No office rate
This code describes femoral lengthening. Code 27458 is associated with femoral osteotomy using an intramedullary lengthening device; select based on the method documented in the operative report.
On this page
CMS RVU26D · Effective 2026-10-01
27466 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1355.33
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Orthopedic surgery
About 27466: Femoral lengthening osteoplasty
Reports surgical lengthening of the femur to address a documented limb-length discrepancy or shortening through a planned bone-lengthening procedure.
An orthopedic surgeon lengthens the femur by surgically dividing the bone and gradually increasing the distance between the bone ends, with stabilization during healing. The procedure is generally performed in an operating room for a patient with a clinically significant femoral length discrepancy, including congenital or acquired shortening. The operative report should identify the femur treated and describe the lengthening procedure and stabilization used.
Report this code when the operation lengthens the femur; distinguish it from procedures directed at shortening the bone, correcting alignment, or using a specifically described intramedullary lengthening device. Documentation should support the indication, side, operative method, and work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 27466
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU22.08 · 54%
- Practice expense (office) RVU14.21 · 35%
- Malpractice RVU4.71 · 11%
41
Medicare services in 2024 · #5477 by national volume
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.
27466 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
Code 27465 is for shortening the femur. Use this code when the femoral procedure increases bone length.
No office rate
Code 27475 describes surgery to stop growth, which can manage limb-length discrepancy in a growing patient. This code is for surgically lengthening the femur.
The same code, a different location
How does El Centro compare?
27466 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 27466
Office
Unavailable
Facility
$1354.54
No comparable office rate is available.
Modesto
California · 27466
Office
Unavailable
Facility
$1354.54
No comparable office rate is available.
Napa
California · 27466
Office
Unavailable
Facility
$1489.43
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 27466
Office
Unavailable
Facility
$1417.16
No comparable office rate is available.
Redding
California · 27466
Office
Unavailable
Facility
$1354.54
No comparable office rate is available.
Rest Of California
California · 27466
Office
Unavailable
Facility
$1354.54
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 27466
Office
Unavailable
Facility
$1405.15
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 27466
Office
Unavailable
Facility
$1400.36
No comparable office rate is available.
Salinas
California · 27466
Office
Unavailable
Facility
$1394.77
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 27466
Office
Unavailable
Facility
$1412.54
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 27466
Office
Unavailable
Facility
$1548.99
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 27466
Office
Unavailable
Facility
$1543.64
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 27466
Office
Unavailable
Facility
$1587.35
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 27466
Office
Unavailable
Facility
$1565.48
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 27466
Office
Unavailable
Facility
$1374.95
No comparable office rate is available.
Santa Cruz-Watsonville
California · 27466
Office
Unavailable
Facility
$1413.97
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 27466
Office
Unavailable
Facility
$1395.88
No comparable office rate is available.
Santa Rosa-Petaluma
California · 27466
Office
Unavailable
Facility
$1426.78
No comparable office rate is available.
Stockton
California · 27466
Office
Unavailable
Facility
$1354.54
No comparable office rate is available.
Vallejo
California · 27466
Office
Unavailable
Facility
$1481.72
No comparable office rate is available.
Visalia
California · 27466
Office
Unavailable
Facility
$1354.54
No comparable office rate is available.
Yuba City
California · 27466
Office
Unavailable
Facility
$1354.54
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 27466
Office
Unavailable
Facility
$1511.52
No comparable office rate is available.
Miami
Florida · 27466
Office
Unavailable
Facility
$1629.44
No comparable office rate is available.
Chicago
Illinois · 27466
Office
Unavailable
Facility
$1580.70
No comparable office rate is available.
Manhattan
New York · 27466
Office
Unavailable
Facility
$1585.71
No comparable office rate is available.
Alaska*
Alaska · 27466
Office
Unavailable
Facility
$1698.40
No comparable office rate is available.
Alabama
Alabama · 27466
Office
Unavailable
Facility
$1241.83
No comparable office rate is available.
Arkansas
Arkansas · 27466
Office
Unavailable
Facility
$1226.22
No comparable office rate is available.
Arizona
Arizona · 27466
Office
Unavailable
Facility
$1332.07
No comparable office rate is available.
Colorado
Colorado · 27466
Office
Unavailable
Facility
$1374.21
No comparable office rate is available.
Connecticut
Connecticut · 27466
Office
Unavailable
Facility
$1453.77
No comparable office rate is available.
Delaware
Delaware · 27466
Office
Unavailable
Facility
$1351.54
No comparable office rate is available.
Fort Lauderdale
Florida · 27466
Office
Unavailable
Facility
$1502.72
No comparable office rate is available.
Rest Of Florida
Florida · 27466
Office
Unavailable
Facility
$1427.68
No comparable office rate is available.
Atlanta
Georgia · 27466
Office
Unavailable
Facility
$1410.86
No comparable office rate is available.
Rest Of Georgia
Georgia · 27466
Office
Unavailable
Facility
$1348.38
No comparable office rate is available.
Hawaii, Guam
Hawaii · 27466
Office
Unavailable
Facility
$1368.23
No comparable office rate is available.
Iowa
Iowa · 27466
Office
Unavailable
Facility
$1234.23
No comparable office rate is available.
Idaho
Idaho · 27466
Office
Unavailable
Facility
$1248.56
No comparable office rate is available.
East St. Louis
Illinois · 27466
Office
Unavailable
Facility
$1490.99
No comparable office rate is available.
Rest Of Illinois
Illinois · 27466
Office
Unavailable
Facility
$1416.71
No comparable office rate is available.
Suburban Chicago
Illinois · 27466
Office
Unavailable
Facility
$1508.86
No comparable office rate is available.
Indiana
Indiana · 27466
Office
Unavailable
Facility
$1253.93
No comparable office rate is available.
Kansas
Kansas · 27466
Office
Unavailable
Facility
$1245.84
No comparable office rate is available.
Kentucky
Kentucky · 27466
Office
Unavailable
Facility
$1303.38
No comparable office rate is available.
New Orleans
Louisiana · 27466
Office
Unavailable
Facility
$1362.83
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 27466
Office
Unavailable
Facility
$1308.25
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 27466
Office
Unavailable
Facility
$1474.45
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 27466
Office
Unavailable
Facility
$1374.46
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 27466
Office
Unavailable
Facility
$1453.17
No comparable office rate is available.
Rest Of Maryland
Maryland · 27466
Office
Unavailable
Facility
$1369.61
No comparable office rate is available.
Rest Of Maine
Maine · 27466
Office
Unavailable
Facility
$1272.00
No comparable office rate is available.
Southern Maine
Maine · 27466
Office
Unavailable
Facility
$1307.11
No comparable office rate is available.
Detroit
Michigan · 27466
Office
Unavailable
Facility
$1460.75
No comparable office rate is available.
Rest Of Michigan
Michigan · 27466
Office
Unavailable
Facility
$1348.44
No comparable office rate is available.
Minnesota
Minnesota · 27466
Office
Unavailable
Facility
$1272.45
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 27466
Office
Unavailable
Facility
$1336.87
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 27466
Office
Unavailable
Facility
$1346.97
No comparable office rate is available.
Rest Of Missouri
Missouri · 27466
Office
Unavailable
Facility
$1299.85
No comparable office rate is available.
Mississippi
Mississippi · 27466
Office
Unavailable
Facility
$1262.40
No comparable office rate is available.
Montana**
Montana · 27466
Office
Unavailable
Facility
$1369.12
No comparable office rate is available.
North Carolina
North Carolina · 27466
Office
Unavailable
Facility
$1280.85
No comparable office rate is available.
North Dakota**
North Dakota · 27466
Office
Unavailable
Facility
$1275.99
No comparable office rate is available.
Nebraska
Nebraska · 27466
Office
Unavailable
Facility
$1235.04
No comparable office rate is available.
New Hampshire
New Hampshire · 27466
Office
Unavailable
Facility
$1369.23
No comparable office rate is available.
Northern Nj
New Jersey · 27466
Office
Unavailable
Facility
$1502.54
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 27466
Office
Unavailable
Facility
$1457.86
No comparable office rate is available.
New Mexico
New Mexico · 27466
Office
Unavailable
Facility
$1361.66
No comparable office rate is available.
Nevada**
Nevada · 27466
Office
Unavailable
Facility
$1343.64
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 27466
Office
Unavailable
Facility
$1641.16
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 27466
Office
Unavailable
Facility
$1480.75
No comparable office rate is available.
Queens
New York · 27466
Office
Unavailable
Facility
$1572.55
No comparable office rate is available.
Rest Of New York
New York · 27466
Office
Unavailable
Facility
$1298.98
No comparable office rate is available.
Ohio
Ohio · 27466
Office
Unavailable
Facility
$1329.40
No comparable office rate is available.
Oklahoma
Oklahoma · 27466
Office
Unavailable
Facility
$1283.57
No comparable office rate is available.
Portland
Oregon · 27466
Office
Unavailable
Facility
$1393.65
No comparable office rate is available.
Rest Of Oregon
Oregon · 27466
Office
Unavailable
Facility
$1320.81
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 27466
Office
Unavailable
Facility
$1432.53
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 27466
Office
Unavailable
Facility
$1321.87
No comparable office rate is available.
Puerto Rico
Puerto Rico · 27466
Office
Unavailable
Facility
$1372.30
No comparable office rate is available.
Rhode Island
Rhode Island · 27466
Office
Unavailable
Facility
$1382.12
No comparable office rate is available.
South Carolina
South Carolina · 27466
Office
Unavailable
Facility
$1309.77
No comparable office rate is available.
South Dakota**
South Dakota · 27466
Office
Unavailable
Facility
$1264.98
No comparable office rate is available.
Tennessee
Tennessee · 27466
Office
Unavailable
Facility
$1253.41
No comparable office rate is available.
