Billing code 27248: Femoral fracture repairMedicare rate & RVUs

Medicare pays $685.72 for 27248 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 27248 covers

The surgeon exposes the fracture in the upper femur, restores alignment, and stabilizes the bone as part of operative treatment. Orthopedic surgeons commonly perform this repair in a hospital operating room for fractures requiring open surgical management; the operative report should identify the fracture location and the work performed. The specific fracture pattern and fixation approach distinguish this service from closed treatment and from other open femoral-fracture procedures.

Report the code supported by the documented fracture site and operative technique, rather than selecting it from the general description “thigh fracture.” The record should establish the diagnosis, laterality, surgical approach, reduction, and stabilization performed. CMS assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during the following 90 days. For bilateral procedures reported with modifier 50, CMS pays at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. 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 27248 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

27248 rates by state

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

How the 27248 rate is calculated

Each of 27248’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 27248

27248 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

27248 compared with similar codes

How to choose

27244Femur fracture repair

This code is for open treatment of intertrochanteric, peritrochanteric, or subtrochanteric fractures using a plate-and-screw approach. Apply the code matching the fracture location and documented technique.

27245Femur fracture fixation

This code addresses intertrochanteric, peritrochanteric, or subtrochanteric fractures treated with an intramedullary implant. Distinguish it by the fracture site and fixation approach documented.

27236Femoral neck repair

This code addresses open treatment of a fracture involving the proximal femoral end and neck. Distinguish the codes by the documented fracture anatomy and applicable billing code descriptor.

Codes related to 27248

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