No office rate
Choose 27187 for prophylactic stabilization involving the femoral head or neck. This code applies to the femoral shaft.
On this page
CMS RVU26D · Effective 2026-10-01
27495 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1029.05
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 27495: Prophylactic femoral shaft stabilization
Reports surgical reinforcement of a weakened femoral shaft at risk of fracture, before a complete fracture has occurred.
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.
CMS billing rules for 27495
- 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 RVU16.13 · 52%
- Practice expense (office) RVU11.45 · 37%
- Malpractice RVU3.43 · 11%
2.6K
Medicare services in 2024 · #2262 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.
27495 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
Choose 27506 when a femoral shaft fracture has occurred and is being operatively treated. This code describes reinforcement before a complete fracture.
No office rate
Choose 27470 for repair of a femoral nonunion or malunion. This code is for preventive stabilization of a shaft at risk of fracture.
The same code, a different location
How does El Centro compare?
27495 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 · 27495
Office
Unavailable
Facility
$1028.48
No comparable office rate is available.
Modesto
California · 27495
Office
Unavailable
Facility
$1028.48
No comparable office rate is available.
Napa
California · 27495
Office
Unavailable
Facility
$1134.95
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 27495
Office
Unavailable
Facility
$1077.26
No comparable office rate is available.
Redding
California · 27495
Office
Unavailable
Facility
$1028.48
No comparable office rate is available.
Rest Of California
California · 27495
Office
Unavailable
Facility
$1028.48
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 27495
Office
Unavailable
Facility
$1065.33
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 27495
Office
Unavailable
Facility
$1064.34
No comparable office rate is available.
Salinas
California · 27495
Office
Unavailable
Facility
$1060.11
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 27495
Office
Unavailable
Facility
$1074.41
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 27495
Office
Unavailable
Facility
$1181.76
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 27495
Office
Unavailable
Facility
$1177.87
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 27495
Office
Unavailable
Facility
$1210.91
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 27495
Office
Unavailable
Facility
$1194.98
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 27495
Office
Unavailable
Facility
$1044.92
No comparable office rate is available.
Santa Cruz-Watsonville
California · 27495
Office
Unavailable
Facility
$1076.14
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 27495
Office
Unavailable
Facility
$1061.17
No comparable office rate is available.
Santa Rosa-Petaluma
California · 27495
Office
Unavailable
Facility
$1085.96
No comparable office rate is available.
Stockton
California · 27495
Office
Unavailable
Facility
$1028.48
No comparable office rate is available.
Vallejo
California · 27495
Office
Unavailable
Facility
$1129.34
No comparable office rate is available.
Visalia
California · 27495
Office
Unavailable
Facility
$1028.48
No comparable office rate is available.
Yuba City
California · 27495
Office
Unavailable
Facility
$1028.48
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 27495
Office
Unavailable
Facility
$1145.87
No comparable office rate is available.
Miami
Florida · 27495
Office
Unavailable
Facility
$1226.61
No comparable office rate is available.
Chicago
Illinois · 27495
Office
Unavailable
Facility
$1189.81
No comparable office rate is available.
Manhattan
New York · 27495
Office
Unavailable
Facility
$1199.33
No comparable office rate is available.
Alaska*
Alaska · 27495
Office
Unavailable
Facility
$1278.56
No comparable office rate is available.
Alabama
Alabama · 27495
Office
Unavailable
Facility
$938.24
No comparable office rate is available.
Arkansas
Arkansas · 27495
Office
Unavailable
Facility
$926.27
No comparable office rate is available.
Arizona
Arizona · 27495
Office
Unavailable
Facility
$1007.41
No comparable office rate is available.
Colorado
Colorado · 27495
Office
Unavailable
Facility
$1041.61
No comparable office rate is available.
Connecticut
Connecticut · 27495
Office
Unavailable
Facility
$1100.04
No comparable office rate is available.
Delaware
Delaware · 27495
Office
Unavailable
Facility
$1022.30
No comparable office rate is available.
Fort Lauderdale
Florida · 27495
Office
Unavailable
Facility
$1133.30
No comparable office rate is available.
Rest Of Florida
Florida · 27495
Office
Unavailable
Facility
$1076.56
No comparable office rate is available.
Atlanta
Georgia · 27495
Office
Unavailable
Facility
$1066.52
No comparable office rate is available.
Rest Of Georgia
Georgia · 27495
Office
Unavailable
Facility
$1016.45
No comparable office rate is available.
Hawaii, Guam
Hawaii · 27495
Office
Unavailable
Facility
$1039.92
No comparable office rate is available.
Iowa
Iowa · 27495
Office
Unavailable
Facility
$934.17
No comparable office rate is available.
