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.
On this page
CMS RVU26D · Effective 2026-10-01
27508 in Beaumont
Office / nonfacility
$548.17
Base rate per service
Facility setting
$463.68
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Fracture treatment
About 27508: Closed distal femoral condyle fracture care
Reports closed definitive care of a distal femoral medial or lateral condyle fracture when treatment is provided without manipulating the fracture.
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.
CMS billing rules for 27508
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.05 · 35%
- Practice expense (office) RVU10.08 · 58%
- Malpractice RVU1.28 · 7%
1.4K
Medicare services in 2024 · #2724 by national volume
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.
27508 compared with similar codes
Office rates for Beaumont, from the same CMS release.
This code concerns a supracondylar or transcondylar fracture without intercondylar extension, treated without manipulation; 27508 identifies a medial or lateral condyle fracture.
Use 27513 for open treatment of a supracondylar or transcondylar fracture without intercondylar extension, rather than closed treatment of a condyle fracture without manipulation.
The same code, a different location
How does Beaumont compare?
In Austin, the office rate for 27508 is $596.57—$48.40 higher than the $548.17 rate in Beaumont. Both use the same code, release and participation basis.
27508 across payment areas
Same release and payment basis · bars start at $0
Beaumont · This locality
$548.17
$596.57
$48.40 higher than Beaumont
$570.69
$22.52 higher than Beaumont
$575.91
$27.74 higher than Beaumont
$573.10
$24.93 higher than Beaumont
$573.42
$25.25 higher than Beaumont
$596.84
$48.67 higher than Beaumont
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 27508 ranges from $513.30 in Arkansas to $732.71 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 27508
Office
$560.19
Facility
$472.07
$12.02 higher than Beaumont for the office setting.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 27508
Office
$637.04
Facility
$527.20
$88.87 higher than Beaumont for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 27508
Office
$657.18
Facility
$547.80
$109.01 higher than Beaumont for the office setting.
Miami
Florida · 27508
Office
$660.68
Facility
$564.02
$112.51 higher than Beaumont for the office setting.
Chicago
Illinois · 27508
Office
$639.97
Facility
$546.65
$91.80 higher than Beaumont for the office setting.
Manhattan
New York · 27508
Office
$674.04
Facility
$566.14
$125.87 higher than Beaumont for the office setting.
Alaska*
Alaska · 27508
Office
$685.24
Facility
$586.35
$137.07 higher than Beaumont for the office setting.
Alabama
Alabama · 27508
Office
$520.87
Facility
$439.62
$27.30 lower than Beaumont for the office setting.
Arkansas
Arkansas · 27508
Office
$513.30
Facility
$433.54
$34.87 lower than Beaumont for the office setting.
Arizona
Arizona · 27508
Office
$564.92
Facility
$474.94
$16.75 higher than Beaumont for the office setting.
Bakersfield
California · 27508
Office
$600.95
Facility
$499.19
$52.78 higher than Beaumont for the office setting.
Chico
California · 27508
Office
$597.43
Facility
$495.66
$49.26 higher than Beaumont for the office setting.
El Centro
California · 27508
Office
$597.64
Facility
$495.87
$49.47 higher than Beaumont for the office setting.
Fresno
California · 27508
Office
$597.43
Facility
$495.66
$49.26 higher than Beaumont for the office setting.
Hanford-Corcoran
California · 27508
Office
$597.43
Facility
$495.66
$49.26 higher than Beaumont for the office setting.
Madera
California · 27508
Office
$597.43
Facility
$495.66
$49.26 higher than Beaumont for the office setting.
Merced
California · 27508
Office
$597.43
Facility
$495.66
$49.26 higher than Beaumont for the office setting.
Modesto
California · 27508
Office
$597.43
Facility
$495.66
$49.26 higher than Beaumont for the office setting.
Napa
California · 27508
Office
$680.27
Facility
$557.89
$132.10 higher than Beaumont for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 27508
Office
$632.33
Facility
$522.57
$84.16 higher than Beaumont for the office setting.
