CPT code 27495: Femoral reinforcement, impending shaft fracture2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $959.69 for 27495 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27495 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 27495 covers

An orthopedic surgeon stabilizes a femoral shaft that is considered likely to break, commonly because a tumor or other destructive bone lesion has weakened it. The surgeon uses internal fixation, such as a rod or plate, with or without bone cement. The procedure is typically performed in an operating room when imaging and clinical findings support concern for an impending fracture.

Select this code for prophylactic stabilization of the femoral shaft, not treatment of a completed fracture. The operative report should identify the shaft site, the lesion or bone weakness, the impending-fracture rationale, and the stabilization performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in one session, the highest-valued is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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 27495

Across 109 of 109 payment localities, the facility rate for 27495 runs from $926.27 in Arkansas to $1,278.56 in Alaska. South Dakota pays $959.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27495 rates by state

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

See 27495 in every payment locality

How the 27495 rate is calculated

Each of 27495’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 27495

27495 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 27495

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

How 27495 has changed in South Dakota

Price 27495 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