Idaho
Idaho · 27495
Office
Unavailable
Facility
$944.79
No comparable office rate is available.
East St. Louis
Illinois · 27495
Office
Unavailable
Facility
$1121.34
No comparable office rate is available.
Rest Of Illinois
Illinois · 27495
Office
Unavailable
Facility
$1066.99
No comparable office rate is available.
Suburban Chicago
Illinois · 27495
Office
Unavailable
Facility
$1138.30
No comparable office rate is available.
Indiana
Indiana · 27495
Office
Unavailable
Facility
$948.96
No comparable office rate is available.
Kansas
Kansas · 27495
Office
Unavailable
Facility
$942.22
No comparable office rate is available.
Kentucky
Kentucky · 27495
Office
Unavailable
Facility
$983.57
No comparable office rate is available.
New Orleans
Louisiana · 27495
Office
Unavailable
Facility
$1028.78
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 27495
Office
Unavailable
Facility
$986.97
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 27495
Office
Unavailable
Facility
$1119.44
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 27495
Office
Unavailable
Facility
$1041.39
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 27495
Office
Unavailable
Facility
$1099.45
No comparable office rate is available.
Rest Of Maryland
Maryland · 27495
Office
Unavailable
Facility
$1036.34
No comparable office rate is available.
Rest Of Maine
Maine · 27495
Office
Unavailable
Facility
$961.86
No comparable office rate is available.
Southern Maine
Maine · 27495
Office
Unavailable
Facility
$990.05
No comparable office rate is available.
Detroit
Michigan · 27495
Office
Unavailable
Facility
$1100.97
No comparable office rate is available.
Rest Of Michigan
Michigan · 27495
Office
Unavailable
Facility
$1017.27
No comparable office rate is available.
Minnesota
Minnesota · 27495
Office
Unavailable
Facility
$966.20
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 27495
Office
Unavailable
Facility
$1009.80
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 27495
Office
Unavailable
Facility
$1017.63
No comparable office rate is available.
Rest Of Missouri
Missouri · 27495
Office
Unavailable
Facility
$980.01
No comparable office rate is available.
Mississippi
Mississippi · 27495
Office
Unavailable
Facility
$952.70
No comparable office rate is available.
Montana**
Montana · 27495
Office
Unavailable
Facility
$1035.53
No comparable office rate is available.
North Carolina
North Carolina · 27495
Office
Unavailable
Facility
$968.78
No comparable office rate is available.
North Dakota**
North Dakota · 27495
Office
Unavailable
Facility
$967.71
No comparable office rate is available.
Nebraska
Nebraska · 27495
Office
Unavailable
Facility
$935.05
No comparable office rate is available.
New Hampshire
New Hampshire · 27495
Office
Unavailable
Facility
$1037.12
No comparable office rate is available.
Northern Nj
New Jersey · 27495
Office
Unavailable
Facility
$1138.68
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 27495
Office
Unavailable
Facility
$1103.61
No comparable office rate is available.
New Mexico
New Mexico · 27495
Office
Unavailable
Facility
$1027.05
No comparable office rate is available.
Nevada**
Nevada · 27495
Office
Unavailable
Facility
$1017.01
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 27495
Office
Unavailable
Facility
$1240.71
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 27495
Office
Unavailable
Facility
$1120.40
No comparable office rate is available.
Queens
New York · 27495
Office
Unavailable
Facility
$1190.48
No comparable office rate is available.
Rest Of New York
New York · 27495
Office
Unavailable
Facility
$982.61
No comparable office rate is available.
Ohio
Ohio · 27495
Office
Unavailable
Facility
$1003.41
No comparable office rate is available.
Oklahoma
Oklahoma · 27495
Office
Unavailable
Facility
$969.29
No comparable office rate is available.
Portland
Oregon · 27495
Office
Unavailable
Facility
$1057.50
No comparable office rate is available.
Rest Of Oregon
Oregon · 27495
Office
Unavailable
Facility
$1000.21
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 27495
Office
Unavailable
Facility
$1083.25
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 27495
Office
Unavailable
Facility
$998.10
No comparable office rate is available.
Puerto Rico
Puerto Rico · 27495
Office
Unavailable
Facility
$1038.25
No comparable office rate is available.
Rhode Island
Rhode Island · 27495
Office
Unavailable
Facility
$1046.25
No comparable office rate is available.
South Carolina
South Carolina · 27495
Office
Unavailable
Facility
$989.51
No comparable office rate is available.
South Dakota**
South Dakota · 27495
Office
Unavailable
Facility
$959.69
No comparable office rate is available.
Tennessee
Tennessee · 27495
Office
Unavailable
Facility
$947.92
No comparable office rate is available.