Austin
Texas · 27466
Office
Unavailable
Facility
$1380.51
No comparable office rate is available.
Beaumont
Texas · 27466
Office
Unavailable
Facility
$1315.55
No comparable office rate is available.
Brazoria
Texas · 27466
Office
Unavailable
Facility
$1336.46
No comparable office rate is available.
Dallas
Texas · 27466
Office
Unavailable
Facility
$1351.84
No comparable office rate is available.
Fort Worth
Texas · 27466
Office
Unavailable
Facility
$1349.14
No comparable office rate is available.
Galveston
Texas · 27466
Office
Unavailable
Facility
$1344.96
No comparable office rate is available.
Houston
Texas · 27466
Office
Unavailable
Facility
$1431.17
No comparable office rate is available.
Rest Of Texas
Texas · 27466
Office
Unavailable
Facility
$1329.97
No comparable office rate is available.
Utah
Utah · 27466
Office
Unavailable
Facility
$1324.91
No comparable office rate is available.
Virginia
Virginia · 27466
Office
Unavailable
Facility
$1315.12
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 27466
Office
Unavailable
Facility
$1372.30
No comparable office rate is available.
Vermont
Vermont · 27466
Office
Unavailable
Facility
$1286.98
No comparable office rate is available.
Rest Of Washington
Washington · 27466
Office
Unavailable
Facility
$1366.58
No comparable office rate is available.
Seattle (King Cnty)
Washington · 27466
Office
Unavailable
Facility
$1485.26
No comparable office rate is available.
Wisconsin
Wisconsin · 27466
Office
Unavailable
Facility
$1240.64
No comparable office rate is available.
West Virginia
West Virginia · 27466
Office
Unavailable
Facility
$1375.06
No comparable office rate is available.
Wyoming**
Wyoming · 27466
Office
Unavailable
Facility
$1328.53
No comparable office rate is available.
See how rates vary across the country
27466 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 27466 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1490.86
$1355.33 × 110% = $1490.86
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27466 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
2,907
- Code
- 27466
- Physician work
- 22.08
- Practice expense
- 14.21
- Malpractice
- 4.71
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.08 | × 1.017 | 22.4554 |
| Practice expense | 14.21 | × 1.096 | 15.5742 |
| Malpractice | 4.71 | × 0.541 | 2.5481 |
| Total RVUs | 40.5776 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$1355.33
Open 27466 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.08 | 1.017 |
| Practice expense | 14.21 | 1.096 |
| Malpractice | 4.71 | 0.541 |
(22.08 × 1.017 + 14.21 × 1.096 + 4.71 × 0.541) × $33.4009 = $1355.33
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
27466 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1355.33 | RVU26D |
| 2026-07-01 | Not available in this setting | $1355.33 | RVU26C |
| 2026-04-01 | Not available in this setting | $1355.33 | RVU26B |
| 2026-01-01 | Not available in this setting | $1355.33 | RVU26A |
| 2025-10-01 | Not available in this setting | $1170.13 | RVU25D |
| 2025-07-01 | Not available in this setting | $1170.13 | RVU25C |
| 2025-04-01 | Not available in this setting | $1170.13 | RVU25B |
| 2025-01-01 | Not available in this setting | $1170.13 | RVU25A |
27466 billing questions
How is this code distinguished from 27458?
Use this code for femoral lengthening when the procedure documentation supports this service. Code 27458 is the nearby code associated with femoral osteotomy and an intramedullary lengthening device; follow the operative method documented.
Can this code be reported with a separate femoral osteotomy code?
The lengthening procedure itself includes the femoral bone work involved in achieving length. Do not separately report another code for work that is part of that same procedure.
What supports reporting the code?
The operative report should document the femur and side, the reason for lengthening, the bone-lengthening method, and stabilization. The record should make clear that the operation lengthened the femur rather than simply correcting its alignment.
How is bilateral femoral lengthening reported?
CMS recognizes bilateral reporting with modifier 50, paid at 150%. The record should support that the procedure was performed on both femurs.
Does the 90-day global period include postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons are paid only when supporting documentation is provided; 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,90427457,,Realignment of knee,A,,13.68,9.76,NA,9.76,,2.91,26.35,26.35,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,90527458,,Osteot femur imed lngth dev,A,,26.65,20.06,NA,20.06,,5.13,51.84,51.84,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,90627465,,Shortening of thigh bone,A,,20.60,13.74,NA,13.74,,4.39,38.73,38.73,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,90727466,,Lengthening of thigh bone,A,,22.08,14.21,NA,14.21,,4.71,41.00,41.00,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,90827470,,Repair of thigh,A,,16.71,12.23,NA,12.23,,3.55,32.49,32.49,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,90927472,,Repair/graft of thigh,A,,18.25,12.48,NA,12.48,,3.88,34.61,34.61,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,91027475,,Surgery to stop leg growth,A,,8.71,8.22,NA,8.22,,1.85,18.78,18.78,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664