No office rate
Use 27170 to repair a femoral head or neck nonunion or malunion. Use 27125 when the operative treatment replaces the femoral head with a prosthesis.
On this page
CMS RVU26D · Effective 2026-10-01
27170 Femur repair Medicare reimbursement rates in Vermont
Reports operative repair of a femoral head or neck nonunion or malunion, with grafting when needed to support healing and restore alignment. Compare 27170 office and facility rates across CMS payment localities in Vermont.
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 27170 in Vermont?
Vermont 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
$1001.23
1 of 1 localities have a supported rate.
Payment area: Vermont
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 27170: Femoral head and neck nonunion repair
Reports operative repair of a femoral head or neck nonunion or malunion, with grafting when needed to support healing and restore alignment.
An orthopedic surgeon uses this service to correct a femoral head or neck fracture that has failed to unite or healed in a problematic position. The operation addresses the abnormal bone and may use graft material to support healing; the code includes obtaining the graft. It is typically performed in an operating room, often for a proximal femur fracture that needs reconstruction rather than replacement.
Select this code when the operative treatment repairs a nonunion or malunion at the femoral head or neck, not simply because graft material is used. The operative report should identify the site and healing problem, describe the repair and any grafting, and support the work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27170
- 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 RVU17.17 · 54%
- Practice expense (office) RVU11.07 · 35%
- Malpractice RVU3.65 · 11%
52
Medicare services in 2024 · #5326 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.
27170 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
27170 repairs the native femoral head or neck; 27130 replaces the hip joint with a total prosthesis.
No office rate
27170 addresses failed or abnormal healing at the femoral head or neck. 27165 describes an osteotomy at the intertrochanteric or subtrochanteric region.
Compare 27170 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
Vermont →
Office / nonfacility
Unavailable
Facility
$1001.23
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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 27170 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,773
- Code
- 27170
- Physician work
- 17.17
- Practice expense
- 11.07
- Malpractice
- 3.65
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.17 | × 1.000 | 17.1700 |
| Practice expense | 11.07 | × 0.990 | 10.9593 |
| Malpractice | 3.65 | × 0.506 | 1.8469 |
| Total RVUs | 29.9762 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$1001.23
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.17 | 1 |
| Practice expense | 11.07 | 0.99 |
| Malpractice | 3.65 | 0.506 |
(17.17 × 1 + 11.07 × 0.99 + 3.65 × 0.506) × $33.4009 = $1001.23
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.
27170 billing questions
When should this be reported instead of a hip replacement code?
Report 27170 when the surgeon repairs a nonunion or malunion of the femoral head or neck. Hip replacement codes describe replacing the femoral head or joint rather than repairing the native bone.
Can graft procurement be billed separately?
Graft procurement is included in 27170. The code covers the repair with or without grafting.
What documentation supports 27170?
Document the femoral head or neck site, the nonunion or malunion, and the operative repair performed. Include grafting details when graft is used.
How is bilateral treatment reported?
CMS lists bilateral reporting with modifier 50, paid at 150%. The code has a 90-day global period.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. 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.
2,77027158,,Revision of pelvis,A,,20.51,13.08,NA,13.08,,4.36,37.95,37.95,0,090,0.10,0.69,0.21,2,2,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77127161,,Incision of neck of femur,A,,17.44,12.25,NA,12.25,,3.71,33.40,33.40,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77227165,,Incision/fixation of femur,A,,19.78,13.72,NA,13.72,,4.21,37.71,37.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77327170,,Repair/graft femur head/neck,A,,17.17,11.07,NA,11.07,,3.65,31.89,31.89,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77427175,,Treat slipped epiphysis,A,,9.15,7.49,NA,7.49,,1.95,18.59,18.59,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77527176,,Treat slipped epiphysis,A,,12.60,10.37,NA,10.37,,2.68,25.65,25.65,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77627177,,Treat slipped epiphysis,A,,15.69,11.70,NA,11.70,,3.34,30.73,30.73,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817