No office rate
Both cover open treatment of intertrochanteric, peritrochanteric, or subtrochanteric fractures. Choose based on the fixation method: plate-and-screw type implant for 27244, intramedullary implant for 27245.
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CMS RVU26D · Effective 2026-10-01
27244 Femur fracture repair Medicare reimbursement rates in Wyoming
Open repair of an intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture using a plate-and-screw construct, with or without cerclage. Compare 27244 office and facility rates across CMS payment localities in Wyoming.
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 27244 in Wyoming?
Wyoming 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
$1088.70
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 27244: Open fixation of proximal femur fracture with plate
Open repair of an intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture using a plate-and-screw construct, with or without cerclage.
This code covers open surgical treatment of a fracture in the intertrochanteric, peritrochanteric, or subtrochanteric region of the femur, using a plate-and-screw type implant. Cerclage may also be used, but is not required. An orthopedic surgeon typically performs the operation in a hospital operating room, reducing the fracture and stabilizing it with the selected fixation construct. It is distinct from treatment of a femoral neck fracture and from fixation using an intramedullary implant.
Select the code when the operative report supports the specified fracture location, open treatment, and plate-or-screw fixation. Document the fracture pattern and location, the reduction and fixation performed, implant type, and laterality. The service has a 90-day global period that includes the day-before preoperative visit and 90 days of 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-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27244
- 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 RVU17.73 · 53%
- Practice expense (office) RVU12.09 · 36%
- Malpractice RVU3.75 · 11%
3.9K
Medicare services in 2024 · #2019 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.
27244 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
27238 describes closed treatment of these fracture regions without manipulation; 27244 describes open treatment with plate-or-screw fixation.
No office rate
27240 describes closed treatment with manipulation, with or without skeletal traction. Report 27244 when the fracture is treated by open surgery with plate-or-screw fixation.
No office rate
27236 applies to open treatment of a femoral fracture at the proximal end involving the neck, including fixation or prosthetic replacement. 27244 covers intertrochanteric, peritrochanteric, or subtrochanteric fractures treated with plate-or-screw fixation.
Compare 27244 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$1088.70
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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 27244 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,801
- Code
- 27244
- Physician work
- 17.73
- Practice expense
- 12.09
- Malpractice
- 3.75
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.73 | × 1.000 | 17.7300 |
| Practice expense | 12.09 | × 1.000 | 12.0900 |
| Malpractice | 3.75 | × 0.740 | 2.7750 |
| Total RVUs | 32.5950 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1088.70
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.73 | 1 |
| Practice expense | 12.09 | 1 |
| Malpractice | 3.75 | 0.74 |
(17.73 × 1 + 12.09 × 1 + 3.75 × 0.74) × $33.4009 = $1088.70
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.
27244 billing questions
When is this code selected instead of 27245?
Use this code for open treatment of the specified proximal femoral fracture regions with a plate-and-screw type implant. Code 27245 describes open treatment using an intramedullary implant.
How does this differ from 27238 or 27240?
Those codes describe closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric fractures. This code is for open surgical treatment with plate-or-screw fixation.
What documentation supports this code?
The operative report should identify the fracture location and describe open reduction and stabilization with a plate-and-screw construct. Include laterality and whether cerclage was used.
Is cerclage required for reporting this code?
No. The plate-and-screw type fixation is the distinguishing feature; cerclage may be used but is not required.
How is bilateral treatment reported under the CMS rule?
When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
Can assistant or co-surgeon services be paid?
Assistant-at-surgery payment may be available. 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.
2,79827236,,Treat thigh fracture,A,,17.17,11.85,NA,11.85,,3.61,32.63,32.63,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79927238,,Treat thigh fracture,A,,5.61,6.88,NA,6.88,,1.21,13.70,13.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80027240,,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,