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CMS RVU26D · Effective 2026-10-01

27520 in Salinas

Office / nonfacility

$403.19

Base rate per service

Facility setting

$335.06

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.

Orthopedic fracture care

About 27520: Closed patellar fracture treatment without manipulation

Reports definitive closed, nonmanipulative care of a patellar fracture, typically when a stable kneecap fracture is managed without operative exposure or reduction.

This code describes definitive closed care of a fractured patella without manipulating the fracture to change its position. It is generally used when the clinician selects nonoperative management, such as immobilization and follow-up for a fracture that can be treated without reduction. Orthopedic surgeons and other physicians who assume responsibility for the fracture treatment may provide this care in an office, emergency department, or other setting. The code is specific to the kneecap; a fracture of the tibial plateau or distal femur is coded from a different fracture family.

Report 27520 when the record supports closed fracture treatment and confirms that manipulation was not performed. Document the patellar fracture, treatment plan, and management provided; use 27522 when closed treatment includes manipulation, and 27524 for open 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 multiple procedure reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 27520

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 RVU2.96 · 27%
  • Practice expense (office) RVU7.50 · 68%
  • Malpractice RVU0.61 · 6%

6.8K

Medicare services in 2024 · #1679 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.

27520 compared with similar codes

Office rates for Salinas, from the same CMS release.

27524

Patellar fracture repair

Open treatment with fixation or patellectomy

No office rate

27520 is closed treatment without manipulation; 27524 is open treatment of the patellar fracture.

27530

Fracture treatment

Proximal tibial plateau, no manipulation

$382.48

27530 concerns a tibial plateau fracture. Use 27520 when the fracture being treated is in the patella.

The same code, a different location

How does Salinas compare?

In Bakersfield, the office rate for 27520 is $387.71—$15.48 lower than the $403.19 rate in Salinas. Both use the same code, release and participation basis.

27520 across payment areas

Same release and payment basis · bars start at $0

  1. Salinas · This locality

    $403.19

  2. Bakersfield

    $387.71

    $15.48 lower than Salinas

  3. Chico

    $386.02

    $17.17 lower than Salinas

  4. El Centro

    $386.13

    $17.06 lower than Salinas

  5. Fresno

    $386.02

    $17.17 lower than Salinas

  6. Hanford-Corcoran

    $386.02

    $17.17 lower than Salinas

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $412.80

    $9.61 higher than Salinas

Other payment areas listed in California 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, 27520 ranges from $324.54 in Arkansas to $481.89 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

  • Madera

    California · 27520

    Office

    $386.02

    Facility

    $321.59

    $17.17 lower than Salinas for the office setting.

  • Merced

    California · 27520

    Office

    $386.02

    Facility

    $321.59

    $17.17 lower than Salinas for the office setting.

  • Modesto

    California · 27520

    Office

    $386.02

    Facility

    $321.59

    $17.17 lower than Salinas for the office setting.

  • Napa

    California · 27520

    Office

    $445.61

    Facility

    $368.13

    $42.42 higher than Salinas for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 27520

    Office

    $410.43

    Facility

    $340.94

    $7.24 higher than Salinas for the office setting.

  • Redding

    California · 27520

    Office

    $386.02

    Facility

    $321.59

    $17.17 lower than Salinas for the office setting.

  • Rest Of California

    California · 27520

    Office

    $386.02

    Facility

    $321.59

    $17.17 lower than Salinas for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 27520

    Office

    $392.58

    Facility

    $328.15

    $10.61 lower than Salinas for the office setting.

  • Sacramento-Roseville-Folsom

    California · 27520

    Office

    $404.69

    Facility

    $336.32

    $1.50 higher than Salinas for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 27520

    Office

    $412.48

    Facility

    $342.17

    $9.29 higher than Salinas for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 27520

    Office

    $470.83

    Facility

    $387.94

    $67.64 higher than Salinas for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 27520

    Office

    $470.13

    Facility

    $387.25

    $66.94 higher than Salinas for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 27520

    Office

    $481.89

    Facility

    $397.12

    $78.70 higher than Salinas for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 27520

    Office

    $479.06

    Facility

    $394.29

    $75.87 higher than Salinas for the office setting.

  • San Luis Obispo-Paso Robles

    California · 27520

    Office

    $396.80

    Facility

    $329.84

    $6.39 lower than Salinas for the office setting.

