CPT 27508: Femur fracture careMedicare rate & RVUs

Medicare pays $581.51 for 27508 nationally in the office and $488.66 in a hospital or facility. Local office rates run $513.30–$732.71.

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

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.

Where 27508 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

27508 rates by state

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

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.

Payment rules and modifiers for 27508

27508 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

27508 compared with similar codes

How to choose

27509Femur fracture fixation

Both address closed treatment of a distal femoral condyle fracture. The distinguishing feature is manipulation: 27508 is for treatment without it, while 27509 is for treatment with it.

27510Femur fracture care

This code concerns a supracondylar or transcondylar fracture without intercondylar extension, treated without manipulation; 27508 identifies a medial or lateral condyle fracture.

27513Distal femur repair

Use 27513 for open treatment of a supracondylar or transcondylar fracture without intercondylar extension, rather than closed treatment of a condyle fracture without manipulation.

Codes related to 27508

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

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