No office rate
Choose 27230 for closed treatment without manipulation. Choose 27235 when the femoral neck fracture is treated with percutaneous skeletal fixation.
On this page
CMS RVU26D · Effective 2026-10-01
27230 Fracture treatment Medicare reimbursement rates in Wyoming
Reports closed, nonoperative treatment of a femoral neck fracture when the physician manages the fracture without manipulating it. Compare 27230 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 27230 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
$525.82
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$462.36
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 surgery
About 27230: Femoral neck fracture treatment without manipulation
Reports closed, nonoperative treatment of a femoral neck fracture when the physician manages the fracture without manipulating it.
An orthopedic surgeon or other physician may report this service when managing a femoral neck fracture without an incision, internal fixation, or manipulation of the fracture. The treatment plan is nonoperative and may include measures such as activity restrictions and follow-up imaging to monitor healing. The code applies to the femoral neck, not a fracture of the femoral shaft or another part of the hip.
Select this code when the documented fracture location and treatment method support closed care without manipulation. The record should identify the femoral neck fracture and describe the physician’s fracture-management plan; a visit that only evaluates the injury does not by itself establish fracture treatment. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral treatment, modifier 50 is paid at 150%. CMS does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 27230
- 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 RVU5.66 · 35%
- Practice expense (office) RVU9.18 · 57%
- Malpractice RVU1.22 · 8%
1.4K
Medicare services in 2024 · #2730 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.
27230 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
27230 is closed treatment without manipulation; 27236 is open treatment of a femoral neck fracture with internal fixation or prosthetic replacement.
No office rate
Both describe closed treatment without manipulation, but 27230 is for the femoral neck and 27232 is for the femoral shaft.
Compare 27230 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
$525.82
Facility
$462.36
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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 27230 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,795
- Code
- 27230
- Physician work
- 5.66
- Practice expense
- 9.18
- Malpractice
- 1.22
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.66 | × 1.000 | 5.6600 |
| Practice expense | 9.18 | × 1.000 | 9.1800 |
| Malpractice | 1.22 | × 0.740 | 0.9028 |
| Total RVUs | 15.7428 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$525.82
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.66 | 1 |
| Practice expense | 9.18 | 1 |
| Malpractice | 1.22 | 0.74 |
(5.66 × 1 + 9.18 × 1 + 1.22 × 0.74) × $33.4009 = $525.82
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.66 | 1 |
| Practice expense | 7.28 | 1 |
| Malpractice | 1.22 | 0.74 |
(5.66 × 1 + 7.28 × 1 + 1.22 × 0.74) × $33.4009 = $462.36
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.
27230 billing questions
When is 27230 appropriate instead of 27235?
Use 27230 for closed management of a femoral neck fracture without manipulation. Code 27235 describes percutaneous skeletal fixation, a different treatment method.
How does 27230 differ from 27236?
27230 describes closed treatment without manipulation. 27236 is for open treatment of a femoral neck fracture, including internal fixation or prosthetic replacement.
Can 27230 be used for a femoral shaft fracture?
No. It is specific to the femoral neck; 27232 describes closed treatment without manipulation of a femoral shaft fracture.
What documentation supports reporting 27230?
Document the femoral neck fracture, the physician’s nonoperative management plan, and that the fracture was treated without manipulation.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code, and 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.
2,79227226,,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
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
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.,,,,,,