CPT code 27508: Femur fracture care, distal condyle, no manipulation2026 Medicare rate & RVUs in Missouri
Reports closed definitive care of a distal femoral medial or lateral condyle fracture when treatment is provided without manipulating the fracture.
Medicare pays $533.94–$565.43 for 27508 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
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 27508 covers
This code describes closed definitive treatment of a fracture at the distal femur involving a medial or lateral condyle, without manipulating the fracture. An orthopedic surgeon or another qualified physician may provide the care in an office, emergency setting, or hospital. Treatment may involve immobilization and a plan for fracture healing; the documented fracture location and treatment method must support this specific code rather than a supracondylar pattern or a procedure involving manipulation or open fixation.
Report it for the fracture-care service, not simply because a brace or cast was supplied. The record should identify the affected femoral condyle, show that treatment was closed and performed without manipulation, and support the physician’s definitive fracture-care plan. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment is restricted; 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.
Where 27508 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.
3 payment localities
$533.94 to $565.43
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $559.99 | $472.80 |
| Metropolitan St. Louis, MO | $565.43 | $477.04 |
| Rest of Missouri | $533.94 | $453.90 |
How the 27508 rate is calculated
Each of 27508’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 · 27508
RVUs × geographic indexes × conversion factor
Work6.05
6.05 RVUs× 1.000 GPCI
Practice expense10.08
10.08 RVUs× 1.000 GPCI
Malpractice1.28
1.28 RVUs× 1.000 GPCI
Adjusted RVUs
17.4100
Conversion factor
$33.4009
Medicare rate
$581.51
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27508
27508 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27508
Femur fracture care, distal condyle, no 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 · 27508
Femur fracture care, distal condyle, 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27508 without 50 · national office
$581.51
Femur fracture care, distal condyle, no manipulation
27508-50 · Bilateral: 150%
$872.27
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).
27508 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27509Femur fracture fixationPercutaneous shaft fixation
- Both address closed treatment of a distal femoral condyle fracture. The distinguishing feature is manipulation: 27508 is for treatment without it, while 27509 is for treatment with it.
- 27510Femur fracture careCondyle, with manipulation
- This code concerns a supracondylar or transcondylar fracture without intercondylar extension, treated without manipulation; 27508 identifies a medial or lateral condyle fracture.
- 27513Distal femur repairSupracondylar or transcondylar
- Use 27513 for open treatment of a supracondylar or transcondylar fracture without intercondylar extension, rather than closed treatment of a condyle fracture without manipulation.
27508 billing questions
When is this code appropriate instead of 27509?
Use 27508 for closed care of a distal femoral medial or lateral condyle fracture without manipulation. Code 27509 is the related choice when the fracture is manipulated.
How does this differ from codes 27510 and 27511?
Those codes concern a supracondylar or transcondylar femoral fracture without intercondylar extension. Choose based on the documented fracture pattern, not simply because the injury is near the knee.
Are related follow-up visits included?
Yes. The 90-day global period includes related postoperative care, as well as the day-before preoperative visit.
Can an assistant surgeon or co-surgeon be paid?
Medicare assistant-at-surgery payment is restricted for this service. CMS does not permit co-surgeon or team-surgery payment.
How is bilateral treatment reported?
For bilateral procedures reported with modifier 50, CMS pays 150%.
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
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