CPT code 27245: Femur fracture fixation, intramedullary implant2026 Medicare rate & RVUs in California

CMS doesn’t publish an office rate for 27245 in California.

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

What 27245 covers

An orthopedic surgeon uses an intramedullary implant to stabilize a fracture in the upper femur, such as an intertrochanteric or subtrochanteric fracture. The implant is placed through the proximal femur and extends into the bone’s medullary canal; interlocking screws or cerclage may also be used. This procedure is commonly performed in a hospital operating room for patients whose fracture pattern and treatment plan call for operative stabilization.

Select this code when the operative report supports the specified fracture region and intramedullary fixation method; the implant and operative details distinguish it from plate-and-screw fixation or closed treatment. The service has a 90-day global period, including 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment and co-surgeons are permitted; 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 27245 pays more and less in California

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

29 of 29 payment localities

How the 27245 rate is calculated

Each of 27245’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 27245

27245 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

27245 compared with similar codes

How to choose

27244Femur fracture repairPlate or screw fixation

Use 27245 when the fracture is stabilized with an intramedullary implant. Use 27244 when the documented fixation uses a plate-and-screw type implant.

27240Femoral fracture careNeck fracture, with manipulation

This code reports operative intramedullary fixation. Code 27240 describes closed treatment of an intertrochanteric, peritrochanteric, or subtrochanteric fracture.

27236Femoral neck repairOpen fixation or replacement

Code 27236 is for open treatment of a femoral neck fracture. Code 27245 applies to specified intertrochanteric, peritrochanteric, or subtrochanteric fractures treated with an intramedullary implant.

Codes related to 27245

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