CPT code 27470: Femur repair, nonunion or malunion, without graft2026 Medicare rate & RVUs in Texas
Reports operative repair of an established femoral fracture nonunion or malunion below the head and neck when bone graft is not used.
CMS doesn’t publish an office rate for 27470 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 27470 covers
This code describes operative correction of a femoral fracture that has failed to unite or has healed in an unsatisfactory position, in the portion of the femur below the head and neck. Orthopedic surgeons typically perform the repair in an operating room, often in a hospital or surgical facility. The operative work addresses the established healing problem rather than treating a newly sustained fracture.
Choose this code when the repair is performed without bone graft; use the graft-specific sibling when graft is used. The operative report should identify the femoral site, the nonunion or malunion, the repair performed, and whether graft was used. CMS assigns a 90-day global period, including the day-before preoperative visit and 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-surgeons require 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 27470 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 | $1,096.49 |
| Beaumont, TX | Unavailable | $1,040.01 |
| Brazoria, TX | Unavailable | $1,059.90 |
| Dallas, TX | Unavailable | $1,071.75 |
| Fort Worth, TX | Unavailable | $1,069.20 |
| Galveston, TX | Unavailable | $1,066.41 |
| Houston, TX | Unavailable | $1,131.38 |
| Rest of Texas | Unavailable | $1,052.86 |
How the 27470 rate is calculated
Each of 27470’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 · 27470
RVUs × geographic indexes × conversion factor
Work16.71
16.71 RVUs× 1.000 GPCI
Practice expense12.23
12.23 RVUs× 1.000 GPCI
Malpractice3.55
3.55 RVUs× 1.000 GPCI
Adjusted RVUs
32.4900
Conversion factor
$33.4009
Medicare rate
$1,085.20
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27470
27470 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27470
Femur repair, nonunion or malunion, without graft
| 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 · 27470
Femur repair, nonunion or malunion, without graft
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
27470 without 50 · national facility
$1,085.20
Femur repair, nonunion or malunion, without graft
27470-50 · Bilateral: 150%
$1,627.80
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).
27470 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27472Femur repairWith bone graft
- Both address femoral nonunion or malunion below the head and neck. The distinction is whether bone graft is used in the repair.
- 27506Femur fracture repairIntramedullary implant
- This code addresses an established nonunion or malunion. Code 27506 describes open treatment of a femoral shaft fracture using an intramedullary implant.
- 27507Femur fracture repairPlate-and-screw fixation
- This code addresses an established nonunion or malunion. Code 27507 describes open treatment of a femoral shaft fracture using plate-and-screw fixation.
27470 billing questions
How do I choose between 27470 and 27472?
Use 27470 for repair without bone graft. When bone graft is used as part of the repair, the graft-specific sibling, 27472, is the relevant code.
Can this code be used for an acute femur fracture?
No. This code is for operative repair of an established nonunion or malunion; acute femoral fracture treatment is reported with a code specific to the fracture and treatment method.
Does the 90-day global include postoperative visits?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
How are bilateral repairs and additional procedures handled?
CMS pays bilateral reporting with modifier 50 at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons are paid only with 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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