$509.03–$560.26
Both describe closed treatment of a femoral neck fracture. Choose 27232 when manipulation is performed; choose 27230 when alignment is treated without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
27232 Fracture treatment Medicare reimbursement rates in Pennsylvania
Reports closed treatment of a femoral neck fracture when the physician manipulates the fracture alignment, with or without skeletal traction. Compare 27232 office and facility rates across CMS payment localities in Pennsylvania.
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 27232 in Pennsylvania?
Pennsylvania 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
$673.18–$729.27
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 fracture care
About 27232: Femoral neck fracture closed reduction
Reports closed treatment of a femoral neck fracture when the physician manipulates the fracture alignment, with or without skeletal traction.
This service covers closed treatment of a femoral neck fracture when the physician manipulates the bone alignment without surgically exposing the fracture. Skeletal traction may be used. An orthopedic surgeon typically performs the treatment in a hospital or other acute-care setting, often with anesthesia or sedation for reduction. The code is distinct from care that leaves alignment undisturbed and from percutaneous or open fixation.
Select the code when the record supports manipulation of the femoral neck fracture; document the fracture site, reduction performed, and use of traction when applicable. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures 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%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 27232
- 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 procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.43 · 55%
- Practice expense (office) RVU6.92 · 33%
- Malpractice RVU2.51 · 12%
123
Medicare services in 2024 · #4713 by national volume
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.
27232 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
This code is for closed manipulation, whereas 27235 describes percutaneous skeletal fixation of the femoral neck fracture.
No office rate
Use 27236 for open treatment of a femoral neck fracture, including fixation or prosthetic replacement, rather than closed manipulation.
No office rate
Both involve closed treatment with manipulation, but 27240 applies to intertrochanteric, peritrochanteric, or subtrochanteric fractures rather than femoral neck fractures.
Compare 27232 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
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$729.27
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$673.18
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27232 billing questions
How does this differ from 27230?
Use 27232 when the physician manipulates the femoral neck fracture. Code 27230 describes closed treatment without manipulation.
When is 27235 or 27236 a better fit?
Those codes describe percutaneous skeletal fixation or open treatment of a femoral neck fracture. This code is for closed reduction without percutaneous or open fixation.
Can skeletal traction be part of this treatment?
Yes. Skeletal traction may be used with the manipulation described by this code; document it when performed.
What postoperative care falls within the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code, and co-surgeons 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 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.
2,79327227,,Treat hip fracture(s),A,,24.77,14.56,NA,14.56,,5.26,44.59,44.59,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79427228,,Treat hip fracture(s),A,,28.60,15.76,NA,15.76,,6.11,50.47,50.47,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79527230,,Treat thigh fracture,A,,5.66,9.18,,7.28,,1.22,16.06,14.16,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79627232,,Treat thigh fracture,A,,11.43,6.92,NA,6.92,,2.51,20.86,20.86,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79727235,,Treat thigh fracture,A,,12.68,9.72,NA,9.72,,2.64,25.04,25.04,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79827236,,Treat thigh fracture,A,,17.17,11.85,NA,11.85,,3.61,32.63,32.63,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79927238,,Treat thigh fracture,A,,5.61,6.88,NA,6.88,,1.21,13.70,13.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00