No office rate
Both address a femoral osteotomy in the shaft or supracondylar region. Use 27450 when internal fixation is not used; use 27448 when it is.
On this page
CMS RVU26D · Effective 2026-10-01
27450 Femoral osteotomy Medicare reimbursement rates in Florida
Reports a femoral shaft or supracondylar osteotomy performed without internal fixation to correct bone alignment or deformity. Compare 27450 office and facility rates across CMS payment localities in Florida.
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 27450 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$962.15–$1092.74
3 of 3 localities have a supported rate.
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.
Where 27450 pays more and less in Florida
Orthopedic surgery
About 27450: Femoral osteotomy without fixation
Reports a femoral shaft or supracondylar osteotomy performed without internal fixation to correct bone alignment or deformity.
This service is an osteotomy of the femoral shaft or supracondylar region performed without internal fixation. An orthopedic surgeon may use it to change the alignment of the thigh bone, such as when correcting a deformity. The procedure is typically performed in an operating room; the operative report should identify the femoral site and describe the bone cut and correction made.
Select this code when the documented osteotomy is in the specified femoral region and is performed without internal fixation. The operative note should support the site, technique, and absence of internal fixation, distinguishing this service from the related code for an osteotomy with fixation. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction. 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 27450
- 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 RVU14.24 · 51%
- Practice expense (office) RVU10.63 · 38%
- Malpractice RVU2.93 · 11%
139
Medicare services in 2024 · #4610 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.
27450 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
This code concerns an osteotomy for a knee-region correction rather than the femoral shaft or supracondylar osteotomy reported with 27450.
No office rate
Use 27465 when the documented femoral procedure is specifically for shortening; 27450 reports the specified femoral osteotomy without internal fixation.
Compare 27450 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$1012.24
Miami →
Office / nonfacility
Unavailable
Facility
$1092.74
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$962.15
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27450 billing questions
How does this differ from 27448?
The key distinction is fixation: 27450 describes the femoral osteotomy without internal fixation, while 27448 is the related code when internal fixation is used. Check the operative report for the fixation method.
What documentation supports reporting this code?
The operative report should identify the femoral shaft or supracondylar site, describe the osteotomy and correction, and establish that internal fixation was not used.
How is a bilateral procedure paid?
CMS lists this as a bilateral procedure; reporting modifier 50 results in payment at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and 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.
2,89827446,,Revision of knee joint,A,,16.70,11.13,NA,11.13,,3.53,31.36,31.36,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,89927447,,Total knee arthroplasty,A,,19.11,11.58,NA,11.58,,4.02,34.71,34.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,90027448,,Incision of thigh,A,,11.31,9.11,NA,9.11,,2.41,22.83,22.83,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,90127450,,Incision of thigh,A,,14.24,10.63,NA,10.63,,2.93,27.80,27.80,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,90227454,,Realignment of thigh bone,A,,18.69,12.70,NA,12.70,,3.98,35.37,35.37,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,90327455,,Realignment of knee,A,,13.03,10.93,NA,10.93,,2.77,26.73,26.73,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,90427457,,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