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

In North Dakota, Medicare pays $548.50 for 27500 in the office and $438.95 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 27500 nationwide

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.

How North Dakota compares for 27500

Across 109 of 109 payment localities, the office rate for 27500 runs from $507.36 in Arkansas to $720.69 in San Benito County, CA. North Dakota pays $548.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27500 rates by state

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

See 27500 in every payment locality

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

Codes related to 27500

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

How 27500 has changed in North Dakota

Price 27500 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

• Abercrombie
• Adams
• Alamo
• Alexander
• Alice
• Almont
• Alsen
• Ambrose

Browse all communities in North Dakota

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