$525.82
27230 describes closed treatment of a femoral neck fracture without manipulation or percutaneous fixation. Choose 27235 when pins or screws are placed percutaneously.
On this page
CMS RVU26D · Effective 2026-10-01
27235 Fracture fixation Medicare reimbursement rates in Wyoming
Percutaneous fixation stabilizes a femoral neck fracture with pins or screws through limited incisions, with or without fracture manipulation. Compare 27235 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 27235 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
$813.43
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 27235: Percutaneous fixation of femoral neck fracture
Percutaneous fixation stabilizes a femoral neck fracture with pins or screws through limited incisions, with or without fracture manipulation.
An orthopedic surgeon stabilizes a femoral neck fracture by placing pins or screws through small incisions, commonly using guidewires and imaging to position the implants. The fracture is not exposed through an open surgical approach, and manipulation may be performed to reduce it. The procedure is typically performed in a hospital or ambulatory surgery setting, with the treatment approach based on the fracture and the patient’s clinical circumstances.
Report 27235 when percutaneous skeletal fixation is performed, whether or not manipulation is documented. The operative report should identify the femoral neck fracture, the percutaneous approach, the reduction or manipulation performed, and the fixation placed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is paid at 150% for bilateral procedures. Medicare does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27235
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU12.68 · 51%
- Practice expense (office) RVU9.72 · 39%
- Malpractice RVU2.64 · 11%
9.9K
Medicare services in 2024 · #1467 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.
27235 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
27232 describes closed treatment with manipulation but without percutaneous fixation. Manipulation does not exclude 27235 when percutaneous fixation is performed.
No office rate
27236 is for open treatment of a proximal femoral fracture involving the neck, including internal fixation or prosthetic replacement; 27235 uses percutaneous skeletal fixation.
Compare 27235 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
$813.43
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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 27235 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,797
- Code
- 27235
- Physician work
- 12.68
- Practice expense
- 9.72
- Malpractice
- 2.64
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.68 | × 1.000 | 12.6800 |
| Practice expense | 9.72 | × 1.000 | 9.7200 |
| Malpractice | 2.64 | × 0.740 | 1.9536 |
| Total RVUs | 24.3536 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$813.43
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.68 | 1 |
| Practice expense | 9.72 | 1 |
| Malpractice | 2.64 | 0.74 |
(12.68 × 1 + 9.72 × 1 + 2.64 × 0.74) × $33.4009 = $813.43
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.
27235 billing questions
How is 27235 different from closed treatment of a femoral neck fracture?
27235 involves percutaneous skeletal fixation with pins or screws. Closed treatment codes 27230 and 27232 describe treatment without percutaneous fixation.
When is 27236 used instead?
Use 27236 for open treatment of a proximal femoral fracture involving the neck, including internal fixation or prosthetic replacement. 27235 describes fixation through a percutaneous approach.
Does manipulation change the code?
No. 27235 covers percutaneous skeletal fixation whether or not the fracture is manipulated.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care. Routine follow-up related to the operation falls within that global period.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeon payment is allowed only with supporting documentation; team surgery is not permitted.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50%. For a bilateral procedure reported with modifier 50, payment is 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.
2,79427228,,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
2,79927238,,Treat thigh fracture,A,,5.61,6.88,NA,6.88,,1.21,13.70,13.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80027240,,Treat thigh fracture,A,,13.46,10.50,NA,10.50,,2.93,26.89,26.89,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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.,,,,,,