to treat it, rather than using closed treatment. Compare 27202 office and facility rates across CMS payment localities in Oregon.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 27202 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$480.96–$510.79
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Orthopedic surgery
About 27202: Open coccygeal fracture treatment
Reports open surgical treatment of a coccygeal fracture when the surgeon exposes the fracture to treat it, rather than using closed treatment.
This code describes surgery for a fracture of the coccyx, or tailbone, performed through direct surgical exposure of the fracture. An orthopedic surgeon typically performs the procedure in an operating room when the fracture requires open treatment; the operative technique may include reduction and stabilization as clinically indicated. The injury must involve the coccyx, not another part of the pelvis or the hip socket.
Choose this code for open treatment, not for closed treatment of a coccygeal fracture. The operative report should identify the coccyx fracture and document the surgical exposure and treatment performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 multiple-procedure reduction. Modifier 50 is inappropriate for this midline anatomy. Assistant-at-surgery services may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 27202
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.13 · 48%
- Practice expense (office) RVU6.24 · 42%
- Malpractice RVU1.50 · 10%
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.
27202 compared with similar codes
Office rates for Oregon, from the same CMS release.
27215
No office rateTreat pelvic fracture(s)
27215 concerns pelvic fracture treatment outside the coccyx. Select based on the documented fracture location, not simply the broader pelvic region.
27216
No office rateTreat pelvic ring fracture
27216 addresses a pelvic ring fracture, whereas 27202 is specific to open treatment of a coccygeal fracture.
Compare 27202 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Portland →
Office / nonfacility
Unavailable
Facility
$510.79
Rest Of Oregon →
Office / nonfacility
Unavailable
Facility
$480.96
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27202 billing questions
How does this differ from 27200?
27202 is for open surgical treatment of a coccygeal fracture. Use 27200 for closed treatment of a coccygeal fracture without open surgical exposure.
Does the 90-day global period include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for a coccygeal fracture?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this midline anatomy.
Can an assistant surgeon be paid?
Assistant-at-surgery services may be paid for this procedure. Co-surgeons and team surgery are not permitted.
What documentation supports reporting 27202?
The operative report should establish that the fracture is in the coccyx and describe the open surgical exposure and treatment performed.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,78227197,,Clsd tx pelvic ring fx,A,,1.49,1.91,NA,1.91,,0.30,3.70,3.70,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78327198,,Clsd tx pelvic ring fx,A,,4.63,2.89,NA,2.89,,0.99,8.51,8.51,0,000,0.00,0.00,0.00,2,0,0,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78427200,,Treat tail bone fracture,A,,1.87,4.12,,3.75,,0.39,6.38,6.01,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78527202,,Treat tail bone fracture,A,,7.13,6.24,NA,6.24,,1.50,14.87,14.87,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78627215,,Treat pelvic fracture(s),I,+,10.19,4.92,NA,4.92,,1.09,16.20,16.20,9,090,0.10,0.69,0.21,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78727216,,Treat pelvic ring fracture,I,+,15.34,6.89,NA,6.89,,1.63,23.86,23.86,9,090,0.10,0.69,0.21,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78827217,,Treat pelvic ring fracture,I,+,14.28,6.67,NA,6.67,,1.51,22.46,22.46,9,090,0.10,0.69,0.21,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00