Billing code 27465: Femur shorteningMedicare rate & RVUs in Alabama
Reports operative shortening of the femur by osteoplasty when a surgeon removes bone to address a documented need to reduce femoral length.
CMS doesn’t publish an office rate for 27465 in Alabama.
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 9 sections
What 27465 covers
An orthopedic surgeon shortens the femur by removing a measured segment of bone and stabilizing the shortened bone. The operation is generally performed in an operating room for a documented limb-length or femoral-length problem; the operative report should identify the treated femur and describe the shortening procedure. This is distinct from an operation intended primarily to realign the femur or lengthen it.
Report the code when the documented procedure is femoral shortening, not lengthening or correction of alignment alone. The record should support the surgical indication, side, and work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For bilateral reporting with modifier 50, CMS pays 150% of the single-code amount. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be made; 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.
27465 in Alabama
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Unavailable | $1,172.61 |
How the 27465 rate is calculated
Each of 27465’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 · 27465
RVUs × geographic indexes × conversion factor
Work20.60
20.60 RVUs× 1.000 GPCI
Practice expense13.74
13.74 RVUs× 1.000 GPCI
Malpractice4.39
4.39 RVUs× 1.000 GPCI
Adjusted RVUs
38.7300
Conversion factor
$33.4009
Medicare rate
$1,293.62
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27465
27465 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27465
Femur shortening
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27465
Femur shortening
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27465 without 50 · national facility
$1,293.62
Femur shortening
27465-50 · Bilateral: 150%
$1,940.43
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).
27465 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27466Femur lengthening
- This code describes femoral shortening; 27466 is used for femoral lengthening. The documented direction of the length change distinguishes them.
- 27454Femoral osteotomy
- Choose this code for shortening the femur. A femoral realignment procedure is a different service when correction of alignment, rather than reduction of length, is the operative goal.
- 27450Femoral osteotomy
- Both are nearby femoral bone procedures, but 27450 represents a different femoral osteotomy service. Use this code when the documented operation is specifically femoral shortening.
27465 billing questions
How does this differ from femoral lengthening?
Use this code when the operation shortens the femur. Code 27466 is the related option for femoral lengthening.
Is this the right code for a femoral realignment osteotomy?
Not when the operative purpose is realignment rather than shortening. Code 27454 is a nearby femoral realignment option; select based on the procedure documented.
What documentation supports reporting this code?
Document the indication for shortening, the treated side, and the operative work showing that femoral length was reduced. The operative report should distinguish shortening from lengthening or realignment.
How does the 90-day global period affect postoperative billing?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Those services are included in the surgical global period.
How is bilateral femoral shortening paid?
CMS identifies this as a bilateral procedure. With modifier 50, payment is 150% of the single-code amount.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. 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
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