Billing code 27472: Femur repairMedicare rate & RVUs in Illinois
Reports operative repair of a femoral nonunion or malunion distal to the head and neck when bone graft is used to support healing.
CMS doesn’t publish an office rate for 27472 in Illinois.
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 27472 covers
This code applies to operative repair of a femur that has failed to unite or healed in a malaligned position, distal to the femoral head and neck, when the surgeon uses bone graft. An orthopedic surgeon typically performs the procedure in a hospital or ambulatory surgical setting, often addressing a femoral shaft or distal femoral fracture that did not heal adequately after prior treatment. The graft supports healing at the repair site; the operative report should identify the nonunion or malunion and document the graft use.
Select this code rather than the related no-graft repair code when bone graft is part of the repair. CMS assigns 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 other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; 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.
Where 27472 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | Unavailable | $1,330.18 |
| East St. Louis | Unavailable | $1,254.07 |
| Rest Of Illinois | Unavailable | $1,192.70 |
| Suburban Chicago | Unavailable | $1,271.57 |
How the 27472 rate is calculated
Each of 27472’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 · 27472
RVUs × geographic indexes × conversion factor
Work18.25
18.25 RVUs× 1.000 GPCI
Practice expense12.48
12.48 RVUs× 1.000 GPCI
Malpractice3.88
3.88 RVUs× 1.000 GPCI
Adjusted RVUs
34.6100
Conversion factor
$33.4009
Medicare rate
$1,156.01
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27472
27472 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27472
Femur repair
| 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 · 27472
Femur repair
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
27472 without 50 · national facility
$1,156.01
Femur repair
27472-50 · Bilateral: 150%
$1,734.02
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).
27472 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27470Femur repair
- Both address femoral nonunion or malunion distal to the head and neck. The distinguishing feature for 27472 is use of bone graft in the repair.
- 27506Femur fracture repair
- This code describes open treatment of a femoral shaft fracture with an intramedullary implant. Use 27472 for repair of an established femoral nonunion or malunion when bone graft is used.
- 27507Femur fracture repair
- This code describes open treatment of a femoral shaft fracture with plate-and-screw fixation. It is not the grafted repair code for an established nonunion or malunion.
27472 billing questions
How does this differ from 27470?
Use 27472 for femoral nonunion or malunion repair when bone graft is used. Code 27470 is the related repair without bone graft.
What documentation supports selecting 27472?
The operative record should establish the femoral nonunion or malunion, its location distal to the head and neck, and the use of bone graft in the repair.
Does the 90-day global period include related postoperative care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. 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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