  • Santa Cruz-Watsonville

    California · 27520

    Office

    $416.23

    Facility

    $344.80

    $13.04 higher than Salinas for the office setting.

  • Santa Maria-Santa Barbara

    California · 27520

    Office

    $404.65

    Facility

    $336.10

    $1.46 higher than Salinas for the office setting.

  • Santa Rosa-Petaluma

    California · 27520

    Office

    $420.38

    Facility

    $348.19

    $17.19 higher than Salinas for the office setting.

  • Stockton

    California · 27520

    Office

    $386.02

    Facility

    $321.59

    $17.17 lower than Salinas for the office setting.

  • Vallejo

    California · 27520

    Office

    $444.62

    Facility

    $367.14

    $41.43 higher than Salinas for the office setting.

  • Visalia

    California · 27520

    Office

    $386.02

    Facility

    $321.59

    $17.17 lower than Salinas for the office setting.

  • Yuba City

    California · 27520

    Office

    $386.02

    Facility

    $321.59

    $17.17 lower than Salinas for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 27520

    Office

    $421.98

    Facility

    $352.73

    $18.79 higher than Salinas for the office setting.

  • Miami

    Florida · 27520

    Office

    $411.17

    Facility

    $349.98

    $7.98 higher than Salinas for the office setting.

  • Chicago

    Illinois · 27520

    Office

    $398.08

    Facility

    $339.00

    $5.11 lower than Salinas for the office setting.

  • Manhattan

    New York · 27520

    Office

    $428.60

    Facility

    $360.29

    $25.41 higher than Salinas for the office setting.

  • Alaska*

    Alaska · 27520

    Office

    $426.32

    Facility

    $363.71

    $23.13 higher than Salinas for the office setting.

  • Alabama

    Alabama · 27520

    Office

    $329.59

    Facility

    $278.15

    $73.60 lower than Salinas for the office setting.

  • Arkansas

    Arkansas · 27520

    Office

    $324.54

    Facility

    $274.05

    $78.65 lower than Salinas for the office setting.

  • Arizona

    Arizona · 27520

    Office

    $359.05

    Facility

    $302.09

    $44.14 lower than Salinas for the office setting.

  • Colorado

    Colorado · 27520

    Office

    $382.50

    Facility

    $319.96

    $20.69 lower than Salinas for the office setting.

  • Connecticut

    Connecticut · 27520

    Office

    $395.29

    Facility

    $331.98

    $7.90 lower than Salinas for the office setting.

  • Delaware

    Delaware · 27520

    Office

    $365.18

    Facility

    $307.10

    $38.01 lower than Salinas for the office setting.

  • Fort Lauderdale

    Florida · 27520

    Office

    $389.47

    Facility

    $329.92

    $13.72 lower than Salinas for the office setting.

  • Rest Of Florida

    Florida · 27520

    Office

    $368.97

    Facility

    $312.78

    $34.22 lower than Salinas for the office setting.

  • Atlanta

    Georgia · 27520

    Office

    $378.15

    Facility

    $318.42

    $25.04 lower than Salinas for the office setting.

  • Rest Of Georgia

    Georgia · 27520

    Office

    $346.61

    Facility

    $294.17

    $56.58 lower than Salinas for the office setting.

  • Hawaii, Guam

    Hawaii · 27520

    Office

    $395.49

    Facility

    $328.65

    $7.70 lower than Salinas for the office setting.

  • Iowa

    Iowa · 27520

    Office

    $336.17

    Facility

    $282.38

    $67.02 lower than Salinas for the office setting.

  • Idaho

    Idaho · 27520

    Office

    $338.97

    Facility

    $284.89

    $64.22 lower than Salinas for the office setting.

  • East St. Louis

    Illinois · 27520

    Office

    $370.37

    Facility

    $316.28

    $32.82 lower than Salinas for the office setting.

  • Rest Of Illinois

    Illinois · 27520

    Office

    $359.42

    Facility

    $305.75

    $43.77 lower than Salinas for the office setting.

  • Suburban Chicago

    Illinois · 27520

    Office

    $392.93

    Facility

    $332.56

    $10.26 lower than Salinas for the office setting.

  • Indiana

    Indiana · 27520

    Office

    $340.99

    Facility

    $286.49

    $62.20 lower than Salinas for the office setting.

