No office rate
Use 27245 when the fracture is stabilized with an intramedullary implant. Use 27244 when the documented fixation uses a plate-and-screw type implant.
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CMS RVU26D · Effective 2026-10-01
27245 Femur fracture fixation Medicare reimbursement rates in Alabama
Reports operative fixation of an intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture using an intramedullary implant. Compare 27245 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 27245 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1014.21
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Orthopedic surgery
About 27245: Proximal femur fracture fixation with intramedullary nail
Reports operative fixation of an intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture using an intramedullary implant.
An orthopedic surgeon uses an intramedullary implant to stabilize a fracture in the upper femur, such as an intertrochanteric or subtrochanteric fracture. The implant is placed through the proximal femur and extends into the bone’s medullary canal; interlocking screws or cerclage may also be used. This procedure is commonly performed in a hospital operating room for patients whose fracture pattern and treatment plan call for operative stabilization.
Select this code when the operative report supports the specified fracture region and intramedullary fixation method; the implant and operative details distinguish it from plate-and-screw fixation or closed treatment. The service has a 90-day global period, including 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 27245
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU17.73 · 53%
- Practice expense (office) RVU12.04 · 36%
- Malpractice RVU3.71 · 11%
94.7K
Medicare services in 2024 · #578 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.
27245 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
This code reports operative intramedullary fixation. Code 27240 describes closed treatment of an intertrochanteric, peritrochanteric, or subtrochanteric fracture.
No office rate
Code 27236 is for open treatment of a femoral neck fracture. Code 27245 applies to specified intertrochanteric, peritrochanteric, or subtrochanteric fractures treated with an intramedullary implant.
Compare 27245 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$1014.21
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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 27245 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
2,802
- Code
- 27245
- Physician work
- 17.73
- Practice expense
- 12.04
- Malpractice
- 3.71
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.73 | × 1.000 | 17.7300 |
| Practice expense | 12.04 | × 0.875 | 10.5350 |
| Malpractice | 3.71 | × 0.566 | 2.0999 |
| Total RVUs | 30.3649 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$1014.21
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.73 | 1 |
| Practice expense | 12.04 | 0.875 |
| Malpractice | 3.71 | 0.566 |
(17.73 × 1 + 12.04 × 0.875 + 3.71 × 0.566) × $33.4009 = $1014.21
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.
27245 billing questions
How does this differ from code 27244?
Both address intertrochanteric, peritrochanteric, or subtrochanteric fractures. Report 27245 for intramedullary implant fixation and 27244 when the operative method uses a plate-and-screw type implant.
Can this code be used for a femoral neck fracture?
No. This code is for specified proximal femoral fracture patterns outside the femoral neck; select a femoral-neck treatment code when that is the documented fracture site.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
For bilateral procedures, report modifier 50; CMS pays the procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made, and co-surgeons are permitted. Team surgery is not permitted for this code.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedure or procedures are paid at 50%.
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.
2,79927238,,Treat thigh fracture,A,,5.61,6.88,NA,6.88,,1.21,13.70,13.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80027240,,Treat thigh fracture,A,,13.46,10.50,NA,10.50,,2.93,26.89,26.89,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80127244,,Treat thigh fracture,A,,17.73,12.09,NA,12.09,,3.75,33.57,33.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80227245,,Treat thigh fracture,A,,17.73,12.04,NA,12.04,,3.71,33.48,33.48,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80327246,,Treat thigh fracture,A,,4.71,7.09,,5.58,,1.01,12.81,11.30,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80427248,,Treat thigh fracture,A,,10.51,7.81,NA,7.81,,2.21,20.53,20.53,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80527250,,Treat hip dislocation,A,,3.72,0.61,NA,0.61,,0.90,5.23,5.23,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515