Billing code 27500: Femur fracture careMedicare rate & RVUs
Reports closed management of a femoral shaft fracture when the provider treats it without manipulating or reducing the fracture.
Medicare pays $574.50 for 27500 nationally in the office and $464.94 in a hospital or facility. Local office rates run $507.36–$720.69.
Medicare rate · 27500
Femur fracture care
Swap in your local Medicare rate.
- Work RVUs
- 6.14
- Total RVUs
- 17.20
- Global days
- 090
National rate · 2026
$574.50
Office setting, before claim adjustments.
See every locality for 27500 → · 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.
On this page 10 sections
What 27500 covers
This code describes closed management of a fracture through the shaft of the femur when the provider does not manipulate the fracture to change its alignment. An orthopedic surgeon or other qualified physician may provide this care in a hospital or outpatient setting when the fracture can be managed without a reduction. The treatment plan may include immobilization and follow-up to monitor healing; the record should identify the fracture’s shaft location and the closed-treatment approach.
Report the code when documentation supports treatment without manipulation, rather than reduction or operative fixation. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%. For bilateral treatment reported with modifier 50, CMS pays at 150%. CMS does not pay an assistant at surgery for this code; 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 27500 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$507.36 to $720.69
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $514.80 | $418.94 |
| Alaska* | $678.56 | $561.88 |
| Arizona | $558.10 | $451.94 |
| Arkansas | $507.36 | $413.25 |
| Atlanta | $589.12 | $477.81 |
| Austin | $588.81 | $472.90 |
| Bakersfield | $592.55 | $472.47 |
| Baltimore/Surr. Cntys | $611.92 | $494.37 |
| Beaumont | $542.08 | $442.38 |
| Brazoria | $563.58 | $455.01 |
| Chicago | $634.22 | $524.12 |
| Chico | $588.94 | $468.87 |
| Colorado | $588.22 | $471.65 |
| Connecticut | $612.86 | $494.87 |
| Dallas | $568.83 | $459.71 |
| Dc + Md/Va Suburbs | $648.48 | $519.43 |
| Delaware | $567.19 | $458.95 |
| Detroit | $593.11 | $487.39 |
| East St. Louis | $592.81 | $492.02 |
| El Centro | $589.16 | $469.09 |
| Fort Lauderdale | $614.08 | $503.10 |
| Fort Worth | $566.14 | $458.12 |
| Fresno | $588.94 | $468.87 |
| Galveston | $566.33 | $457.54 |
| Hanford-Corcoran | $588.94 | $468.87 |
| Hawaii, Guam | $600.69 | $476.13 |
| Houston | $590.31 | $481.52 |
| Idaho | $525.38 | $424.59 |
| Indiana | $528.23 | $426.67 |
| Iowa | $520.43 | $420.19 |
| Kansas | $521.53 | $422.49 |
| Kentucky | $534.63 | $437.23 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $627.80 | $498.19 |
| Madera | $588.94 | $468.87 |
| Manhattan | $666.02 | $538.72 |
| Merced | $588.94 | $468.87 |
| Metropolitan Boston | $641.27 | $510.46 |
| Metropolitan Kansas City | $553.62 | $450.75 |
| Metropolitan Philadelphia | $599.98 | $485.94 |
| Metropolitan St. Louis | $558.95 | $454.66 |
| Miami | $654.75 | $540.70 |
| Minnesota | $553.14 | $440.40 |
| Mississippi | $517.81 | $423.48 |
| Modesto | $588.94 | $468.87 |
| Montana** | $574.41 | $464.85 |
| Napa | $669.45 | $525.05 |
| Nebraska | $522.20 | $421.08 |
| Nevada** | $567.51 | $457.85 |
| New Hampshire | $582.38 | $468.33 |
| New Mexico | $556.26 | $455.80 |
| New Orleans | $561.23 | $458.14 |
| North Carolina | $536.88 | $434.67 |
| North Dakota** | $548.50 | $438.95 |
| Northern Nj | $642.50 | $515.41 |
| Nyc Suburbs/Long Island | $686.67 | $556.41 |
| Ohio | $546.51 | $446.49 |
| Oklahoma | $529.89 | $432.06 |
| Oxnard-Thousand Oaks-Ventura | $623.01 | $493.52 |
| Portland | $602.72 | $481.01 |
| Poughkpsie/N Nyc Suburbs | $623.85 | $503.89 |
| Puerto Rico | $577.42 | $466.66 |
| Queens | $666.23 | $536.74 |
| Redding | $588.94 | $468.87 |
| Rest Of California | $588.94 | $468.87 |
| Rest Of Florida | $582.18 | $477.44 |
| Rest Of Georgia | $547.73 | $450.00 |
| Rest Of Illinois | $570.80 | $470.77 |
| Rest Of Louisiana | $535.21 | $438.25 |
| Rest Of Maine | $531.90 | $431.11 |
| Rest Of Maryland | $576.87 | $466.00 |
| Rest Of Massachusetts | $586.15 | $470.79 |
| Rest Of Michigan | $551.81 | $451.78 |
| Rest Of Missouri | $528.42 | $433.98 |
| Rest Of New Jersey | $616.90 | $497.27 |
| Rest Of New York | $545.22 | $441.14 |
| Rest Of Oregon | $560.20 | $451.08 |
| Rest Of Pennsylvania | $545.38 | $444.81 |
| Rest Of Texas | $553.64 | $449.67 |
| Rest Of Washington | $583.96 | $468.60 |
| Rhode Island | $584.41 | $471.24 |
| Riverside-San Bernardino-Ontario | $603.02 | $482.95 |
| Sacramento-Roseville-Folsom | $614.66 | $487.25 |
| Salinas | $612.33 | $485.36 |
| San Diego-Chula Vista-Carlsbad | $624.44 | $493.41 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $703.83 | $549.35 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $702.34 | $547.87 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $720.69 | $562.71 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $714.61 | $556.63 |
| San Luis Obispo-Paso Robles | $602.95 | $478.16 |
| Santa Cruz-Watsonville | $628.52 | $495.41 |
| Santa Maria-Santa Barbara | $613.99 | $486.25 |
| Santa Rosa-Petaluma | $634.60 | $500.06 |
| Seattle (King Cnty) | $650.67 | $516.24 |
| South Carolina | $543.18 | $441.95 |
| South Dakota** | $545.44 | $435.89 |
| Southern Maine | $555.42 | $446.85 |
| Stockton | $588.94 | $468.87 |
| Suburban Chicago | $618.50 | $505.99 |
| Tennessee | $524.60 | $425.02 |
| Utah | $550.49 | $447.51 |
| Vallejo | $667.30 | $522.91 |
| Vermont | $549.62 | $441.16 |
| Virgin Islands | $577.42 | $466.66 |
| Virginia | $556.10 | $448.40 |
| Visalia | $588.94 | $468.87 |
| West Virginia | $550.69 | $455.49 |
| Wisconsin | $530.54 | $425.59 |
| Wyoming** | $563.12 | $453.56 |
| Yuba City | $588.94 | $468.87 |
27500 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.
