CPT code 27244: Femur fracture repair, plate or screw fixation2026 Medicare rate & RVUs in Texas
Open repair of an intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture using a plate-and-screw construct, with or without cerclage.
CMS doesn’t publish an office rate for 27244 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 27244 covers
This code covers open surgical treatment of a fracture in the intertrochanteric, peritrochanteric, or subtrochanteric region of the femur, using a plate-and-screw type implant. Cerclage may also be used, but is not required. An orthopedic surgeon typically performs the operation in a hospital operating room, reducing the fracture and stabilizing it with the selected fixation construct. It is distinct from treatment of a femoral neck fracture and from fixation using an intramedullary implant.
Select the code when the operative report supports the specified fracture location, open treatment, and plate-or-screw fixation. Document the fracture pattern and location, the reduction and fixation performed, implant type, and laterality. The service has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; 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 27244 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $1,131.60 |
| Beaumont, TX | Unavailable | $1,076.03 |
| Brazoria, TX | Unavailable | $1,094.82 |
| Dallas, TX | Unavailable | $1,107.20 |
| Fort Worth, TX | Unavailable | $1,104.79 |
| Galveston, TX | Unavailable | $1,101.64 |
| Houston, TX | Unavailable | $1,170.27 |
| Rest of Texas | Unavailable | $1,088.52 |
How the 27244 rate is calculated
Each of 27244’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.
How the rate is built · 27244
RVUs × geographic indexes × conversion factor
Work17.73
17.73 RVUs× 1.000 GPCI
Practice expense12.09
12.09 RVUs× 1.000 GPCI
Malpractice3.75
3.75 RVUs× 1.000 GPCI
Adjusted RVUs
33.5700
Conversion factor
$33.4009
Medicare rate
$1,121.27
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27244
27244 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27244
Femur fracture repair, plate or screw fixation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27244
Femur fracture repair, plate or screw fixation
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27244 without 50 · national facility
$1,121.27
Femur fracture repair, plate or screw fixation
27244-50 · Bilateral: 150%
$1,681.91
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
27244 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 27245Femur fracture fixationIntramedullary implant
- Both cover open treatment of intertrochanteric, peritrochanteric, or subtrochanteric fractures. Choose based on the fixation method: plate-and-screw type implant for 27244, intramedullary implant for 27245.
- 27238Femoral fracture careWithout manipulation
- 27238 describes closed treatment of these fracture regions without manipulation; 27244 describes open treatment with plate-or-screw fixation.
- 27240Femoral fracture careNeck fracture, with manipulation
- 27240 describes closed treatment with manipulation, with or without skeletal traction. Report 27244 when the fracture is treated by open surgery with plate-or-screw fixation.
- 27236Femoral neck repairOpen fixation or replacement
- 27236 applies to open treatment of a femoral fracture at the proximal end involving the neck, including fixation or prosthetic replacement. 27244 covers intertrochanteric, peritrochanteric, or subtrochanteric fractures treated with plate-or-screw fixation.
27244 billing questions
When is this code selected instead of 27245?
Use this code for open treatment of the specified proximal femoral fracture regions with a plate-and-screw type implant. Code 27245 describes open treatment using an intramedullary implant.
How does this differ from 27238 or 27240?
Those codes describe closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric fractures. This code is for open surgical treatment with plate-or-screw fixation.
What documentation supports this code?
The operative report should identify the fracture location and describe open reduction and stabilization with a plate-and-screw construct. Include laterality and whether cerclage was used.
Is cerclage required for reporting this code?
No. The plate-and-screw type fixation is the distinguishing feature; cerclage may be used but is not required.
How is bilateral treatment reported under the CMS rule?
When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
Can assistant or co-surgeon services be paid?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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
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