CPT code 27513: Distal femur repair, supracondylar or transcondylar2026 Medicare rate & RVUs in Minnesota

Reports operative repair of a distal femoral fracture above or through the condyles, including patterns with intercondylar extension and fixation when performed.

CMS RVU26DEffective Oct 1, 2026One payment locality3K Medicare services in 2024

In Minnesota, Medicare pays $1,023.87 for 27513 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,023.87Hospital or facility

Check a contract rate as a % of Medicare · 27513 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 27513 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 27513 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 27513 covers

An orthopedic surgeon uses this service to repair a supracondylar or transcondylar fracture at the lower end of the femur. The fracture may extend between the condyles into the knee joint. The operation involves open reduction; internal fixation is included when performed. These repairs are typically done in an operating room, often for displaced distal femur fractures that need operative stabilization.

Select the code based on the documented fracture pattern and operative treatment, distinguishing it from a fracture confined to a medial or lateral condyle or from a shaft fracture. The operative report should identify the distal femoral fracture pattern and describe the open repair and fixation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment 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.

How Minnesota compares for 27513

Across 109 of 109 payment localities, the facility rate for 27513 runs from $993.73 in Arkansas to $1,383.59 in Alaska. Minnesota pays $1,023.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

27513 in Minnesota vs other payment areas
  1. Minnesota · this page$1,023.87
  2. Los Angeles, CA · California$1,151.80+$127.93
  3. Washington, DC area · District of Columbia$1,217.60+$193.73
  4. Miami, FL · Florida$1,323.40+$299.53
  5. Chicago, IL · Illinois$1,284.32+$260.45
  6. Manhattan, NY · New York$1,280.87+$257.00
  7. Alaska · Alaska$1,383.59+$359.72

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

Every other payment area

27513 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,006.04
ArkansasArkansas—$993.73
ArizonaArizona—$1,077.08
Bakersfield, CACalifornia—$1,100.48
Chico, CACalifornia—$1,089.57
El Centro, CACalifornia—$1,090.23
Fresno, CACalifornia—$1,089.57
Hanford, CACalifornia—$1,089.57

27513 rates by state

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

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.

View every state and territory as a table
27513 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

See 27513 in every payment locality

How the 27513 rate is calculated

Each of 27513’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 · 27513

RVUs × geographic indexes × conversion factor

Office or facility?

Work18.77

18.77 RVUs× 1.000 GPCI

Practice expense10.41

10.41 RVUs× 1.000 GPCI

Malpractice3.96

3.96 RVUs× 1.000 GPCI

Adjusted RVUs

33.1400

Conversion factor

$33.4009

Medicare rate

$1,106.91

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

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,932

Code
27513
Physician work
18.77
Practice expense
10.41
Malpractice
3.96

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 27513 in Minnesota
ComponentRVULocality factorAdjusted
Physician work18.77× 1.00018.7700
Practice expense10.41× 1.02910.7119
Malpractice3.96× 0.2961.1722
Total RVUs30.6540
Conversion factor× 33.4009

Facility rate, Minnesota$1023.87

Facility: (18.77 × 1 + 10.41 × 1.029 + 3.96 × 0.296) × $33.4009 = $1023.87

Open 27513 in the RVU calculator

Payment rules and modifiers for 27513

27513 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27513

Distal femur repair, supracondylar or transcondylar

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)2Paid.
Co-surgeons (62)2Permitted.
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 · 27513

