CPT code 27472: Femur repair, with bone graft2026 Medicare rate & RVUs

Medicare pays $1,156.01 for 27472 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 27472 covers

This code applies to operative repair of a femur that has failed to unite or healed in a malaligned position, distal to the femoral head and neck, when the surgeon uses bone graft. An orthopedic surgeon typically performs the procedure in a hospital or ambulatory surgical setting, often addressing a femoral shaft or distal femoral fracture that did not heal adequately after prior treatment. The graft supports healing at the repair site; the operative report should identify the nonunion or malunion and document the graft use.

Select this code rather than the related no-graft repair code when bone graft is part of the repair. CMS assigns 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 other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; 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 27472 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

27472 rates by state

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

How the 27472 rate is calculated

Each of 27472’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 27472

27472 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

27472 compared with similar codes

How to choose

27470Femur repairNonunion or malunion, without graft

Both address femoral nonunion or malunion distal to the head and neck. The distinguishing feature for 27472 is use of bone graft in the repair.

27506Femur fracture repairIntramedullary implant

This code describes open treatment of a femoral shaft fracture with an intramedullary implant. Use 27472 for repair of an established femoral nonunion or malunion when bone graft is used.

27507Femur fracture repairPlate-and-screw fixation

This code describes open treatment of a femoral shaft fracture with plate-and-screw fixation. It is not the grafted repair code for an established nonunion or malunion.

Codes related to 27472

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