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

Reports closed management of a femoral shaft fracture when the provider treats it without manipulating or reducing the fracture.

CMS RVU26DEffective Oct 1, 2026One payment locality421 Medicare services in 2024

In Houston, TX, Medicare pays $590.31 for 27500 in the office and $481.52 when it’s performed in a hospital or facility.

$590.31Office (non-facility)
$481.52Hospital or facility
+2.8%vs the national office rate ($574.50)

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.

We’ll open 27500 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Houston, TX
  2. What 27500 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 Houston, TX 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. Houston, TX pays $590.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

27500 in Houston, TX vs other payment areas
  1. Houston, TX · this page$590.31
  2. Austin, TX · Texas$588.81−$1.50
  3. Beaumont, TX · Texas$542.08−$48.23
  4. Brazoria, TX · Texas$563.58−$26.73
  5. Dallas, TX · Texas$568.83−$21.48
  6. Fort Worth, TX · Texas$566.14−$24.17
  7. Galveston, TX · Texas$566.33−$23.98

Other areas in Texas first, then benchmark localities. Bars start at $0.

Every other payment area

27500 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$553.64$449.67
Los Angeles, CACalifornia$627.80$498.19
Washington, DC areaDistrict of Columbia$648.48$519.43
Miami, FLFlorida$654.75$540.70
Chicago, ILIllinois$634.22$524.12
Manhattan, NYNew York$666.02$538.72
AlaskaAlaska$678.56$561.88
AlabamaAlabama$514.80$418.94

27500 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$507.36

$678.56

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
27500 office rate range by state
State / territoryOffice rate rangeLocalities
AK$678.561
AL$514.801
AR$507.361
AZ$558.101
CA$588.94–$720.6929
CO$588.221
CT$612.861
DC$648.481
DE$567.191
FL$582.18–$654.753
GA$547.73–$589.122
GU$600.691
HI$600.691
IA$520.431
ID$525.381
IL$570.80–$634.224
IN$528.231
KS$521.531
KY$534.631
LA$535.21–$561.232
MA$586.15–$641.272
MD$576.87–$648.483
ME$531.90–$555.422
MI$551.81–$593.112
MN$553.141
MO$528.42–$558.953
MS$517.811
MT$574.411
NC$536.881
ND$548.501
NE$522.201
NH$582.381
NJ$616.90–$642.502
NM$556.261
NV$567.511
NY$545.22–$686.675
OH$546.511
OK$529.891
OR$560.20–$602.722
PA$545.38–$599.982
PR$577.421
RI$584.411
SC$543.181
SD$545.441
TN$524.601
TX$542.08–$590.318
UT$550.491
VA$556.10–$648.482
VI$577.421
VT$549.621
WA$583.96–$650.672
WI$530.541
WV$550.691
WY$563.121

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.

How the rate is built · 27500

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.14

6.14 RVUs× 1.000 GPCI

Practice expense9.75

9.75 RVUs× 1.000 GPCI

Malpractice1.31

1.31 RVUs× 1.000 GPCI

Adjusted RVUs

17.2000

Conversion factor

$33.4009

Medicare rate

$574.50

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Houston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,922

Code
27500
Physician work
6.14
Practice expense
9.75
Malpractice
1.31

GPCI2026.csv

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 27500 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work6.14× 1.0086.1891
Practice expense9.75× 0.9939.6817
Malpractice1.31× 1.3761.8026
Total RVUs17.6734
Conversion factor× 33.4009

Office rate, Houston, TX$590.31

Office: (6.14 × 1.008 + 9.75 × 0.993 + 1.31 × 1.376) × $33.4009 = $590.31

Facility: (6.14 × 1.008 + 6.47 × 0.993 + 1.31 × 1.376) × $33.4009 = $481.52

Open 27500 in the RVU calculator

Payment rules and modifiers for 27500

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

CMS payment indicators · 27500

Femur fracture care, shaft, no manipulation

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27500

Femur fracture care, shaft, no manipulation

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27500 without 50 · national office

$574.50

Femur fracture care, shaft, no manipulation

27500-50 · Bilateral: 150%

$861.75

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 27500

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

Codes related to 27500
CodeHow it relatesOffice range, Houston, TX
Same family
27502Femur fracture care, shaft fracture, manipulationClosed treatment of a femoral shaft fracture when manipulation is performed.No office rate
Used instead
27506Femur fracture repair, intramedullary implantOperative treatment of a femoral shaft fracture using an intramedullary implant.No office rate
27507Femur fracture repair, plate-and-screw fixationOperative treatment of a femoral shaft fracture using plate-and-screw fixation.No office rate
27508Femur fracture care, distal condyle, no manipulationClosed treatment without manipulation applies to the distal femur rather than the shaft.$596.84

How 27500 has changed in Houston, TX

27500 · Office / nonfacility

$590.31

Effective 2026-10-01

The base rate is $46.45 higher than on 2025-10-01, moving from $543.86 to $590.31 (8.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $543.86changed to$590.31

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.30 changed to 6.14
    • Practice expense RVU 8.61 changed to 9.75
    • Malpractice RVU 1.27 changed to 1.31
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $556.28changed to$543.86

