$441.01
Both describe closed acetabular fracture treatment. Choose 27222 when manipulation is performed; choose 27220 when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
27222 Acetabular fracture Medicare reimbursement rates in Wyoming
Report closed treatment of an acetabular fracture when the clinician manipulates the fracture to improve alignment without open surgical exposure. Compare 27222 office and facility rates across CMS payment localities in Wyoming.
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 27222 in Wyoming?
Wyoming 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
$889.73
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 27222: Closed acetabular fracture treatment with manipulation
Report closed treatment of an acetabular fracture when the clinician manipulates the fracture to improve alignment without open surgical exposure.
An orthopedic surgeon typically reports this service for a fracture of the acetabulum, the socket portion of the hip joint, when the fracture is treated without opening the site and manipulation is performed to improve alignment. The work may take place in a hospital or another setting equipped for acute fracture treatment. The record should identify the acetabular fracture and document the reduction or other manipulation performed, the affected side, and the treatment plan.
Choose this code when manipulation is part of closed fracture treatment; use the sibling code 27220 when closed treatment is performed without manipulation. CMS assigns a 90-day global period, which includes 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 50% reduction. For bilateral reporting with modifier 50, CMS pays at 150%. CMS does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 27222
- 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 RVU13.76 · 50%
- Practice expense (office) RVU10.68 · 39%
- Malpractice RVU2.97 · 11%
148
Medicare services in 2024 · #4569 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.
27222 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
27222 is closed treatment with manipulation. 27226 describes open treatment of an acetabular fracture involving a wall.
No office rate
Choose 27222 for closed treatment with manipulation. 27227 is an open-treatment code, so the operative approach and documented fracture pattern distinguish it.
No office rate
27228 describes open treatment of an acetabular fracture involving two columns; 27222 is closed treatment with manipulation.
Compare 27222 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$889.73
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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 27222 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,791
- Code
- 27222
- Physician work
- 13.76
- Practice expense
- 10.68
- Malpractice
- 2.97
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.76 | × 1.000 | 13.7600 |
| Practice expense | 10.68 | × 1.000 | 10.6800 |
| Malpractice | 2.97 | × 0.740 | 2.1978 |
| Total RVUs | 26.6378 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$889.73
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.76 | 1 |
| Practice expense | 10.68 | 1 |
| Malpractice | 2.97 | 0.74 |
(13.76 × 1 + 10.68 × 1 + 2.97 × 0.74) × $33.4009 = $889.73
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.
27222 billing questions
How do I choose between 27222 and 27220?
Use 27222 when the closed acetabular fracture treatment includes manipulation to improve alignment. Use 27220 when the fracture is treated closed without manipulation.
Does this code describe open fixation?
No. It describes closed treatment with manipulation. Open treatment of an acetabular fracture is represented by other codes, selected according to the fracture pattern and operative service.
What documentation supports reporting 27222?
Document the acetabular fracture, laterality, the manipulation or reduction performed, and the resulting treatment plan. The record should make clear that manipulation was part of closed fracture care.
How does the 90-day global affect follow-up billing?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Routine related care during that period is included in the global service.
How is bilateral treatment handled?
CMS lists this as a bilateral procedure; reporting modifier 50 results in payment at 150%. Document treatment of both acetabula.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this service. Co-surgeons and team surgery 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.
2,78827217,,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
2,78927218,,Treat pelvic ring fracture,I,+,20.41,8.01,NA,8.01,,2.18,30.60,30.60,9,090,0.10,0.69,0.21,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79027220,,Treat hip socket fracture,A,,5.36,7.00,,5.19,,1.14,13.50,11.69,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79127222,,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,