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CPT code 27508: Femur fracture care, distal condyle, no manipulation2026 Medicare rate & RVUs in Wisconsin

Reports closed definitive care of a distal femoral medial or lateral condyle fracture when treatment is provided without manipulating the fracture.

CMS RVU26DEffective Oct 1, 2026One payment locality1.4K Medicare services in 2024

In Wisconsin, Medicare pays $537.78 for 27508 in the office and $448.83 when it’s performed in a hospital or facility.

$537.78Office (non-facility)
$448.83Hospital or facility
−7.5%vs the national office rate ($581.51)

Check a contract rate as a % of Medicare · 27508 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 27508 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Wisconsin
  2. What 27508 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 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.

How Wisconsin compares for 27508

Across 109 of 109 payment localities, the office rate for 27508 runs from $513.30 in Arkansas to $732.71 in San Benito County, CA. Wisconsin pays $537.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

27508 in Wisconsin vs other payment areas
  1. Wisconsin · this page$537.78
  2. Los Angeles, CA · California$637.04+$99.26
  3. Washington, DC area · District of Columbia$657.18+$119.40
  4. Miami, FL · Florida$660.68+$122.90
  5. Chicago, IL · Illinois$639.97+$102.19
  6. Manhattan, NY · New York$674.04+$136.26
  7. Alaska · Alaska$685.24+$147.46

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

Every other payment area

27508 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$520.87$439.62
ArkansasArkansas$513.30$433.54
ArizonaArizona$564.92$474.94
Bakersfield, CACalifornia$600.95$499.19
Chico, CACalifornia$597.43$495.66
El Centro, CACalifornia$597.64$495.87
Fresno, CACalifornia$597.43$495.66
Hanford, CACalifornia$597.43$495.66

27508 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.

$513.30

$685.24

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

View every state and territory as a table
27508 office rate range by state
State / territoryOffice rate rangeLocalities
AK$685.241
AL$520.871
AR$513.301
AZ$564.921
CA$597.43–$732.7129
CO$596.121
CT$620.451
DC$657.181
DE$574.161
FL$588.20–$660.683
GA$553.36–$596.102
GU$609.641
HI$609.641
IA$527.111
ID$532.041
IL$576.29–$639.974
IN$534.961
KS$527.981
KY$540.501
LA$541.00–$567.462
MA$593.91–$650.412
MD$584.06–$657.183
ME$538.41–$562.702
MI$557.73–$599.052
MN$561.181
MO$533.94–$565.433
MS$523.551
MT$581.421
NC$543.521
ND$556.111
NE$528.991
NH$589.971
NJ$624.71–$651.022
NM$562.161
NV$574.711
NY$551.98–$694.715
OH$552.561
OK$535.951
OR$567.47–$611.172
PA$551.55–$607.202
PR$584.571
RI$591.841
SC$549.511
SD$553.121
TN$531.081
TX$548.17–$596.848
UT$556.951
VA$563.22–$657.182
VI$584.571
VT$557.021
WA$591.76–$660.222
WI$537.781
WV$555.831
WY$570.391

See 27508 in every payment locality

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

Office or facility?

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.

The exact Wisconsin inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,928

Code
27508
Physician work
6.05
Practice expense
10.08
Malpractice
1.28

GPCI2026.csv

111

Locality
Wisconsin
Physician work
1.000
Practice expense
0.958
Malpractice
0.308
Office calculation for 27508 in Wisconsin
ComponentRVULocality factorAdjusted
Physician work6.05× 1.0006.0500
Practice expense10.08× 0.9589.6566
Malpractice1.28× 0.3080.3942
Total RVUs16.1009
Conversion factor× 33.4009

Office rate, Wisconsin$537.78

Office: (6.05 × 1 + 10.08 × 0.958 + 1.28 × 0.308) × $33.4009 = $537.78

Facility: (6.05 × 1 + 7.3 × 0.958 + 1.28 × 0.308) × $33.4009 = $448.83

Open 27508 in the RVU calculator

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

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 · 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.

  • 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

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).

When to use modifier 50

Codes related to 27508

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

Codes related to 27508
CodeHow it relatesOffice range, Wisconsin
Same family
27509Femur fracture fixation, percutaneous shaft fixationRelated closed treatment for a distal femoral condyle fracture when manipulation is performed.No office rate
Used instead
27510Femur fracture care, condyle, with manipulationClosed treatment for a supracondylar or transcondylar fracture without intercondylar extension, without manipulation.No office rate
27511Femur fracture, open, no intercondylar extensionClosed treatment for a supracondylar or transcondylar fracture without intercondylar extension, with manipulation.No office rate
27513Distal femur repair, supracondylar or transcondylarOpen treatment for a supracondylar or transcondylar fracture without intercondylar extension.No office rate
27514Distal femur fracture, intercondylar extension, openOpen treatment for a supracondylar or transcondylar fracture with intercondylar extension.No office rate

How 27508 has changed in Wisconsin

27508 · Office / nonfacility

$537.78

Effective 2026-10-01

The base rate is $48.34 higher than on 2025-10-01, moving from $489.44 to $537.78 (9.9%).

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

    $489.44changed to$537.78

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.20 changed to 6.05
    • Practice expense RVU 8.90 changed to 10.08
    • Malpractice RVU 1.25 changed to 1.28
    • Practice expense GPCI 0.957 changed to 0.958
    • Malpractice GPCI 0.331 changed to 0.308

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $498.90changed to$489.44

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.75 changed to 8.90

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $490.75changed to$498.90

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $499.19changed to$490.75

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.58 changed to 8.75
    • Malpractice RVU 1.21 changed to 1.25
    • Practice expense GPCI 0.950 changed to 0.957
    • Malpractice GPCI 0.314 changed to 0.331

  5. January 1, 2023

    RVU23A

    $497.93changed to$499.19

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.30 changed to 8.58
    • Malpractice RVU 1.25 changed to 1.21
    • Practice expense GPCI 0.942 changed to 0.950
    • Malpractice GPCI 0.296 changed to 0.314

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $498.03changed to$497.93

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.19 changed to 8.30
    • Malpractice RVU 1.21 changed to 1.25

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $501.30changed to$498.03

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.70 changed to 8.19
    • Malpractice RVU 1.19 changed to 1.21
    • Practice expense GPCI 0.949 changed to 0.942
    • Malpractice GPCI 0.322 changed to 0.296

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $502.01changed to$501.30

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.66 changed to 7.70
    • Malpractice RVU 1.15 changed to 1.19
    • Practice expense GPCI 0.957 changed to 0.949
    • Malpractice GPCI 0.347 changed to 0.322

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $503.53changed to$502.01

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 7.72 changed to 7.66

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $503.66changed to$503.53

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.64 changed to 7.72
    • Malpractice RVU 1.16 changed to 1.15
    • Practice expense GPCI 0.956 changed to 0.957
    • Malpractice GPCI 0.457 changed to 0.347

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $507.00changed to$503.66

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.63 changed to 7.64
    • Malpractice RVU 1.19 changed to 1.16
    • Practice expense GPCI 0.955 changed to 0.956
    • Malpractice GPCI 0.566 changed to 0.457

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $509.71changed to$507.00

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.65 changed to 7.63
    • Malpractice RVU 1.20 changed to 1.19

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $507.18changed to$509.71

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $505.52changed to$507.18

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.59 changed to 7.65
    • Malpractice RVU 1.15 changed to 1.20
    • Practice expense GPCI 0.958 changed to 0.955
    • Malpractice GPCI 0.557 changed to 0.566

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $506.00changed to$505.52

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.35 changed to 7.59
    • Malpractice RVU 1.20 changed to 1.15
    • Practice expense GPCI 0.960 changed to 0.958
    • Malpractice GPCI 0.547 changed to 0.557

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$506.00

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$537.78$448.83RVU26D
2026-07-01$537.78$448.83RVU26C
2026-04-01$537.78$448.83RVU26B
2026-01-01$537.78$448.83RVU26A
2025-10-01$489.44$462.20RVU25D
2025-07-01$489.44$462.20RVU25C
2025-04-01$489.44$462.20RVU25B
2025-01-01$489.44$462.20RVU25A
2024-10-01$498.90$471.18RVU24D
2024-07-01$498.90$471.18RVU24C
2024-04-01$498.90$471.18RVU24B
2024-03-09$498.90$471.18RVU24AR
2024-01-01$490.75$463.49RVU24A
2023-10-01$499.19$472.15RVU23D
2023-07-01$499.19$472.15RVU23C
2023-04-01$499.19$472.15RVU23B
2023-01-01$499.19$472.15RVU23A
2022-10-01$497.93$471.20RVU22D
2022-07-01$497.93$471.20RVU22C
2022-04-01$497.93$471.20RVU22B
2022-01-01$497.93$471.20RVU22A
2021-10-01$498.03$470.42RVU21D
2021-07-01$498.03$470.42RVU21C
2021-04-01$498.03$470.42RVU21B
2021-01-01$498.03$470.42RVU21A
2020-10-01$501.30$474.25RVU20D
2020-07-01$501.30$474.25RVU20C
2020-04-01$501.30$474.25RVU20B
2020-01-01$501.30$474.25RVU20A
2019-10-01$502.01$473.04RVU19D
2019-07-01$502.01$473.04RVU19C
2019-04-01$502.01$473.04RVU19B
2019-01-01$502.01$473.04RVU19A
2018-10-01$503.53$471.83RVU18D
2018-07-01$503.53$471.83RVU18C
2018-04-01$503.53$471.83RVU18B
2018-01-01$503.53$471.83RVU18AR1
2017-10-01$503.66$473.47RVU17D
2017-07-01$503.66$473.47RVU17C
2017-04-01$503.66$473.47RVU17B
2017-01-01$503.66$473.47RVU17A
2016-10-01$507.00$477.25RVU16D
2016-07-01$507.00$477.25RVU16C
2016-04-01$507.00$477.25RVU16B
2016-01-01$507.00$477.25RVU16A
2015-10-01$509.71$479.17RVU15D
2015-07-01$509.71$479.17RVU15C
2015-04-01$507.18$476.79RVU15B
2015-01-01$507.18$476.79RVU15A
2014-10-01$505.52$476.01RVU14D
2014-07-01$505.52$476.01RVU14C
2014-04-01$505.52$476.01RVU14B
2014-01-01$505.52$476.01RVU14A
2013-10-01$506.00$474.32RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 27508 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

  • Abbotsford
  • Abrams
  • Adams
  • Adell
  • Albany
  • Algoma
  • Allens Grove
  • Allenton

Browse all communities in Wisconsin

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

Show the CMS file lines behind this rate
RVUs for 27508PPRRVU2026_Oct_nonQPP.csv, line 2,928 (RVU26D)
Geographic factors for WisconsinGPCI2026.csv, line 111 (RVU26D)

Open CMS sourceHow we calculate rates

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