  • Kansas

    Kansas · 27520

    Office

    $335.59

    Facility

    $282.45

    $67.60 lower than Salinas for the office setting.

  • Kentucky

    Kentucky · 27520

    Office

    $340.21

    Facility

    $287.95

    $62.98 lower than Salinas for the office setting.

  • New Orleans

    Louisiana · 27520

    Office

    $357.74

    Facility

    $302.42

    $45.45 lower than Salinas for the office setting.

  • Rest Of Louisiana

    Louisiana · 27520

    Office

    $340.08

    Facility

    $288.06

    $63.11 lower than Salinas for the office setting.

  • Metropolitan Boston

    Massachusetts · 27520

    Office

    $420.16

    Facility

    $349.97

    $16.97 higher than Salinas for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 27520

    Office

    $380.47

    Facility

    $318.57

    $22.72 lower than Salinas for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 27520

    Office

    $394.45

    Facility

    $331.37

    $8.74 lower than Salinas for the office setting.

  • Rest Of Maryland

    Maryland · 27520

    Office

    $372.07

    Facility

    $312.58

    $31.12 lower than Salinas for the office setting.

  • Rest Of Maine

    Maine · 27520

    Office

    $342.01

    Facility

    $287.92

    $61.18 lower than Salinas for the office setting.

  • Southern Maine

    Maine · 27520

    Office

    $359.98

    Facility

    $301.72

    $43.21 lower than Salinas for the office setting.

  • Detroit

    Michigan · 27520

    Office

    $374.96

    Facility

    $318.23

    $28.23 lower than Salinas for the office setting.

  • Rest Of Michigan

    Michigan · 27520

    Office

    $350.58

    Facility

    $296.91

    $52.61 lower than Salinas for the office setting.

  • Minnesota

    Minnesota · 27520

    Office

    $362.67

    Facility

    $302.18

    $40.52 lower than Salinas for the office setting.

  • Metropolitan Kansas City

    Missouri · 27520

    Office

    $354.00

    Facility

    $298.80

    $49.19 lower than Salinas for the office setting.

  • Metropolitan St. Louis

    Missouri · 27520

    Office

    $357.76

    Facility

    $301.80

    $45.43 lower than Salinas for the office setting.

  • Rest Of Missouri

    Missouri · 27520

    Office

    $334.65

    Facility

    $283.98

    $68.54 lower than Salinas for the office setting.

  • Mississippi

    Mississippi · 27520

    Office

    $329.61

    Facility

    $279.00

    $73.58 lower than Salinas for the office setting.

  • Montana**

    Montana · 27520

    Office

    $369.71

    Facility

    $310.92

    $33.48 lower than Salinas for the office setting.

  • North Carolina

    North Carolina · 27520

    Office

    $345.61

    Facility

    $290.76

    $57.58 lower than Salinas for the office setting.

  • North Dakota**

    North Dakota · 27520

    Office

    $357.65

    Facility

    $298.86

    $45.54 lower than Salinas for the office setting.

  • Nebraska

    Nebraska · 27520

    Office

    $337.79

    Facility

    $283.53

    $65.40 lower than Salinas for the office setting.

  • New Hampshire

    New Hampshire · 27520

    Office

    $377.47

    Facility

    $316.28

    $25.72 lower than Salinas for the office setting.

  • Northern Nj

    New Jersey · 27520

    Office

    $417.44

    Facility

    $349.25

    $14.25 higher than Salinas for the office setting.

  • Rest Of New Jersey

    New Jersey · 27520

    Office

    $398.73

    Facility

    $334.53

    $4.46 lower than Salinas for the office setting.

  • New Mexico

    New Mexico · 27520

    Office

    $353.05

    Facility

    $299.14

    $50.14 lower than Salinas for the office setting.

  • Nevada**

    Nevada · 27520

    Office

    $366.60

    Facility

    $307.75

    $36.59 lower than Salinas for the office setting.

  • Nyc Suburbs/Long Island

    New York · 27520

    Office

    $440.88

    Facility

    $370.99

    $37.69 higher than Salinas for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 27520

    Office

    $402.27

    Facility

    $337.90

    $0.92 lower than Salinas for the office setting.

