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 Femoral reinforcement Medicare reimbursement rates in Alabama
Reports surgical reinforcement of a weakened femoral shaft at risk of fracture, before a complete fracture has occurred. Compare 27495 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 27495 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
$938.24
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 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 Alabama, 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.
Compare 27495 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
$938.24
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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 27495 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
2,917
- Code
- 27495
- Physician work
- 16.13
- Practice expense
- 11.45
- Malpractice
- 3.43
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.13 | × 1.000 | 16.1300 |
| Practice expense | 11.45 | × 0.875 | 10.0187 |
| Malpractice | 3.43 | × 0.566 | 1.9414 |
| Total RVUs | 28.0901 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$938.24
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.13 | 1 |
| Practice expense | 11.45 | 0.875 |
| Malpractice | 3.43 | 0.566 |
(16.13 × 1 + 11.45 × 0.875 + 3.43 × 0.566) × $33.4009 = $938.24
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.
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
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