{
    "code": "27236",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/27236/2015/A",
    "release_specific_url": "https://localishealth.com/cpt/27236/2015/C",
    "description": "Open surgery for a break in the narrow neck of the thigh bone just below the hip ball. Depending on the fracture and the patient, the surgeon either fixes the bone with screws or a plate-and-screw device, or removes the broken ball and fits a replacement; both approaches fall under this code. It differs from its neighbors by the fracture location, the neck rather than the bulges of bone further down the thigh.",
    "answer": {
        "question": "How much did Medicare pay for CPT 27236 in Q3 2015?",
        "text": "Medicare paid $1,234.97 for CPT 27236 in the office (non-facility) setting and $1,234.97 in a facility under the Q3 2015 Physician Fee Schedule, effective July 2015. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2015, when it increased 0.6%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2015,
        "quarter": "C",
        "label": "Q3 2015",
        "effective": "July 1 – September 30, 2015",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 1234.97,
        "facility": 1234.97,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 17.61,
        "practice_expense_non_facility": 13.38,
        "practice_expense_facility": 13.38,
        "malpractice": 3.55
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.7547,
    "source": {
        "label": "Physician relative value file (Q3 2015)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu15c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2015/C",
        "file": "PPRRVU15_UP0.V0515.csv",
        "row": 6254,
        "sha256": "f1b114a70a3e0897273d46b1bfe0eca991d563f8c35c7a652e9f0c8472b2862a"
    },
    "modified_at": "2026-08-04T03:06:00+00:00"
}