No office rate
This code describes femoral shortening; 27466 is used for femoral lengthening. The documented direction of the length change distinguishes them.
On this page
CMS RVU26D · Effective 2026-10-01
27465 Femur shortening Medicare reimbursement rates in Pennsylvania
Reports operative shortening of the femur by osteoplasty when a surgeon removes bone to address a documented need to reduce femoral length. Compare 27465 office and facility rates across CMS payment localities in Pennsylvania.
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 27465 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1247.92–$1353.12
2 of 2 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.
Orthopedic surgery
About 27465: Femoral shortening osteoplasty
Reports operative shortening of the femur by osteoplasty when a surgeon removes bone to address a documented need to reduce femoral length.
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.
CMS billing rules for 27465
- 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 RVU20.60 · 53%
- Practice expense (office) RVU13.74 · 35%
- Malpractice RVU4.39 · 11%
66
Medicare services in 2024 · #5178 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.
27465 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
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.
No office rate
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.
Compare 27465 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$1353.12
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$1247.92
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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 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.
2,90327455,,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
2,90527458,,Osteot femur imed lngth dev,A,,26.65,20.06,NA,20.06,,5.13,51.84,51.84,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,90627465,,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