# CPT 27245

> Medicare paid $1,278.71 for CPT 27245 in the office (non-facility) setting and $1,278.71 in a facility under the Q3 2018 Physician Fee Schedule, effective July 2018. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2018, when it increased 0.4%.

## What it is

Repair of a break through the flared bone at the top of the thigh, at or below the bony bumps where the big hip muscles attach, using a metal rod driven down the hollow center of the femur. A screw or blade usually runs from the rod up into the hip ball to hold the head fragment, and additional locking screws or wires may be used. The rod-down-the-canal technique is what separates this from repairs done with a side plate and screws.

## Selected release

- Release: Q3 2018 (2018 C)
- Effective: July 1 – September 30, 2018
- Status indicator: A
- Office (non-facility) national allowed amount: $1278.71
- Facility national allowed amount: $1278.71
- Sequestration: not applied

## RVUs and formula

- Work RVU: 18.18
- Office (non-facility) practice expense RVU: 13.76
- Facility practice expense RVU: 13.76
- Malpractice RVU: 3.58
- Conversion factor: 35.9996
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2018)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18c1.zip
- Parsed file: PPRRVU18_JUL.csv, row 6,767
- Canonical page: https://localishealth.com/cpt/27245/2018/A
- Release-specific citation URL: https://localishealth.com/cpt/27245/2018/C
- Last significant update: 2026-08-04T03:08:27+00:00