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

In South Dakota, Medicare pays $1,069.95 for 27472 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27472 nationwide

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.

How South Dakota compares for 27472

Across 109 of 109 payment localities, the facility rate for 27472 runs from $1,034.38 in Arkansas to $1,429.69 in Alaska. South Dakota pays $1,069.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27472 rates by state

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

See 27472 in every payment locality

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

Codes related to 27472

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

How 27472 has changed in South Dakota

Price 27472 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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