27245 Treat thigh fracture
Also known as: locked IM nailing, reamed IM nailing, intertrochanteric fracture treatment
Open treatment of femoral shaft fracture with intramedullary nailing including reaming and locked nailing for rotational control.
In Plain Language
Locked internal rod; Locked intramedullary fixation
Clinical Context
Standard technique for femoral shaft fractures using reamed intramedullary nailing with proximal and distal locking for rotational and length control.
RVU Breakdown
| Work RVU | 17.73 |
| Total RVU | 17.73 |
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 17.73, this code ranks in the 79th percentile among Surgery codes — 2.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27245?
CPT 27245 (Treat thigh fracture) is a Surgery code. Open treatment of femoral shaft fracture with intramedullary nailing including reaming and locked nailing for rotational control.
What is the wRVU value for CPT 27245?
The work RVU for CPT 27245 is 17.73. This code is primarily used by Orthopedic Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 27245 used?
Standard technique for femoral shaft fractures using reamed intramedullary nailing with proximal and distal locking for rotational and length control.
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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.