Austin
Texas · 27495
Office
Unavailable
Facility
$1045.96
No comparable office rate is available.
Beaumont
Texas · 27495
Office
Unavailable
Facility
$993.21
No comparable office rate is available.
Brazoria
Texas · 27495
Office
Unavailable
Facility
$1011.43
No comparable office rate is available.
Dallas
Texas · 27495
Office
Unavailable
Facility
$1022.81
No comparable office rate is available.
Fort Worth
Texas · 27495
Office
Unavailable
Facility
$1020.48
No comparable office rate is available.
Galveston
Texas · 27495
Office
Unavailable
Facility
$1017.69
No comparable office rate is available.
Houston
Texas · 27495
Office
Unavailable
Facility
$1080.47
No comparable office rate is available.
Rest Of Texas
Texas · 27495
Office
Unavailable
Facility
$1005.14
No comparable office rate is available.
Utah
Utah · 27495
Office
Unavailable
Facility
$1001.13
No comparable office rate is available.
Virginia
Virginia · 27495
Office
Unavailable
Facility
$995.58
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 27495
Office
Unavailable
Facility
$1038.25
No comparable office rate is available.
Vermont
Vermont · 27495
Office
Unavailable
Facility
$975.34
No comparable office rate is available.
Rest Of Washington
Washington · 27495
Office
Unavailable
Facility
$1035.65
No comparable office rate is available.
Seattle (King Cnty)
Washington · 27495
Office
Unavailable
Facility
$1128.55
No comparable office rate is available.
Wisconsin
Wisconsin · 27495
Office
Unavailable
Facility
$940.42
No comparable office rate is available.
West Virginia
West Virginia · 27495
Office
Unavailable
Facility
$1035.04
No comparable office rate is available.
Wyoming**
Wyoming · 27495
Office
Unavailable
Facility
$1005.97
No comparable office rate is available.
See how rates vary across the country
27495 · 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 27495 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1131.96
$1029.05 × 110% = $1131.96
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 27495 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
2,917
- Code
- 27495
- Physician work
- 16.13
- Practice expense
- 11.45
- Malpractice
- 3.43
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.13 | × 1.017 | 16.4042 |
| Practice expense | 11.45 | × 1.096 | 12.5492 |
| Malpractice | 3.43 | × 0.541 | 1.8556 |
| Total RVUs | 30.8090 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$1029.05
Open 27495 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.13 | 1.017 |
| Practice expense | 11.45 | 1.096 |
| Malpractice | 3.43 | 0.541 |
(16.13 × 1.017 + 11.45 × 1.096 + 3.43 × 0.541) × $33.4009 = $1029.05
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
27495 · 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 | $1029.05 | RVU26D |
| 2026-07-01 | Not available in this setting | $1029.05 | RVU26C |
| 2026-04-01 | Not available in this setting | $1029.05 | RVU26B |
| 2026-01-01 | Not available in this setting | $1029.05 | RVU26A |
| 2025-10-01 | Not available in this setting | $1116.03 | RVU25D |
| 2025-07-01 | Not available in this setting | $1116.03 | RVU25C |
| 2025-04-01 | Not available in this setting | $1116.03 | RVU25B |
| 2025-01-01 | Not available in this setting | $1116.03 | RVU25A |
27495 billing questions
When is this code appropriate instead of a femoral fracture-treatment code?
Use it when the femoral shaft is reinforced before a complete fracture occurs because the bone is judged at risk. A completed shaft fracture calls for fracture-treatment coding instead.
How is this distinguished from prophylactic femoral neck stabilization?
This code is for the femoral shaft. Prophylactic stabilization of the femoral head or neck is reported with a different code.
Does the 90-day global period include related postoperative care?
Yes. It includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral performance paid?
When the procedure is performed bilaterally and reported with modifier 50, CMS pays it at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. 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.
2,91427486,,Revise/replace knee joint,A,,20.59,13.23,NA,13.23,,4.35,38.17,38.17,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,91527487,,Revise/replace knee joint,A,,26.43,15.11,NA,15.11,,5.60,47.14,47.14,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,91627488,,Removal of knee prosthesis,A,,17.16,12.14,NA,12.14,,3.63,32.93,32.93,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,91727495,,Reinforce thigh,A,,16.13,11.45,NA,11.45,,3.43,31.01,31.01,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,91827496,,Decompression of thigh/knee,A,,6.61,7.89,NA,7.89,,1.40,15.90,15.90,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,91927497,,Decompression of thigh/knee,A,,7.60,7.30,NA,7.30,,1.62,16.52,16.52,0,090,0.10,0.69,0.21,2,1,0,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92027498,,Decompression of thigh/knee,A,,8.44,8.48,NA,8.48,,1.79,18.71,18.71,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,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