Redding
California · 27508
Office
$597.43
Facility
$495.66
$49.26 higher than Beaumont for the office setting.
Rest Of California
California · 27508
Office
$597.43
Facility
$495.66
$49.26 higher than Beaumont for the office setting.
Riverside-San Bernardino-Ontario
California · 27508
Office
$611.18
Facility
$509.42
$63.01 higher than Beaumont for the office setting.
Sacramento-Roseville-Folsom
California · 27508
Office
$623.83
Facility
$515.84
$75.66 higher than Beaumont for the office setting.
Salinas
California · 27508
Office
$621.47
Facility
$513.85
$73.30 higher than Beaumont for the office setting.
San Diego-Chula Vista-Carlsbad
California · 27508
Office
$633.98
Facility
$522.93
$85.81 higher than Beaumont for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 27508
Office
$715.62
Facility
$584.69
$167.45 higher than Beaumont for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 27508
Office
$714.16
Facility
$583.24
$165.99 higher than Beaumont for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 27508
Office
$732.71
Facility
$598.82
$184.54 higher than Beaumont for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 27508
Office
$726.77
Facility
$592.87
$178.60 higher than Beaumont for the office setting.
San Luis Obispo-Paso Robles
California · 27508
Office
$611.91
Facility
$506.14
$63.74 higher than Beaumont for the office setting.
Santa Cruz-Watsonville
California · 27508
Office
$638.30
Facility
$525.48
$90.13 higher than Beaumont for the office setting.
Santa Maria-Santa Barbara
California · 27508
Office
$623.22
Facility
$514.95
$75.05 higher than Beaumont for the office setting.
Santa Rosa-Petaluma
California · 27508
Office
$644.50
Facility
$530.47
$96.33 higher than Beaumont for the office setting.
Stockton
California · 27508
Office
$597.43
Facility
$495.66
$49.26 higher than Beaumont for the office setting.
Vallejo
California · 27508
Office
$678.18
Facility
$555.79
$130.01 higher than Beaumont for the office setting.
Visalia
California · 27508
Office
$597.43
Facility
$495.66
$49.26 higher than Beaumont for the office setting.
Yuba City
California · 27508
Office
$597.43
Facility
$495.66
$49.26 higher than Beaumont for the office setting.
Colorado
Colorado · 27508
Office
$596.12
Facility
$497.32
$47.95 higher than Beaumont for the office setting.
Connecticut
Connecticut · 27508
Office
$620.45
Facility
$520.45
$72.28 higher than Beaumont for the office setting.
Delaware
Delaware · 27508
Office
$574.16
Facility
$482.42
$25.99 higher than Beaumont for the office setting.
Fort Lauderdale
Florida · 27508
Office
$620.43
Facility
$526.37
$72.26 higher than Beaumont for the office setting.
Rest Of Florida
Florida · 27508
Office
$588.20
Facility
$499.43
$40.03 higher than Beaumont for the office setting.
Atlanta
Georgia · 27508
Office
$596.10
Facility
$501.76
$47.93 higher than Beaumont for the office setting.
Rest Of Georgia
Georgia · 27508
Office
$553.36
Facility
$470.53
$5.19 higher than Beaumont for the office setting.
Hawaii, Guam
Hawaii · 27508
Office
$609.64
Facility
$504.06
$61.47 higher than Beaumont for the office setting.
Iowa
Iowa · 27508
Office
$527.11
Facility
$442.15
$21.06 lower than Beaumont for the office setting.
Idaho
Idaho · 27508
Office
$532.04
Facility
$446.62
$16.13 lower than Beaumont for the office setting.
East St. Louis
Illinois · 27508
Office
$597.93
Facility
$512.50
$49.76 higher than Beaumont for the office setting.
Rest Of Illinois
Illinois · 27508
Office
$576.29
Facility
$491.51
$28.12 higher than Beaumont for the office setting.
Suburban Chicago
Illinois · 27508
Office
$625.02
Facility
$529.66
$76.85 higher than Beaumont for the office setting.
Indiana
Indiana · 27508
Office
$534.96
Facility
$448.88
$13.21 lower than Beaumont for the office setting.
Kansas
Kansas · 27508
Office
$527.98
Facility
$444.04
$20.19 lower than Beaumont for the office setting.
Kentucky
Kentucky · 27508
Office
$540.50
Facility
$457.96
$7.67 lower than Beaumont for the office setting.
New Orleans
Louisiana · 27508
Office
$567.46
Facility
$480.08
$19.29 higher than Beaumont for the office setting.
Rest Of Louisiana
Louisiana · 27508
Office
$541.00
Facility
$458.82
$7.17 lower than Beaumont for the office setting.
Metropolitan Boston
Massachusetts · 27508
Office
$650.41
Facility
$539.54
$102.24 higher than Beaumont for the office setting.
Rest Of Massachusetts
Massachusetts · 27508
Office
$593.91
Facility
$496.13
$45.74 higher than Beaumont for the office setting.
Baltimore/Surr. Cntys
Maryland · 27508
Office
$619.45
Facility
$519.82
$71.28 higher than Beaumont for the office setting.
Rest Of Maryland
Maryland · 27508
Office
$584.06
Facility
$490.10
$35.89 higher than Beaumont for the office setting.
Rest Of Maine
Maine · 27508
Office
$538.41
Facility
$452.99
$9.76 lower than Beaumont for the office setting.
Southern Maine
Maine · 27508
Office
$562.70
Facility
$470.68
$14.53 higher than Beaumont for the office setting.
Detroit
Michigan · 27508
Office
$599.05
Facility
$509.45
$50.88 higher than Beaumont for the office setting.
Rest Of Michigan
Michigan · 27508
Office
$557.73
Facility
$472.96
$9.56 higher than Beaumont for the office setting.
Minnesota
Minnesota · 27508
Office
$561.18
Facility
$465.63
$13.01 higher than Beaumont for the office setting.
Metropolitan Kansas City
Missouri · 27508
Office
$559.99
Facility
$472.80
$11.82 higher than Beaumont for the office setting.
Metropolitan St. Louis
Missouri · 27508
Office
$565.43
Facility
$477.04
$17.26 higher than Beaumont for the office setting.
Rest Of Missouri
Missouri · 27508
Office
$533.94
Facility
$453.90
$14.23 lower than Beaumont for the office setting.
Mississippi
Mississippi · 27508
Office
$523.55
Facility
$443.60
$24.62 lower than Beaumont for the office setting.
Montana**
Montana · 27508
Office
$581.42
Facility
$488.57
$33.25 higher than Beaumont for the office setting.
North Carolina
North Carolina · 27508
Office
$543.52
Facility
$456.88
$4.65 lower than Beaumont for the office setting.
North Dakota**
North Dakota · 27508
Office
$556.11
Facility
$463.26
$7.94 higher than Beaumont for the office setting.
Nebraska
Nebraska · 27508
Office
$528.99
Facility
$443.29
$19.18 lower than Beaumont for the office setting.
New Hampshire
New Hampshire · 27508
Office
$589.97
Facility
$493.31
$41.80 higher than Beaumont for the office setting.
Northern Nj
New Jersey · 27508
Office
$651.02
Facility
$543.31
$102.85 higher than Beaumont for the office setting.
Rest Of New Jersey
New Jersey · 27508
Office
$624.71
Facility
$523.32
$76.54 higher than Beaumont for the office setting.
New Mexico
New Mexico · 27508
Office
$562.16
Facility
$477.01
$13.99 higher than Beaumont for the office setting.
Nevada**
Nevada · 27508
Office
$574.71
Facility
$481.76
$26.54 higher than Beaumont for the office setting.
Nyc Suburbs/Long Island
New York · 27508
Office
$694.71
Facility
$584.31
$146.54 higher than Beaumont for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 27508
Office
$631.57
Facility
$529.89
$83.40 higher than Beaumont for the office setting.
Queens
New York · 27508
Office
$674.62
Facility
$564.86
$126.45 higher than Beaumont for the office setting.
Rest Of New York
New York · 27508
Office
$551.98
Facility
$463.77
$3.81 higher than Beaumont for the office setting.
Ohio
Ohio · 27508
Office
$552.56
Facility
$467.78
$4.39 higher than Beaumont for the office setting.
Oklahoma
Oklahoma · 27508
Office
$535.95
Facility
$453.03
$12.22 lower than Beaumont for the office setting.
Portland
Oregon · 27508
Office
$611.17
Facility
$508.01
$63.00 higher than Beaumont for the office setting.
Rest Of Oregon
Oregon · 27508
Office
$567.47
Facility
$474.98
$19.30 higher than Beaumont for the office setting.
Metropolitan Philadelphia
Pennsylvania · 27508
Office
$607.20
Facility
$510.54
$59.03 higher than Beaumont for the office setting.
Rest Of Pennsylvania
Pennsylvania · 27508
Office
$551.55
Facility
$466.31
$3.38 higher than Beaumont for the office setting.
Puerto Rico
Puerto Rico · 27508
Office
$584.57
Facility
$490.70
$36.40 higher than Beaumont for the office setting.
Rhode Island
Rhode Island · 27508
Office
$591.84
Facility
$495.92
$43.67 higher than Beaumont for the office setting.
South Carolina
South Carolina · 27508
Office
$549.51
Facility
$463.71
$1.34 higher than Beaumont for the office setting.
South Dakota**
South Dakota · 27508
Office
$553.12
Facility
$460.27
$4.95 higher than Beaumont for the office setting.
Tennessee
Tennessee · 27508
Office
$531.08
Facility
$446.67
$17.09 lower than Beaumont for the office setting.
Utah
Utah · 27508
Office
$556.95
Facility
$469.66
$8.78 higher than Beaumont for the office setting.
Virginia
Virginia · 27508
Office
$563.22
Facility
$471.94
$15.05 higher than Beaumont for the office setting.
Virgin Islands
United States Virgin Islands · 27508
Office
$584.57
Facility
$490.70
$36.40 higher than Beaumont for the office setting.
Vermont
Vermont · 27508
Office
$557.02
Facility
$465.10
$8.85 higher than Beaumont for the office setting.
Rest Of Washington
Washington · 27508
Office
$591.76
Facility
$493.99
$43.59 higher than Beaumont for the office setting.
Seattle (King Cnty)
Washington · 27508
Office
$660.22
Facility
$546.28
$112.05 higher than Beaumont for the office setting.
Wisconsin
Wisconsin · 27508
Office
$537.78
Facility
$448.83
$10.39 lower than Beaumont for the office setting.
West Virginia
West Virginia · 27508
Office
$555.83
Facility
$475.14
$7.66 higher than Beaumont for the office setting.
Wyoming**
Wyoming · 27508
Office
$570.39
Facility
$477.54
$22.22 higher than Beaumont for the office setting.
See how rates vary across the country
27508 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$513.30
$685.24
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $685.24 | 1 |
| AL | $520.87 | 1 |
| AR | $513.30 | 1 |
| AZ | $564.92 | 1 |
| CA | $597.43–$732.71 | 29 |
| CO | $596.12 | 1 |
| CT | $620.45 | 1 |
| DC | $657.18 | 1 |
| DE | $574.16 | 1 |
| FL | $588.20–$660.68 | 3 |
| GA | $553.36–$596.10 | 2 |
| GU | $609.64 | 1 |
| HI | $609.64 | 1 |
| IA | $527.11 | 1 |
| ID | $532.04 | 1 |
| IL | $576.29–$639.97 | 4 |
| IN | $534.96 | 1 |
| KS | $527.98 | 1 |
| KY | $540.50 | 1 |
| LA | $541.00–$567.46 | 2 |
| MA | $593.91–$650.41 | 2 |
| MD | $584.06–$657.18 | 3 |
| ME | $538.41–$562.70 | 2 |
| MI | $557.73–$599.05 | 2 |
| MN | $561.18 | 1 |
| MO | $533.94–$565.43 | 3 |
| MS | $523.55 | 1 |
| MT | $581.42 | 1 |
| NC | $543.52 | 1 |
| ND | $556.11 | 1 |
| NE | $528.99 | 1 |
| NH | $589.97 | 1 |
| NJ | $624.71–$651.02 | 2 |
| NM | $562.16 | 1 |
| NV | $574.71 | 1 |
| NY | $551.98–$694.71 | 5 |
| OH | $552.56 | 1 |
| OK | $535.95 | 1 |
| OR | $567.47–$611.17 | 2 |
| PA | $551.55–$607.20 | 2 |
| PR | $584.57 | 1 |
| RI | $591.84 | 1 |
| SC | $549.51 | 1 |
| SD | $553.12 | 1 |
| TN | $531.08 | 1 |
| TX | $548.17–$596.84 | 8 |
| UT | $556.95 | 1 |
| VA | $563.22–$657.18 | 2 |
| VI | $584.57 | 1 |
| VT | $557.02 | 1 |
| WA | $591.76–$660.22 | 2 |
| WI | $537.78 | 1 |
| WV | $555.83 | 1 |
| WY | $570.39 | 1 |
Where does this rate apply?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Why are the office and facility amounts different?
For 27508 in Beaumont, the physician’s office rate is $548.17 and the facility-setting rate is $463.68: a difference of $84.49.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 27508 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$602.99
$548.17 × 110% = $602.99
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27508 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
2,928
- Code
- 27508
- Physician work
- 6.05
- Practice expense
- 10.08
- Malpractice
- 1.28
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.05 | × 1.000 | 6.0500 |
| Practice expense | 10.08 | × 0.910 | 9.1728 |
| Malpractice | 1.28 | × 0.929 | 1.1891 |
| Total RVUs | 16.4119 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Beaumont$548.17
Open 27508 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.05 | 1 |
| Practice expense | 10.08 | 0.91 |
| Malpractice | 1.28 | 0.929 |
(6.05 × 1 + 10.08 × 0.91 + 1.28 × 0.929) × $33.4009 = $548.17
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.05 | 1 |
| Practice expense | 7.3 | 0.91 |
| Malpractice | 1.28 | 0.929 |
(6.05 × 1 + 7.3 × 0.91 + 1.28 × 0.929) × $33.4009 = $463.68
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
27508 · Office / nonfacility
$548.17
Effective 2026-10-01
The base rate is $49.37 higher than on 2025-10-01, moving from $498.80 to $548.17 (9.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$498.80changed to$548.17
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 6.20 changed to 6.05
- Practice expense RVU 8.90 changed to 10.08
- Malpractice RVU 1.25 changed to 1.28
- Practice expense GPCI 0.903 changed to 0.910
- Malpractice GPCI 0.947 changed to 0.929
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $498.80
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
27508 billing questions
When is this code appropriate instead of 27509?
Use 27508 for closed care of a distal femoral medial or lateral condyle fracture without manipulation. Code 27509 is the related choice when the fracture is manipulated.
How does this differ from codes 27510 and 27511?
Those codes concern a supracondylar or transcondylar femoral fracture without intercondylar extension. Choose based on the documented fracture pattern, not simply because the injury is near the knee.
Are related follow-up visits included?
Yes. The 90-day global period includes related postoperative care, as well as the day-before preoperative visit.
Can an assistant surgeon or co-surgeon be paid?
Medicare assistant-at-surgery payment is restricted for this service. CMS does not permit co-surgeon or team-surgery payment.
How is bilateral treatment reported?
For bilateral procedures reported with modifier 50, CMS pays 150% under the rule supplied for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