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.48 changed to 8.61
    • Malpractice RVU 1.29 changed to 1.27

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $547.20changed to$556.28

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $555.85changed to$547.20

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.37 changed to 8.48
    • Malpractice RVU 1.26 changed to 1.29
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $550.85changed to$555.85

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.04 changed to 8.37
    • Malpractice RVU 1.27 changed to 1.26
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $551.92changed to$550.85

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.96 changed to 8.04
    • Malpractice RVU 1.25 changed to 1.27

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $548.97changed to$551.92

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.46 changed to 7.96
    • Malpractice RVU 1.24 changed to 1.25
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $542.69changed to$548.97

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.42 changed to 7.46
    • Malpractice RVU 1.20 changed to 1.24
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $541.75changed to$542.69

    • Conversion factor 35.9996 changed to 36.0391
    • Malpractice RVU 1.19 changed to 1.20

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $537.13changed to$541.75

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.33 changed to 7.42
    • Malpractice RVU 1.21 changed to 1.19
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $535.57changed to$537.13

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.32 changed to 7.33
    • Malpractice RVU 1.23 changed to 1.21
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $539.98changed to$535.57

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.36 changed to 7.32
    • Malpractice RVU 1.26 changed to 1.23

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $537.29changed to$539.98

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $527.87changed to$537.29

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.22 changed to 7.36
    • Malpractice RVU 1.17 changed to 1.26
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $523.91changed to$527.87

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.90 changed to 7.22
    • Malpractice RVU 1.22 changed to 1.17
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $523.91

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$590.31$481.52RVU26D
2026-07-01$590.31$481.52RVU26C
2026-04-01$590.31$481.52RVU26B
2026-01-01$590.31$481.52RVU26A
2025-10-01$543.86$500.38RVU25D
2025-07-01$543.86$500.38RVU25C
2025-04-01$543.86$500.38RVU25B
2025-01-01$543.86$500.38RVU25A
2024-10-01$556.28$511.87RVU24D
2024-07-01$556.28$511.87RVU24C
2024-04-01$556.28$511.87RVU24B
2024-03-09$556.28$511.87RVU24AR
2024-01-01$547.20$503.52RVU24A
2023-10-01$555.85$510.74RVU23D
2023-07-01$555.85$510.74RVU23C
2023-04-01$555.85$510.74RVU23B
2023-01-01$555.85$510.74RVU23A
2022-10-01$550.85$505.98RVU22D
2022-07-01$550.85$505.98RVU22C
2022-04-01$550.85$505.98RVU22B
2022-01-01$550.85$505.98RVU22A
2021-10-01$551.92$506.68RVU21D
2021-07-01$551.92$506.68RVU21C
2021-04-01$551.92$506.68RVU21B
2021-01-01$551.92$506.68RVU21A
2020-10-01$548.97$506.64RVU20D
2020-07-01$548.97$506.64RVU20C
2020-04-01$548.97$506.64RVU20B
2020-01-01$548.97$506.64RVU20A
2019-10-01$542.69$500.74RVU19D
2019-07-01$542.69$500.74RVU19C
2019-04-01$542.69$500.74RVU19B
2019-01-01$542.69$500.74RVU19A
2018-10-01$541.75$500.59RVU18D
2018-07-01$541.75$500.59RVU18C
2018-04-01$541.75$500.59RVU18B
2018-01-01$541.75$500.59RVU18AR1
2017-10-01$537.13$497.66RVU17D
2017-07-01$537.13$497.66RVU17C
2017-04-01$537.13$497.66RVU17B
2017-01-01$537.13$497.66RVU17A
2016-10-01$535.57$496.31RVU16D
2016-07-01$535.57$496.31RVU16C
2016-04-01$535.57$496.31RVU16B
2016-01-01$535.57$496.31RVU16A
2015-10-01$539.98$500.21RVU15D
2015-07-01$539.98$500.21RVU15C
2015-04-01$537.29$497.73RVU15B
2015-01-01$537.29$497.73RVU15A
2014-10-01$527.87$489.39RVU14D
2014-07-01$527.87$489.39RVU14C
2014-04-01$527.87$489.39RVU14B
2014-01-01$527.87$489.39RVU14A
2013-10-01$523.91$483.34RVU13D
2013-07-01$523.91$483.34RVU13C
2013-04-01$523.91$483.34RVU13B
2013-01-01$523.91$483.34RVU13AR

Price 27500 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

27500 billing questions

When should 27500 be chosen instead of 27502?

Use 27500 when the femoral shaft fracture is treated without manipulating its alignment. When the provider manipulates the fracture, consider 27502.

What documentation supports reporting 27500?

Document that the fracture is in the femoral shaft, that treatment was closed, and that no manipulation or reduction was performed.

Does the 90-day global period include follow-up care?

Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.

How is bilateral treatment handled?

For bilateral treatment reported with modifier 50, CMS pays at 150%.

Can an assistant or co-surgeon be reported for this procedure?

CMS does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.

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

Show the CMS file lines behind this rate
RVUs for 27500PPRRVU2026_Oct_nonQPP.csv, line 2,922 (RVU26D)
Geographic factors for Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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