FeeBase
Log inGet started
Menu

Billing code 27244: Femur fracture repairMedicare rate & RVUs

Open repair of an intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture using a plate-and-screw construct, with or without cerclage.

CMS RVU26DEffective Oct 1, 2026109 payment localities3.9K Medicare services in 2024

Medicare pays $1,121.27 for 27244 nationally in a facility.

Medicare rate · 27244

Femur fracture repair

Swap in your local Medicare rate.

Work RVUs
17.73
Total RVUs
33.57
Global days
090

National rate · 2026

$1,121.27

Facility setting, before claim adjustments.

See every locality for 27244 → · Billed by an NP, PA or therapist? →

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

On this page 10 sections
  1. Medicare rate
  2. What 27244 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 27244 covers

This code covers open surgical treatment of a fracture in the intertrochanteric, peritrochanteric, or subtrochanteric region of the femur, using a plate-and-screw type implant. Cerclage may also be used, but is not required. An orthopedic surgeon typically performs the operation in a hospital operating room, reducing the fracture and stabilizing it with the selected fixation construct. It is distinct from treatment of a femoral neck fracture and from fixation using an intramedullary implant.

Select the code when the operative report supports the specified fracture location, open treatment, and plate-or-screw fixation. Document the fracture pattern and location, the reduction and fixation performed, implant type, and laterality. The service has a 90-day global period that includes 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 payment may be available; 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 27244 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

27244 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,016.43
Alaska*Unavailable$1,387.38
ArizonaUnavailable$1,090.71
ArkansasUnavailable$1,003.58
AtlantaUnavailable$1,154.68
AustinUnavailable$1,131.60
BakersfieldUnavailable$1,122.31
Baltimore/Surr. CntysUnavailable$1,189.91
BeaumontUnavailable$1,076.03
BrazoriaUnavailable$1,094.82

27244 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
27244 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 27244 rate is calculated

Each of 27244’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 · 27244

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 17.73Practice expense 12.09Malpractice 3.75

33.5700 adjusted RVUs×$33.4009 conversion factor=$1,121.27

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 27244

27244 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27244

Femur fracture repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27244

Femur fracture repair

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27244 without 50 · national facility

$1,121.27

Femur fracture repair

27244-50 · Bilateral: 150%

$1,681.91

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).

When to use modifier 50

27244 compared with similar codes

Compare codes

27244 vs 27245 vs 27238 vs 27240 vs 27236: national Medicare rates

Swap in your local Medicare rate.

  • 27244
    Femur fracture repair · 17.73 wRVU
    —
  • 27245
    Femur fracture fixation · 17.73 wRVU
    —
  • 27238
    Femoral fracture care · 5.61 wRVU
    —
  • 27240
    Femoral fracture care · 13.46 wRVU
    —
  • 27236
    Femoral neck repair · 17.17 wRVU
    —

How to choose

27245Femur fracture fixation
Both cover open treatment of intertrochanteric, peritrochanteric, or subtrochanteric fractures. Choose based on the fixation method: plate-and-screw type implant for 27244, intramedullary implant for 27245.
27238Femoral fracture care
27238 describes closed treatment of these fracture regions without manipulation; 27244 describes open treatment with plate-or-screw fixation.
27240Femoral fracture care
27240 describes closed treatment with manipulation, with or without skeletal traction. Report 27244 when the fracture is treated by open surgery with plate-or-screw fixation.
27236Femoral neck repair
27236 applies to open treatment of a femoral fracture at the proximal end involving the neck, including fixation or prosthetic replacement. 27244 covers intertrochanteric, peritrochanteric, or subtrochanteric fractures treated with plate-or-screw fixation.

Codes related to 27244

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

Codes related to 27244
CodeHow it relatesNational office range
Same family
27245Femur fracture fixationOpen treatment of the same fracture regions using an intramedullary implant.No office rate
27238Femoral fracture careClosed treatment of these fracture regions without manipulation.No office rate
27240Femoral fracture careClosed treatment of these fracture regions with manipulation, with or without skeletal traction.No office rate
Used instead
27236Femoral neck repairOpen treatment with fixation or prosthetic replacement for a femoral fracture involving the proximal end and neck.No office rate

27244 billing questions

When is this code selected instead of 27245?

Use this code for open treatment of the specified proximal femoral fracture regions with a plate-and-screw type implant. Code 27245 describes open treatment using an intramedullary implant.

How does this differ from 27238 or 27240?

Those codes describe closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric fractures. This code is for open surgical treatment with plate-or-screw fixation.

What documentation supports this code?

The operative report should identify the fracture location and describe open reduction and stabilization with a plate-and-screw construct. Include laterality and whether cerclage was used.

Is cerclage required for reporting this code?

No. The plate-and-screw type fixation is the distinguishing feature; cerclage may be used but is not required.

How is bilateral treatment reported under the CMS rule?

When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.

Can assistant or co-surgeon services be paid?

Assistant-at-surgery payment may be available. Co-surgeon payment requires 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

Show the CMS file lines behind this rate
RVUs for 27244PPRRVU2026_Oct_nonQPP.csv, line 2,801 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 27244 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 27244 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →