CPT code 27500: Femur fracture care, shaft, no manipulation2026 Medicare rate & RVUs

Medicare pays $574.50 for 27500 nationally in the office and $464.94 in a hospital or facility. Local office rates run $507.36–$720.69.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 27500 covers

This code describes closed management of a fracture through the shaft of the femur when the provider does not manipulate the fracture to change its alignment. An orthopedic surgeon or other qualified physician may provide this care in a hospital or outpatient setting when the fracture can be managed without a reduction. The treatment plan may include immobilization and follow-up to monitor healing; the record should identify the fracture’s shaft location and the closed-treatment approach.

Report the code when documentation supports treatment without manipulation, rather than reduction or operative fixation. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%. For bilateral treatment reported with modifier 50, CMS pays at 150%. CMS does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.

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.

Where 27500 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

27500 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 27500 rate is calculated

Each of 27500’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 27500

27500 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

27500 compared with similar codes

How to choose

27502Femur fracture careShaft fracture, manipulation

Both address closed treatment of a femoral shaft fracture. Choose 27500 when no manipulation is performed; 27502 is for treatment involving manipulation.

27506Femur fracture repairIntramedullary implant

27500 is closed treatment without manipulation. 27506 describes operative treatment of a femoral shaft fracture with an intramedullary implant.

27507Femur fracture repairPlate-and-screw fixation

27500 is closed treatment without manipulation. 27507 describes operative shaft-fracture treatment using plate-and-screw fixation.

27508Femur fracture careDistal condyle, no manipulation

Both describe closed fracture treatment without manipulation, but 27508 concerns the distal femur rather than the femoral shaft.

Codes related to 27500

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates