27165 Incision/fixation of femur
Also known as: open reduction internal fixation femur, ORIF femur, femur fixation
Incision and open reduction with internal fixation of the femur, typically for fracture repair with fixation devices such as plates, screws, or intramedullary nails.
In Plain Language
Hip fracture repair with metal; Internal plate for thighbone
Clinical Context
Applied to intertrochanteric, subtrochanteric, or femoral shaft fractures requiring surgical reduction and permanent internal fixation.
RVU Breakdown
| Work RVU | 19.78 |
| Total RVU | 19.78 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 19.78, this code ranks in the 82nd percentile among Surgery codes — 2.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27165?
CPT 27165 (Incision/fixation of femur) is a Surgery code. Incision and open reduction with internal fixation of the femur, typically for fracture repair with fixation devices such as plates, screws, or intramedullary nails.
What is the wRVU value for CPT 27165?
The work RVU for CPT 27165 is 19.78. This code is primarily used by Orthopedic Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 27165 used?
Applied to intertrochanteric, subtrochanteric, or femoral shaft fractures requiring surgical reduction and permanent internal fixation.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.