CPT code 27187: Femoral neck reinforcement, prophylactic treatment2026 Medicare rate & RVUs

Medicare pays $919.86 for 27187 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 27187 covers

An orthopedic surgeon reinforces a femoral neck that is weakened and at risk of fracture, rather than treating a fracture that has already occurred. The procedure may involve reinforcement with or without methyl methacrylate. A typical setting is a hospital operating room, often for a patient whose femoral neck has been compromised by a bone lesion, such as metastatic disease.

Select this code when the operative service is preventive reinforcement of the femoral neck. The operative report should identify the treated side and site, explain the structural problem and fracture risk, and describe the reinforcement performed. 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 a 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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.

Where 27187 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

27187 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 27187 rate is calculated

Each of 27187’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 27187

27187 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

27187 compared with similar codes

How to choose

27235Fracture fixationPercutaneous femoral neck fixation

Use 27235 for percutaneous fixation of an established proximal femoral neck fracture. Use 27187 when the surgeon reinforces a weakened neck before fracture.

27236Femoral neck repairOpen fixation or replacement

Use 27236 for open treatment of an established proximal femoral neck fracture, including internal fixation or prosthetic replacement. Code 27187 describes preventive reinforcement.

27170Femur repairHead or neck nonunion

27170 addresses repair or grafting involving the femoral head or neck. Choose 27187 when the documented purpose is prophylactic reinforcement of a fracture-prone femoral neck.

27130Hip replacementTotal joint, primary procedure

27130 reports total hip replacement. It is not the code for reinforcing a femoral neck while retaining the hip joint.

Codes related to 27187

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates