No office rate
Use 27246 for nonoperative greater trochanter fracture treatment without manipulation; 27248 describes open treatment of that fracture.
On this page
CMS RVU26D · Effective 2026-10-01
27246 Femur fracture care Medicare reimbursement rates in Rhode Island
Report this code for nonoperative treatment of a greater trochanter fracture when the physician manages the fracture without manipulating it. Compare 27246 office and facility rates across CMS payment localities in Rhode Island.
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 27246 in Rhode Island?
Rhode Island 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
$435.03
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$382.93
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 fracture care
About 27246: Closed greater trochanter fracture treatment
Report this code for nonoperative treatment of a greater trochanter fracture when the physician manages the fracture without manipulating it.
CPT 27246 covers nonoperative management of a fracture of the greater trochanter without manipulating the fracture. An orthopedist or other physician may provide this care in an orthopedic clinic or during a hospital encounter after imaging identifies the fracture. Treatment planning can include activity limits, protected weight bearing, and follow-up imaging as clinically indicated. This code represents fracture treatment, not an evaluation alone.
Document the greater trochanter fracture, the nonoperative treatment plan, and that manipulation was not performed. The code has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 27246
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.71 · 37%
- Practice expense (office) RVU7.09 · 55%
- Malpractice RVU1.01 · 8%
2.4K
Medicare services in 2024 · #2312 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.
27246 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
This code concerns a greater trochanter fracture managed without manipulation. Code 27244 is for specified intertrochanteric, peritrochanteric, or subtrochanteric fractures treated with a plate or screw implant.
No office rate
Use 27246 for a greater trochanter fracture. Code 27238 is for closed treatment of a femoral shaft fracture without manipulation.
Compare 27246 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
Rhode Island →
Office / nonfacility
$435.03
Facility
$382.93
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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 27246 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
2,803
- Code
- 27246
- Physician work
- 4.71
- Practice expense
- 7.09
- Malpractice
- 1.01
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.71 | × 1.019 | 4.7995 |
| Practice expense | 7.09 | × 1.033 | 7.3240 |
| Malpractice | 1.01 | × 0.892 | 0.9009 |
| Total RVUs | 13.0244 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$435.03
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.71 | 1.019 |
| Practice expense | 7.09 | 1.033 |
| Malpractice | 1.01 | 0.892 |
(4.71 × 1.019 + 7.09 × 1.033 + 1.01 × 0.892) × $33.4009 = $435.03
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.71 | 1.019 |
| Practice expense | 5.58 | 1.033 |
| Malpractice | 1.01 | 0.892 |
(4.71 × 1.019 + 5.58 × 1.033 + 1.01 × 0.892) × $33.4009 = $382.93
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.
27246 billing questions
How is 27246 different from 27248?
Use 27246 for nonoperative treatment of a greater trochanter fracture without manipulation. Code 27248 describes open treatment of a greater trochanter fracture.
What documentation supports reporting 27246?
Record the greater trochanter fracture, the treatment plan, and that the fracture was managed without manipulation. Include the clinical basis for treating the fracture rather than providing evaluation alone.
Is routine follow-up included?
Related postoperative care during the 90-day global period is included. The CMS global period also includes the day-before preoperative visit.
Can 27246 be reported bilaterally?
Yes. CMS pays bilateral reporting with modifier 50 at 150%.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for 27246. Co-surgeons and team surgery are not permitted.
When does the multiple-procedure reduction apply?
When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%.
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.
2,80027240,,Treat thigh fracture,A,,13.46,10.50,NA,10.50,,2.93,26.89,26.89,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80127244,,Treat thigh fracture,A,,17.73,12.09,NA,12.09,,3.75,33.57,33.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80227245,,Treat thigh fracture,A,,17.73,12.04,NA,12.04,,3.71,33.48,33.48,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80327246,,Treat thigh fracture,A,,4.71,7.09,,5.58,,1.01,12.81,11.30,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80427248,,Treat thigh fracture,A,,10.51,7.81,NA,7.81,,2.21,20.53,20.53,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80527250,,Treat hip dislocation,A,,3.72,0.61,NA,0.61,,0.90,5.23,5.23,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80627252,,Treat hip dislocation,A,,10.75,8.40,NA,8.40,,2.36,21.51,21.51,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537