27228 Treat hip fracture(s)
Also known as: extensive acetabular ORIF, dual-incision acetabular repair
Treatment of acetabular fracture through extensive operative open reduction and internal fixation, often involving dual incisions or combined approaches.
In Plain Language
Extensive hip socket surgery; Multiple incision pelvic repair
Clinical Context
Applied to highly complex acetabular fractures requiring extensive surgical exposure, often via kocher-langenbeck and ilioinguinal approaches.
RVU Breakdown
| Work RVU | 28.60 |
| Total RVU | 28.60 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 28.60, this code ranks in the 92nd percentile among Surgery codes — 3.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27228?
CPT 27228 (Treat hip fracture(s)) is a Surgery code. Treatment of acetabular fracture through extensive operative open reduction and internal fixation, often involving dual incisions or combined approaches.
What is the wRVU value for CPT 27228?
The work RVU for CPT 27228 is 28.60. This code is primarily used by Orthopedic Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 27228 used?
Applied to highly complex acetabular fractures requiring extensive surgical exposure, often via kocher-langenbeck and ilioinguinal approaches.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.