# CPT 27236

> Medicare paid $1,241.99 for CPT 27236 in the office (non-facility) setting and $1,241.99 in a facility under the Q4 2018 Physician Fee Schedule, effective October 2018. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2018, when it increased 0.4%.

## What it is

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.

## Selected release

- Release: Q4 2018 (2018 D)
- Effective: October 1 – December 31, 2018
- Status indicator: A
- Office (non-facility) national allowed amount: $1241.99
- Facility national allowed amount: $1241.99
- Sequestration: not applied

## RVUs and formula

- Work RVU: 17.61
- Office (non-facility) practice expense RVU: 13.44
- Facility practice expense RVU: 13.44
- Malpractice RVU: 3.45
- Conversion factor: 35.9996
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2018)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18d.zip
- Parsed file: PPRRVU18_OCT.csv, row 6,777
- Canonical page: https://localishealth.com/cpt/27236/2018/A
- Release-specific citation URL: https://localishealth.com/cpt/27236/2018/D
- Last significant update: 2026-08-04T03:08:37+00:00