  • Queens

    New York · 27520

    Office

    $430.67

    Facility

    $361.19

    $27.48 higher than Salinas for the office setting.

  • Rest Of New York

    New York · 27520

    Office

    $351.17

    Facility

    $295.33

    $52.02 lower than Salinas for the office setting.

  • Ohio

    Ohio · 27520

    Office

    $348.12

    Facility

    $294.45

    $55.07 lower than Salinas for the office setting.

  • Oklahoma

    Oklahoma · 27520

    Office

    $338.40

    Facility

    $285.90

    $64.79 lower than Salinas for the office setting.

  • Portland

    Oregon · 27520

    Office

    $393.92

    Facility

    $328.61

    $9.27 lower than Salinas for the office setting.

  • Rest Of Oregon

    Oregon · 27520

    Office

    $362.69

    Facility

    $304.14

    $40.50 lower than Salinas for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 27520

    Office

    $385.73

    Facility

    $324.53

    $17.46 lower than Salinas for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 27520

    Office

    $348.09

    Facility

    $294.12

    $55.10 lower than Salinas for the office setting.

  • Puerto Rico

    Puerto Rico · 27520

    Office

    $372.20

    Facility

    $312.77

    $30.99 lower than Salinas for the office setting.

  • Rhode Island

    Rhode Island · 27520

    Office

    $377.69

    Facility

    $316.97

    $25.50 lower than Salinas for the office setting.

  • South Carolina

    South Carolina · 27520

    Office

    $347.65

    Facility

    $293.34

    $55.54 lower than Salinas for the office setting.

  • South Dakota**

    South Dakota · 27520

    Office

    $356.22

    Facility

    $297.43

    $46.97 lower than Salinas for the office setting.

  • Tennessee

    Tennessee · 27520

    Office

    $337.52

    Facility

    $284.08

    $65.67 lower than Salinas for the office setting.

  • Austin

    Texas · 27520

    Office

    $382.15

    Facility

    $319.96

    $21.04 lower than Salinas for the office setting.

  • Beaumont

    Texas · 27520

    Office

    $345.76

    Facility

    $292.26

    $57.43 lower than Salinas for the office setting.

  • Brazoria

    Texas · 27520

    Office

    $363.80

    Facility

    $305.55

    $39.39 lower than Salinas for the office setting.

  • Dallas

    Texas · 27520

    Office

    $366.74

    Facility

    $308.19

    $36.45 lower than Salinas for the office setting.

  • Fort Worth

    Texas · 27520

    Office

    $364.50

    Facility

    $306.54

    $38.69 lower than Salinas for the office setting.

  • Galveston

    Texas · 27520

    Office

    $365.28

    Facility

    $306.91

    $37.91 lower than Salinas for the office setting.

  • Houston

    Texas · 27520

    Office

    $376.45

    Facility

    $318.07

    $26.74 lower than Salinas for the office setting.

  • Rest Of Texas

    Texas · 27520

    Office

    $355.00

    Facility

    $299.21

    $48.19 lower than Salinas for the office setting.

  • Utah

    Utah · 27520

    Office

    $352.64

    Facility

    $297.38

    $50.55 lower than Salinas for the office setting.

  • Virginia

    Virginia · 27520

    Office

    $359.50

    Facility

    $301.71

    $43.69 lower than Salinas for the office setting.

  • Virgin Islands

    United States Virgin Islands · 27520

    Office

    $372.20

    Facility

    $312.77

    $30.99 lower than Salinas for the office setting.

  • Vermont

    Vermont · 27520

    Office

    $357.18

    Facility

    $298.98

    $46.01 lower than Salinas for the office setting.

  • Rest Of Washington

    Washington · 27520

    Office

    $379.44

    Facility

    $317.54

    $23.75 lower than Salinas for the office setting.

  • Seattle (King Cnty)

    Washington · 27520

    Office

    $427.83

    Facility

    $355.70

    $24.64 higher than Salinas for the office setting.

  • Wisconsin

    Wisconsin · 27520

    Office

    $345.13

    Facility

    $288.81

    $58.06 lower than Salinas for the office setting.

  • West Virginia

    West Virginia · 27520

    Office

    $345.71

    Facility

    $294.63

    $57.48 lower than Salinas for the office setting.

  • Wyoming**

    Wyoming · 27520

    Office

    $364.45

    Facility

    $305.66

    $38.74 lower than Salinas for the office setting.

