CPT code 27510: Femur fracture care, condyle, with manipulation2026 Medicare rate & RVUs

Reports closed treatment with manipulation of a fracture at the medial or lateral condyle of the distal femur, without open exposure.

CMS RVU26DEffective Oct 1, 2026109 payment localities287 Medicare services in 2024

Medicare pays $672.69 for 27510 nationally in a facility.

Medicare rate · 27510

Femur fracture care, condyle, with manipulation

Office or facility?

Work RVUs
9.56
Total RVUs
20.14
Global days
090

National rate · 2026

$672.69

Facility setting, before claim adjustments.

See every locality for 27510 →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 27510 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 27510 covers

An orthopedic surgeon uses this code when treating a medial or lateral condyle fracture at the lower end of the femur by manipulating the fracture without surgically exposing it. The treatment may include reduction and immobilization, such as with a cast or brace. This is distinct from a femoral shaft fracture and from a distal femoral growth-plate injury. It may be performed in a hospital or other setting where the clinician can reduce and stabilize the fracture.

Select the code when the fracture location is the distal femoral condyle and manipulation is part of the closed treatment. The record should identify the fracture site and document the reduction and treatment provided. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. For bilateral treatment reported with modifier 50, CMS pays at 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 27510 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

27510 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$606.54
AlaskaUnavailable$818.75
ArizonaUnavailable$653.70
ArkansasUnavailable$598.39
Atlanta, GAUnavailable$692.47
Austin, TXUnavailable$681.59
Bakersfield, CAUnavailable$678.04
Baltimore area, MDUnavailable$715.27
Beaumont, TXUnavailable$642.24
Brazoria, TXUnavailable$657.06

27510 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.

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27510 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 27510 rate is calculated

Each of 27510’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 · 27510

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.56

9.56 RVUs× 1.000 GPCI

Practice expense8.45

8.45 RVUs× 1.000 GPCI

Malpractice2.13

2.13 RVUs× 1.000 GPCI

Adjusted RVUs

20.1400

Conversion factor

$33.4009

Medicare rate

$672.69

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

Payment rules and modifiers for 27510

27510 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27510

Femur fracture care, condyle, with 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 · 27510

Femur fracture care, condyle, with 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

27510 without 50 · national facility

$672.69

Femur fracture care, condyle, with manipulation

27510-50 · Bilateral: 150%

$1,009.04

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

27510 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 27510

    Femur fracture care, condyle, with manipulation9.56 wRVU

    Not priced

  • 27508

    Femur fracture care, distal condyle, no manipulation6.05 wRVU

    $581.51

  • 27511

    Femur fracture, open, no intercondylar extension14.73 wRVU

    Not priced

  • 27513

    Distal femur repair, supracondylar or transcondylar18.77 wRVU

    Not priced

  • 27514

    Distal femur fracture, intercondylar extension, open14.24 wRVU

    Not priced

How to choose

27508Femur fracture careDistal condyle, no manipulation
Use 27508 for closed treatment of a distal femoral condyle fracture without manipulation. This code requires manipulation as part of closed treatment.
27511Femur fractureOpen, no intercondylar extension
27511 is for open treatment of a medial or lateral distal femoral condyle fracture. Choose this code when the condyle fracture is treated closed with manipulation.
27513Distal femur repairSupracondylar or transcondylar
27513 concerns open treatment of a supracondylar or transcondylar fracture with intercondylar extension, rather than closed treatment of a medial or lateral condyle fracture.
27514Distal femur fractureIntercondylar extension, open
27514 concerns open treatment of a supracondylar or transcondylar fracture without intercondylar extension. This code instead describes closed treatment with manipulation of a condylar fracture.

27510 billing questions

How does this differ from 27508?

Both codes concern closed treatment of a distal femoral condyle fracture. Use 27510 when manipulation is performed; 27508 is for treatment without manipulation.

When is 27511 more appropriate?

27511 describes open treatment of a medial or lateral distal femoral condyle fracture. This code is for closed treatment involving manipulation, without surgical exposure.

Are routine fracture follow-up visits included?

Yes. The 90-day global period includes related postoperative care, as well as the day-before preoperative visit.

How is bilateral treatment paid?

CMS pays bilateral treatment reported with modifier 50 at 150%.

Can an assistant surgeon or co-surgeon be reported?

CMS applies a statutory restriction on assistant-at-surgery payment for this code. Co-surgeons and team surgery are 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
RVUs for 27510PPRRVU2026_Oct_nonQPP.csv, line 2,930 (RVU26D)

Open CMS sourceHow we calculate rates

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