No office rate
Both codes address closed coccygeal fracture care. Choose 27200 when treatment is without manipulation and 27202 when manipulation is performed.
On this page
CMS RVU26D · Effective 2026-10-01
27200 Fracture care Medicare reimbursement rates in Vermont
Reports closed management of a coccyx fracture without manipulation, typically when the treating clinician provides nonoperative fracture care and follow-up. Compare 27200 office and facility rates across CMS payment localities in Vermont.
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 27200 in Vermont?
Vermont has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$205.29
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
$193.05
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
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 27200: Closed coccygeal fracture management
Reports closed management of a coccyx fracture without manipulation, typically when the treating clinician provides nonoperative fracture care and follow-up.
This code represents closed management of a coccygeal fracture without manipulating the fracture. It is used when a physician, commonly an orthopedic or emergency medicine clinician, takes responsibility for nonoperative fracture care. Treatment may include symptom management, pressure relief while sitting, and follow-up assessment in an office, emergency, or hospital setting. The record should identify the coccyx fracture and show that the clinician is providing its ongoing management rather than only evaluating the injury.
Report this code for closed treatment without manipulation; use the sibling code 27202 when manipulation is performed. The CMS global period is 90 days: the day-before preoperative visit and related postoperative care during that period are included. 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 50% reduction. The coccyx is midline, so modifier 50 is not appropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 27200
- 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
- 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 RVU1.87 · 29%
- Practice expense (office) RVU4.12 · 65%
- Malpractice RVU0.39 · 6%
212
Medicare services in 2024 · #4270 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.
27200 compared with similar codes
Office rates for Vermont, from the same CMS release.
27215
No office rateTreat pelvic fracture(s)
This code addresses pelvic fracture treatment, not a coccygeal fracture. Select based on the documented fracture site and treatment.
27216
No office rateTreat pelvic ring fracture
This code concerns pelvic ring fracture treatment. It is not the code for a fracture confined to the coccyx.
Compare 27200 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.
1 of 1 payment localities
Vermont →
Office / nonfacility
$205.29
Facility
$193.05
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27200 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,784
- Code
- 27200
- Physician work
- 1.87
- Practice expense
- 4.12
- Malpractice
- 0.39
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.87 | × 1.000 | 1.8700 |
| Practice expense | 4.12 | × 0.990 | 4.0788 |
| Malpractice | 0.39 | × 0.506 | 0.1973 |
| Total RVUs | 6.1461 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$205.29
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.87 | 1 |
| Practice expense | 4.12 | 0.99 |
| Malpractice | 0.39 | 0.506 |
(1.87 × 1 + 4.12 × 0.99 + 0.39 × 0.506) × $33.4009 = $205.29
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.87 | 1 |
| Practice expense | 3.75 | 0.99 |
| Malpractice | 0.39 | 0.506 |
(1.87 × 1 + 3.75 × 0.99 + 0.39 × 0.506) × $33.4009 = $193.05
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
27200 billing questions
How is 27200 distinguished from 27202?
Use 27200 for closed coccygeal fracture management without manipulation. Use 27202 when the clinician manipulates the fracture.
Does this code include follow-up care?
Yes. The CMS 90-day global period includes related postoperative care during that period, as well as the day-before preoperative visit.
Can modifier 50 be reported for a coccyx fracture?
No. The coccyx is a midline structure, and CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What documentation supports reporting 27200?
Document the coccygeal fracture, the decision to provide closed management, that manipulation was not performed, and the plan for ongoing fracture care.
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.
2,78127187,,Reinforce hip bones,A,,13.87,10.73,NA,10.73,,2.94,27.54,27.54,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78227197,,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
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817