Distal femur repair, supracondylar or transcondylar

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

27513 without 50 · national facility

$1,106.91

Distal femur repair, supracondylar or transcondylar

27513-50 · Bilateral: 150%

$1,660.37

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

How 27513 has changed in Minnesota

27513 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,023.87RVU26D
2026-07-01Not available in this setting$1,023.87RVU26C
2026-04-01Not available in this setting$1,023.87RVU26B
2026-01-01Not available in this setting$1,023.87RVU26A
2025-10-01Not available in this setting$1,130.89RVU25D
2025-07-01Not available in this setting$1,130.89RVU25C
2025-04-01Not available in this setting$1,130.89RVU25B
2025-01-01Not available in this setting$1,130.89RVU25A
2024-10-01Not available in this setting$1,154.39RVU24D
2024-07-01Not available in this setting$1,154.39RVU24C
2024-04-01Not available in this setting$1,154.39RVU24B
2024-03-09Not available in this setting$1,154.39RVU24AR
2024-01-01Not available in this setting$1,135.55RVU24A
2023-10-01Not available in this setting$1,172.30RVU23D
2023-07-01Not available in this setting$1,172.30RVU23C
2023-04-01Not available in this setting$1,172.30RVU23B
2023-01-01Not available in this setting$1,172.30RVU23A
2022-10-01Not available in this setting$1,186.16RVU22D
2022-07-01Not available in this setting$1,186.16RVU22C
2022-04-01Not available in this setting$1,186.16RVU22B
2022-01-01Not available in this setting$1,186.16RVU22A
2021-10-01Not available in this setting$1,193.45RVU21D
2021-07-01Not available in this setting$1,193.45RVU21C
2021-04-01Not available in this setting$1,193.45RVU21B
2021-01-01Not available in this setting$1,193.45RVU21A
2020-10-01Not available in this setting$1,213.37RVU20D
2020-07-01Not available in this setting$1,213.37RVU20C
2020-04-01Not available in this setting$1,213.37RVU20B
2020-01-01Not available in this setting$1,213.37RVU20A
2019-10-01Not available in this setting$1,208.01RVU19D
2019-07-01Not available in this setting$1,208.01RVU19C
2019-04-01Not available in this setting$1,208.01RVU19B
2019-01-01Not available in this setting$1,208.01RVU19A
2018-10-01Not available in this setting$1,206.79RVU18D
2018-07-01Not available in this setting$1,206.79RVU18C
2018-04-01Not available in this setting$1,206.79RVU18B
2018-01-01Not available in this setting$1,206.79RVU18AR1
2017-10-01Not available in this setting$1,200.93RVU17D
2017-07-01Not available in this setting$1,200.93RVU17C
2017-04-01Not available in this setting$1,200.93RVU17B
2017-01-01Not available in this setting$1,200.93RVU17A
2016-10-01Not available in this setting$1,197.01RVU16D
2016-07-01Not available in this setting$1,197.01RVU16C
2016-04-01Not available in this setting$1,197.01RVU16B
2016-01-01Not available in this setting$1,197.01RVU16A
2015-10-01Not available in this setting$1,202.27RVU15D
2015-07-01Not available in this setting$1,202.27RVU15C
2015-04-01Not available in this setting$1,196.29RVU15B
2015-01-01Not available in this setting$1,196.29RVU15A
2014-10-01Not available in this setting$1,190.59RVU14D
2014-07-01Not available in this setting$1,190.59RVU14C
2014-04-01Not available in this setting$1,190.59RVU14B
2014-01-01Not available in this setting$1,190.59RVU14A
2013-10-01Not available in this setting$1,162.42RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 27513 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

27513 billing questions

How is this code distinguished from 27511?

Use 27513 for a supracondylar or transcondylar distal femur fracture, with or without intercondylar extension. Code 27511 describes open treatment of a fracture confined to a medial or lateral condyle.

Is internal fixation included?

Yes. Internal fixation, when performed as part of the open fracture repair, is included in this service.

Can an assistant surgeon or co-surgeon be reported?

CMS permits assistant-at-surgery payment and co-surgeons for this code. Team-surgery billing is not permitted.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How does CMS handle bilateral reporting?

When the service is performed bilaterally, report modifier 50; CMS pays it at 150%.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and other procedures at 50%.

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 27513PPRRVU2026_Oct_nonQPP.csv, line 2,932 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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