CPT code 27511: Femur fracture, open, no intercondylar extension2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $902.62 for 27511 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27511 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 27511 covers

An orthopedic surgeon typically uses this service to expose and treat a supracondylar or transcondylar fracture of the distal femur that does not extend between the condyles. The surgeon restores alignment and may secure the fracture with internal fixation. These cases commonly arise after significant trauma and are performed in an operating room, generally in a hospital or other facility setting.

Choose this code when the operative findings and documentation support the fracture location and absence of intercondylar extension, and the fracture is treated through an open approach. Internal fixation, when performed, is included in the fracture treatment. CMS 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. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery and co-surgeon services may be paid; 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.

How Puerto Rico compares for 27511

Across 109 of 109 payment localities, the facility rate for 27511 runs from $807.44 in Arkansas to $1,120.00 in Alaska. Puerto Rico pays $902.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27511 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 27511 in every payment locality

How the 27511 rate is calculated

Each of 27511’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.

Payment rules and modifiers for 27511

27511 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 27511

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

How 27511 has changed in Puerto Rico

Price 27511 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates