No office rate
Both address femoral nonunion or malunion below the head and neck. The distinction is whether bone graft is used in the repair.
On this page
CMS RVU26D · Effective 2026-10-01
27470 Femur repair Medicare reimbursement rates in Rhode Island
Reports operative repair of an established femoral fracture nonunion or malunion below the head and neck when bone graft is not used. Compare 27470 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 27470 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
No supported rate
Facility setting
$1096.47
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 surgery
About 27470: Femur nonunion or malunion repair without graft
Reports operative repair of an established femoral fracture nonunion or malunion below the head and neck when bone graft is not used.
This code describes operative correction of a femoral fracture that has failed to unite or has healed in an unsatisfactory position, in the portion of the femur below the head and neck. Orthopedic surgeons typically perform the repair in an operating room, often in a hospital or surgical facility. The operative work addresses the established healing problem rather than treating a newly sustained fracture.
Choose this code when the repair is performed without bone graft; use the graft-specific sibling when graft is used. The operative report should identify the femoral site, the nonunion or malunion, the repair performed, and whether graft was used. CMS assigns a 90-day global period, including the day-before preoperative visit and 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 payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 27470
- 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 RVU16.71 · 51%
- Practice expense (office) RVU12.23 · 38%
- Malpractice RVU3.55 · 11%
952
Medicare services in 2024 · #3008 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.
27470 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
This code addresses an established nonunion or malunion. Code 27506 describes open treatment of a femoral shaft fracture using an intramedullary implant.
No office rate
This code addresses an established nonunion or malunion. Code 27507 describes open treatment of a femoral shaft fracture using plate-and-screw fixation.
Compare 27470 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
Unavailable
Facility
$1096.47
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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 27470 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
2,908
- Code
- 27470
- Physician work
- 16.71
- Practice expense
- 12.23
- Malpractice
- 3.55
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.71 | × 1.019 | 17.0275 |
| Practice expense | 12.23 | × 1.033 | 12.6336 |
| Malpractice | 3.55 | × 0.892 | 3.1666 |
| Total RVUs | 32.8277 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$1096.47
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.71 | 1.019 |
| Practice expense | 12.23 | 1.033 |
| Malpractice | 3.55 | 0.892 |
(16.71 × 1.019 + 12.23 × 1.033 + 3.55 × 0.892) × $33.4009 = $1096.47
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.
27470 billing questions
How do I choose between 27470 and 27472?
Use 27470 for repair without bone graft. When bone graft is used as part of the repair, the graft-specific sibling, 27472, is the relevant code.
Can this code be used for an acute femur fracture?
No. This code is for operative repair of an established nonunion or malunion; acute femoral fracture treatment is reported with a code specific to the fracture and treatment method.
Does the 90-day global include postoperative visits?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
How are bilateral repairs and additional procedures handled?
CMS pays bilateral reporting with modifier 50 at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons are paid only with 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.
2,90527458,,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
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
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