CPT code 27507: Femur fracture repair, plate-and-screw fixation2026 Medicare rate & RVUs in Missouri
Reports operative stabilization of a femoral shaft fracture using a plate and screws, with or without supplemental cerclage fixation.
CMS doesn’t publish an office rate for 27507 in Missouri.
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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On this page 9 sections
What 27507 covers
An orthopedic surgeon reports this service when surgically exposing and stabilizing a fracture through the shaft of the femur with a plate-and-screw construct. Cerclage may be used as supplemental fixation. The procedure is typically performed in an operating room, commonly for a displaced shaft fracture requiring operative stabilization when plate fixation is selected.
Report the code for the femoral shaft fracture treated with this fixation method; documentation should identify the fracture site and laterality and describe the open treatment and plate-and-screw construct. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral procedures reported with modifier 50, CMS pays at 150%. Assistant-at-surgery payment may be available, and co-surgeons are permitted; team surgery is 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 27507 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $862.13 |
| Metropolitan St. Louis, MO | Unavailable | $868.68 |
| Rest of Missouri | Unavailable | $837.81 |
How the 27507 rate is calculated
Each of 27507’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 · 27507
RVUs × geographic indexes × conversion factor
Work14.12
14.12 RVUs× 1.000 GPCI
Practice expense9.34
9.34 RVUs× 1.000 GPCI
Malpractice2.99
2.99 RVUs× 1.000 GPCI
Adjusted RVUs
26.4500
Conversion factor
$33.4009
Medicare rate
$883.45
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27507
27507 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27507
Femur fracture repair, plate-and-screw fixation
| 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) | 2 | Paid. |
| Co-surgeons (62) | 2 | 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 · 27507
Femur fracture repair, plate-and-screw fixation
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
27507 without 50 · national facility
$883.45
Femur fracture repair, plate-and-screw fixation
27507-50 · Bilateral: 150%
$1,325.18
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).
27507 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27506Femur fracture repairIntramedullary implant
- Both address open treatment of femoral shaft fractures, but 27507 is for plate-and-screw fixation; 27506 is for fixation with an intramedullary implant.
- 27500Femur fracture careShaft, no manipulation
- 27500 describes closed femoral shaft fracture treatment without manipulation. Use 27507 when the fracture is treated operatively with a plate-and-screw construct.
- 27502Femur fracture careShaft fracture, manipulation
- 27502 describes closed treatment with manipulation, with or without skeletal traction. It does not represent open plate-and-screw fixation as 27507 does.
27507 billing questions
How is this different from 27506?
Use 27507 for plate-and-screw fixation of a femoral shaft fracture. Code 27506 describes shaft-fracture fixation using an intramedullary implant.
Can this code be used for closed fracture care?
No. This code represents open operative treatment with plate-and-screw fixation. Codes 27500 and 27502 describe closed treatment of femoral shaft fractures.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How is bilateral treatment reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available, and co-surgeons are permitted. Team surgery is 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
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