No office rate
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.
On this page
CMS RVU26D · Effective 2026-10-01
27472 Femur repair Medicare reimbursement rates in Missouri
Reports operative repair of a femoral nonunion or malunion distal to the head and neck when bone graft is used to support healing. Compare 27472 office and facility rates across CMS payment localities in Missouri.
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 27472 in Missouri?
Missouri 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
$1095.11–$1136.26
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 27472 pays more and less in Missouri
Orthopedic surgery
About 27472: Femoral nonunion repair with bone graft
Reports operative repair of a femoral nonunion or malunion distal to the head and neck when bone graft is used to support healing.
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.
CMS billing rules for 27472
- 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 RVU18.25 · 53%
- Practice expense (office) RVU12.48 · 36%
- Malpractice RVU3.88 · 11%
661
Medicare services in 2024 · #3315 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.
27472 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
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.
No office rate
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.
Compare 27472 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
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$1127.60
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$1136.26
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$1095.11
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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 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.
2,90627465,,Shortening of thigh bone,A,,20.60,13.74,NA,13.74,,4.39,38.73,38.73,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,90727466,,Lengthening of thigh bone,A,,22.08,14.21,NA,14.21,,4.71,41.00,41.00,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,90827470,,Repair of thigh,A,,16.71,12.23,NA,12.23,,3.55,32.49,32.49,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,90927472,,Repair/graft of thigh,A,,18.25,12.48,NA,12.48,,3.88,34.61,34.61,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,91027475,,Surgery to stop leg growth,A,,8.71,8.22,NA,8.22,,1.85,18.78,18.78,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,91127477,,Surgery to stop leg growth,A,,9.89,8.59,NA,8.59,,2.10,20.58,20.58,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,91227479,,Surgery to stop leg growth,A,,12.83,9.87,NA,9.87,,2.73,25.43,25.43,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00