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CPT code 27502: Femur fracture care, shaft fracture, manipulation2026 Medicare rate & RVUs

Reports closed reduction of a femoral shaft fracture when the physician manipulates the fracture, with or without skeletal traction, rather than treating it without reduction.

CMS RVU26DEffective Oct 1, 2026109 payment localities339 Medicare services in 2024

Medicare pays $752.52 for 27502 nationally in a facility.

Medicare rate · 27502

Femur fracture care, shaft fracture, manipulation

Office or facility?

Work RVUs
11.08
Total RVUs
22.53
Global days
090

National rate · 2026

$752.52

Facility setting, before claim adjustments.

See every locality for 27502 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 27502 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 27502 covers

This service is closed reduction of a fracture through the femoral shaft: the physician manipulates the bone to improve alignment without surgically opening the fracture site. An orthopedic surgeon or other physician qualified to manage fractures may perform the reduction, commonly in a hospital or emergency setting. Skeletal traction may be used as part of the treatment. The code is specific to the femoral shaft, not a fracture at the distal femur near the knee.

Report it when documentation supports both the shaft location and a reduction maneuver; immobilization alone, without manipulation, points to 27500. The fracture-treatment record should identify the fracture, describe the reduction, and document any traction or immobilization. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures receive the standard multiple-procedure reduction. For bilateral treatment reported with modifier 50, CMS pays at 150%. CMS does not pay an assistant at surgery; co-surgeon and team-surgery billing 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 27502 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

27502 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$678.71
AlaskaUnavailable$919.16
ArizonaUnavailable$731.16
ArkansasUnavailable$669.64
Atlanta, GAUnavailable$775.32
Austin, TXUnavailable$760.97
Bakersfield, CAUnavailable$755.28
Baltimore area, MDUnavailable$800.17
Beaumont, TXUnavailable$719.70
Brazoria, TXUnavailable$734.28

27502 rates by state

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

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Local rates. Clear comparisons.

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

View every state and territory as a table
27502 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 27502 rate is calculated

Each of 27502’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 · 27502

RVUs × geographic indexes × conversion factor

Office or facility?

Work11.08

11.08 RVUs× 1.000 GPCI

Practice expense8.93

8.93 RVUs× 1.000 GPCI

Malpractice2.52

2.52 RVUs× 1.000 GPCI

Adjusted RVUs

22.5300

Conversion factor

$33.4009

Medicare rate

$752.52

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

Payment rules and modifiers for 27502

27502 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27502

Femur fracture care, shaft fracture, 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 · 27502

Femur fracture care, shaft fracture, 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

27502 without 50 · national facility

$752.52

Femur fracture care, shaft fracture, manipulation

27502-50 · Bilateral: 150%

$1,128.78

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

27502 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 27502

    Femur fracture care, shaft fracture, manipulation11.08 wRVU

    Not priced

  • 27500

    Femur fracture care, shaft, no manipulation6.14 wRVU

    $574.50

  • 27506

    Femur fracture repair, intramedullary implant19.16 wRVU

    Not priced

  • 27507

    Femur fracture repair, plate-and-screw fixation14.12 wRVU

    Not priced

How to choose

27500Femur fracture careShaft, no manipulation
Both concern closed treatment of a femoral shaft fracture. Choose 27502 when the physician manipulates the fracture; choose 27500 when treatment is without manipulation.
27506Femur fracture repairIntramedullary implant
27502 describes closed reduction. Code 27506 is for open treatment of a femoral shaft fracture using an intramedullary implant.
27507Femur fracture repairPlate-and-screw fixation
27502 describes closed reduction. Code 27507 is for open treatment of a femoral shaft fracture with plate-and-screw fixation.

Codes related to 27502

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

Codes related to 27502
CodeHow it relatesNational office range
Same family
27500Femur fracture care, shaft, no manipulationClosed femoral shaft fracture treatment without manipulation.$507.36–$720.69
Used instead
27506Femur fracture repair, intramedullary implantOpen femoral shaft treatment using an intramedullary implant.No office rate
27507Femur fracture repair, plate-and-screw fixationOpen femoral shaft treatment using plate-and-screw fixation.No office rate

27502 billing questions

How does 27502 differ from 27500?

Use 27502 when the physician manipulates and reduces a femoral shaft fracture. Code 27500 is the related option when the shaft fracture is treated without manipulation.

Does applying immobilization alone support 27502?

No. The record should show a reduction maneuver that manipulates the fracture, not just immobilization. Document the shaft location and the reduction performed.

Is skeletal traction included in the service?

The code includes treatment with or without skeletal traction. Document traction when used, along with the fracture reduction.

What postoperative care is included?

CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be billed for 27502?

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

How does CMS handle bilateral treatment or another procedure in the same session?

With modifier 50, bilateral treatment is paid at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others receive the standard reduction.

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 27502PPRRVU2026_Oct_nonQPP.csv, line 2,924 (RVU26D)

Open CMS sourceHow we calculate rates

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