No office rate
This code is for open treatment of intertrochanteric, peritrochanteric, or subtrochanteric fractures using a plate-and-screw approach. Apply the code matching the fracture location and documented technique.
On this page
CMS RVU26D · Effective 2026-10-01
27248 Femoral fracture repair Medicare reimbursement rates in Vermont
Reports open surgical treatment of a proximal femoral fracture when the fracture is exposed, reduced, and stabilized during operative repair. Compare 27248 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 27248 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
$646.65
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 27248: Open treatment of proximal femoral fracture
Reports open surgical treatment of a proximal femoral fracture when the fracture is exposed, reduced, and stabilized during operative repair.
The surgeon exposes the fracture in the upper femur, restores alignment, and stabilizes the bone as part of operative treatment. Orthopedic surgeons commonly perform this repair in a hospital operating room for fractures requiring open surgical management; the operative report should identify the fracture location and the work performed. The specific fracture pattern and fixation approach distinguish this service from closed treatment and from other open femoral-fracture procedures.
Report the code supported by the documented fracture site and operative technique, rather than selecting it from the general description “thigh fracture.” The record should establish the diagnosis, laterality, surgical approach, reduction, and stabilization performed. CMS assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during the following 90 days. For bilateral procedures reported with modifier 50, CMS pays at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27248
- 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 RVU10.51 · 51%
- Practice expense (office) RVU7.81 · 38%
- Malpractice RVU2.21 · 11%
1.3K
Medicare services in 2024 · #2760 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.
27248 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
This code addresses intertrochanteric, peritrochanteric, or subtrochanteric fractures treated with an intramedullary implant. Distinguish it by the fracture site and fixation approach documented.
No office rate
This code addresses open treatment of a fracture involving the proximal femoral end and neck. Distinguish the codes by the documented fracture anatomy and applicable CPT descriptor.
Compare 27248 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
$646.65
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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 27248 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,804
- Code
- 27248
- Physician work
- 10.51
- Practice expense
- 7.81
- Malpractice
- 2.21
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.51 | × 1.000 | 10.5100 |
| Practice expense | 7.81 | × 0.990 | 7.7319 |
| Malpractice | 2.21 | × 0.506 | 1.1183 |
| Total RVUs | 19.3602 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$646.65
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.51 | 1 |
| Practice expense | 7.81 | 0.99 |
| Malpractice | 2.21 | 0.506 |
(10.51 × 1 + 7.81 × 0.99 + 2.21 × 0.506) × $33.4009 = $646.65
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.
27248 billing questions
How do I distinguish this code from 27244 or 27245?
Use the fracture location and operative technique specified by the applicable code descriptor. Codes 27244 and 27245 address intertrochanteric, peritrochanteric, or subtrochanteric fractures and distinguish fixation approaches; do not select among them based only on the general label of thigh fracture.
How does this differ from 27236?
Code 27236 concerns open treatment of a femoral fracture at the proximal end involving the neck. Confirm the documented fracture anatomy and the code descriptor before choosing between the codes.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can I report modifier 50 for bilateral treatment?
CMS identifies this as a bilateral procedure when reported with modifier 50 and pays it at 150%. Documentation should support treatment on both sides.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation, and CMS does not permit team surgery for this code.
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% when performed in the same session.
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.
2,80127244,,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
2,80727253,,Treat hip dislocation,A,,13.24,9.97,NA,9.97,,2.83,26.04,26.04,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,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