Billing code 27232: Fracture treatmentMedicare rate & RVUs in Texas
Reports closed treatment of a femoral neck fracture when the physician manipulates the fracture alignment, with or without skeletal traction.
CMS doesn’t publish an office rate for 27232 in Texas.
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 27232 covers
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.
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.
Where 27232 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $701.35 |
| Beaumont | Unavailable | $669.99 |
| Brazoria | Unavailable | $679.27 |
| Dallas | Unavailable | $687.35 |
| Fort Worth | Unavailable | $686.13 |
| Galveston | Unavailable | $683.76 |
| Houston | Unavailable | $729.70 |
| Rest Of Texas | Unavailable | $676.82 |
How the 27232 rate is calculated
Each of 27232’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 · 27232
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 11.43Practice expense 6.92Malpractice 2.51
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27232
27232 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27232
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 · 27232
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
27232 without 50 · national facility
$696.74
Fracture treatment
27232-50 · Bilateral: 150%
$1,045.11
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).
27232 compared with similar codes
Compare codes
27232 vs 27230 vs 27235 vs 27236 vs 27240: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27230Fracture treatment
- Both describe closed treatment of a femoral neck fracture. Choose 27232 when manipulation is performed; choose 27230 when alignment is treated without manipulation.
- 27235Fracture fixation
- This code is for closed manipulation, whereas 27235 describes percutaneous skeletal fixation of the femoral neck fracture.
- 27236Femoral neck repair
- Use 27236 for open treatment of a femoral neck fracture, including fixation or prosthetic replacement, rather than closed manipulation.
- 27240Femoral fracture care
- Both involve closed treatment with manipulation, but 27240 applies to intertrochanteric, peritrochanteric, or subtrochanteric fractures rather than femoral neck fractures.
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 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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