See how rates vary across the country

27520 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$324.54

$433.96

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$426.321
AL$329.591
AR$324.541
AZ$359.051
CA$386.02–$481.8929
CO$382.501
CT$395.291
DC$421.981
DE$365.181
FL$368.97–$411.173
GA$346.61–$378.152
GU$395.491
HI$395.491
IA$336.171
ID$338.971
IL$359.42–$398.084
IN$340.991
KS$335.591
KY$340.211
LA$340.08–$357.742
MA$380.47–$420.162
MD$372.07–$421.983
ME$342.01–$359.982
MI$350.58–$374.962
MN$362.671
MO$334.65–$357.763
MS$329.611
MT$369.711
NC$345.611
ND$357.651
NE$337.791
NH$377.471
NJ$398.73–$417.442
NM$353.051
NV$366.601
NY$351.17–$440.885
OH$348.121
OK$338.401
OR$362.69–$393.922
PA$348.09–$385.732
PR$372.201
RI$377.691
SC$347.651
SD$356.221
TN$337.521
TX$345.76–$382.158
UT$352.641
VA$359.50–$421.982
VI$372.201
VT$357.181
WA$379.44–$427.832
WI$345.131
WV$345.711
WY$364.451

Explore 27520 on the national rate map →

Where does this rate apply?

Salinas is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 27520 in Salinas, the physician’s office rate is $403.19 and the facility-setting rate is $335.06: a difference of $68.13.

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.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 27520 in Salinas. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$443.51

$403.19 × 110% = $443.51

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.

Compare your contract offer →

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 27520 in Salinas.

PPRRVU2026_Oct_nonQPP.csv

2,937

Code
27520
Physician work
2.96
Practice expense
7.50
Malpractice
0.61

GPCI2026.csv

22

Locality
Salinas
Physician work
1.031
Practice expense
1.159
Malpractice
0.536
Office / nonfacility calculation for 27520 in Salinas
ComponentRVULocality factorAdjusted
Physician work2.96× 1.0313.0518
Practice expense7.50× 1.1598.6925
Malpractice0.61× 0.5360.3270
Total RVUs12.0712
Conversion factor× 33.4009

Office / nonfacility rate, Salinas$403.19

Open 27520 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.961.031
Practice expense7.51.159
Malpractice0.610.536

(2.96 × 1.031 + 7.5 × 1.159 + 0.61 × 0.536) × $33.4009 = $403.19

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.961.031
Practice expense5.741.159
Malpractice0.610.536

(2.96 × 1.031 + 5.74 × 1.159 + 0.61 × 0.536) × $33.4009 = $335.06

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

27520 · Office / nonfacility

$403.19

Effective 2026-10-01

The base rate is $38.82 higher than on 2025-10-01, moving from $364.37 to $403.19 (10.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $364.37changed to$403.19

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.04 changed to 2.96
    • Practice expense RVU 6.68 changed to 7.50
    • Malpractice RVU 0.60 changed to 0.61
    • Work GPCI 1.035 changed to 1.031
    • Practice expense GPCI 1.165 changed to 1.159
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $364.37

    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
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$403.19$335.06RVU26D
2026-07-01$403.19$335.06RVU26C
2026-04-01$403.19$335.06RVU26B
2026-01-01$403.19$335.06RVU26A
2025-10-01$364.37$334.60RVU25D
2025-07-01$364.37$334.60RVU25C
2025-04-01$364.37$334.60RVU25B
2025-01-01$364.37$334.60RVU25A

27520 billing questions

When should 27520 be chosen over 27522?

Use 27520 for closed patellar fracture treatment without manipulation. Use 27522 when the clinician manipulates the fracture during closed treatment.

How does 27520 differ from 27524?

27520 describes closed treatment without manipulation. 27524 is used for open treatment of the patellar fracture.

Are related follow-up visits included?

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

What documentation supports reporting 27520?

Document the patellar fracture, the closed treatment plan, and that manipulation was not performed. The record should support that the clinician assumed responsibility for definitive fracture care.

How is bilateral treatment reported?

For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.

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.

RVUs for 27520PPRRVU2026_Oct_nonQPP.csv, line 2,937 (RVU26D)
Geographic factors for SalinasGPCI2026.csv, line 22 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet