27236 Treat thigh fracture
Also known as: femur ORIF, intramedullary nailing, femur plate fixation, hip ORIF, femoral neck ORIF
Open treatment of femoral shaft fracture with internal fixation using intramedullary nailing, plates, or screws for fracture stabilization.
In Plain Language
Thighbone metal repair; Internal rod fixation
Clinical Context
Standard treatment for displaced femoral shaft fractures requiring operative fixation to allow early mobilization and prevent complications.
RVU Breakdown
| Work RVU | 17.17 |
| Total RVU | 17.17 |
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 17.17, this code ranks in the 78th percentile among Surgery codes — 2.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27236?
CPT 27236 (Treat thigh fracture) is a Surgery code. Open treatment of femoral shaft fracture with internal fixation using intramedullary nailing, plates, or screws for fracture stabilization.
What is the wRVU value for CPT 27236?
The work RVU for CPT 27236 is 17.17. This code is primarily used by Orthopedic Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 27236 used?
Standard treatment for displaced femoral shaft fractures requiring operative fixation to allow early mobilization and prevent complications.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.