No office rate
Use 27227 when the fracture involves the anterior or posterior column, but not both. This code identifies involvement of both columns.
On this page
CMS RVU26D · Effective 2026-10-01
27228 Acetabular fracture repair Medicare reimbursement rates in Vermont
Reports open surgical repair of an acetabular fracture involving both anterior and posterior columns, with internal fixation when performed. Compare 27228 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 27228 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
No supported rate
Facility setting
$1579.66
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 surgery
About 27228: Open acetabular fracture repair, both columns
Reports open surgical repair of an acetabular fracture involving both anterior and posterior columns, with internal fixation when performed.
This code represents open surgical management of an acetabular fracture that involves both the anterior and posterior columns of the hip socket. An orthopedic trauma surgeon typically performs the repair in a hospital operating room, reducing the fracture and using internal fixation when needed. The fracture pattern, rather than the number of fracture lines alone, distinguishes this service from repair of a single column or an isolated posterior wall fracture.
Select the code from the operative report’s description of the involved columns and the open treatment performed. Document the fracture pattern and repair so the record supports the both-column classification; fixation performed as part of the repair is included. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and others at 50%. Modifier 50 is paid at 150% for bilateral reporting. Assistant-at-surgery and co-surgeon payment are permitted; team surgery payment is not.
CMS billing rules for 27228
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU28.60 · 57%
- Practice expense (office) RVU15.76 · 31%
- Malpractice RVU6.11 · 12%
1.2K
Medicare services in 2024 · #2812 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.
27228 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
Use 27226 for an acetabular fracture involving the posterior wall. This code is selected for a fracture involving both columns.
No office rate
Code 27222 describes closed treatment with manipulation. This code is for open surgical repair of a both-column fracture.
Compare 27228 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
Unavailable
Facility
$1579.66
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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 27228 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,794
- Code
- 27228
- Physician work
- 28.60
- Practice expense
- 15.76
- Malpractice
- 6.11
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 28.60 | × 1.000 | 28.6000 |
| Practice expense | 15.76 | × 0.990 | 15.6024 |
| Malpractice | 6.11 | × 0.506 | 3.0917 |
| Total RVUs | 47.2941 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$1579.66
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 28.6 | 1 |
| Practice expense | 15.76 | 0.99 |
| Malpractice | 6.11 | 0.506 |
(28.6 × 1 + 15.76 × 0.99 + 6.11 × 0.506) × $33.4009 = $1579.66
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.
27228 billing questions
How is this code distinguished from 27227?
This code is for a fracture involving both anterior and posterior columns. Code 27227 applies when the fracture involves the anterior column or the posterior column, rather than both.
Does the code include internal fixation?
Yes. Internal fixation performed as part of the open repair is included in the fracture service.
What documentation supports selecting this code?
The operative report should describe the acetabular fracture pattern as involving both anterior and posterior columns and document the open repair performed.
How does the 90-day global period affect postoperative reporting?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery and for co-surgeons. Team surgery is not permitted for this code.
How is bilateral reporting paid?
When reported bilaterally with modifier 50, CMS pays this procedure at 150%.
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.
2,79127222,,Treat hip socket fracture,A,,13.76,10.68,NA,10.68,,2.97,27.41,27.41,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79227226,,Treat hip wall fracture,A,,15.18,10.54,NA,10.54,,3.24,28.96,28.96,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79327227,,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
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