CPT code 27502: Femur fracture care, shaft fracture, manipulation2026 Medicare rate & RVUs in Massachusetts
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 doesn’t publish an office rate for 27502 in Massachusetts.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston, MA | Unavailable | $816.30 |
| Rest of Massachusetts | Unavailable | $757.17 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share 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.
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).
27502 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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