$507.36
$678.56
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $678.56 | 1 |
| AL | $514.80 | 1 |
| AR | $507.36 | 1 |
| AZ | $558.10 | 1 |
| CA | $588.94–$720.69 | 29 |
| CO | $588.22 | 1 |
| CT | $612.86 | 1 |
| DC | $648.48 | 1 |
| DE | $567.19 | 1 |
| FL | $582.18–$654.75 | 3 |
| GA | $547.73–$589.12 | 2 |
| GU | $600.69 | 1 |
| HI | $600.69 | 1 |
| IA | $520.43 | 1 |
| ID | $525.38 | 1 |
| IL | $570.80–$634.22 | 4 |
| IN | $528.23 | 1 |
| KS | $521.53 | 1 |
| KY | $534.63 | 1 |
| LA | $535.21–$561.23 | 2 |
| MA | $586.15–$641.27 | 2 |
| MD | $576.87–$648.48 | 3 |
| ME | $531.90–$555.42 | 2 |
| MI | $551.81–$593.11 | 2 |
| MN | $553.14 | 1 |
| MO | $528.42–$558.95 | 3 |
| MS | $517.81 | 1 |
| MT | $574.41 | 1 |
| NC | $536.88 | 1 |
| ND | $548.50 | 1 |
| NE | $522.20 | 1 |
| NH | $582.38 | 1 |
| NJ | $616.90–$642.50 | 2 |
| NM | $556.26 | 1 |
| NV | $567.51 | 1 |
| NY | $545.22–$686.67 | 5 |
| OH | $546.51 | 1 |
| OK | $529.89 | 1 |
| OR | $560.20–$602.72 | 2 |
| PA | $545.38–$599.98 | 2 |
| PR | $577.42 | 1 |
| RI | $584.41 | 1 |
| SC | $543.18 | 1 |
| SD | $545.44 | 1 |
| TN | $524.60 | 1 |
| TX | $542.08–$590.31 | 8 |
| UT | $550.49 | 1 |
| VA | $556.10–$648.48 | 2 |
| VI | $577.42 | 1 |
| VT | $549.62 | 1 |
| WA | $583.96–$650.67 | 2 |
| WI | $530.54 | 1 |
| WV | $550.69 | 1 |
| WY | $563.12 | 1 |
How the 27500 rate is calculated
Each of 27500’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 · 27500
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.14Practice expense 9.75Malpractice 1.31
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27500
27500 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27500
Femur fracture care
| 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 · 27500
Femur fracture care
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
27500 without 50 · national office
$574.50
Femur fracture care
27500-50 · Bilateral: 150%
$861.75
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).
27500 compared with similar codes
Compare codes
27500 vs 27502 vs 27506 vs 27507 vs 27508: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27502Femur fracture care
- Both address closed treatment of a femoral shaft fracture. Choose 27500 when no manipulation is performed; 27502 is for treatment involving manipulation.
- 27506Femur fracture repair
- 27500 is closed treatment without manipulation. 27506 describes operative treatment of a femoral shaft fracture with an intramedullary implant.
- 27507Femur fracture repair
- 27500 is closed treatment without manipulation. 27507 describes operative shaft-fracture treatment using plate-and-screw fixation.
- 27508Femur fracture care
- Both describe closed fracture treatment without manipulation, but 27508 concerns the distal femur rather than the femoral shaft.
27500 billing questions
When should 27500 be chosen instead of 27502?
Use 27500 when the femoral shaft fracture is treated without manipulating its alignment. When the provider manipulates the fracture, consider 27502.
What documentation supports reporting 27500?
Document that the fracture is in the femoral shaft, that treatment was closed, and that no manipulation or reduction was performed.
Does the 90-day global period include follow-up care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.
How is bilateral treatment handled?
For bilateral treatment reported with modifier 50, CMS pays at 150%.
Can an assistant or co-surgeon be reported for this procedure?
CMS does not pay an assistant at surgery for this code, and 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
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