No office rate
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 Femur fracture care Medicare reimbursement rates in Alaska
Reports closed definitive care of a distal femoral medial or lateral condyle fracture when treatment is provided without manipulating the fracture. Compare 27508 office and facility rates across CMS payment localities in Alaska.
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.
What does Medicare pay for 27508 in Alaska?
Alaska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$685.24
1 of 1 localities have a supported rate.
Payment area: Alaska*
One mapped payment locality.
Facility setting
$586.35
1 of 1 localities have a supported rate.
Payment area: Alaska*
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Alaska, from the same CMS release.
No office rate
This code concerns a supracondylar or transcondylar fracture without intercondylar extension, treated without manipulation; 27508 identifies a medial or lateral condyle fracture.
No office rate
Use 27513 for open treatment of a supracondylar or transcondylar fracture without intercondylar extension, rather than closed treatment of a condyle fracture without manipulation.
Compare 27508 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alaska* →
Office / nonfacility
$685.24
Facility
$586.35
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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 Alaska*.
PPRRVU2026_Oct_nonQPP.csv
2,928
- Code
- 27508
- Physician work
- 6.05
- Practice expense
- 10.08
- Malpractice
- 1.28
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.05 | × 1.500 | 9.0750 |
| Practice expense | 10.08 | × 1.065 | 10.7352 |
| Malpractice | 1.28 | × 0.551 | 0.7053 |
| Total RVUs | 20.5155 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alaska*$685.24
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.05 | 1.5 |
| Practice expense | 10.08 | 1.065 |
| Malpractice | 1.28 | 0.551 |
(6.05 × 1.5 + 10.08 × 1.065 + 1.28 × 0.551) × $33.4009 = $685.24
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.05 | 1.5 |
| Practice expense | 7.3 | 1.065 |
| Malpractice | 1.28 | 0.551 |
(6.05 × 1.5 + 7.3 × 1.065 + 1.28 × 0.551) × $33.4009 = $586.35
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.
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.
2,92527503,,Treatment of thigh fracture,A,,10.99,9.12,NA,9.12,,2.36,22.47,22.47,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92627506,,Treatment of thigh fracture,A,,19.16,13.43,NA,13.43,,4.03,36.62,36.62,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92727507,,Treatment of thigh fracture,A,,14.12,9.34,NA,9.34,,2.99,26.45,26.45,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92827508,,Treatment of thigh fracture,A,,6.05,10.08,,7.30,,1.28,17.41,14.63,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92927509,,Treatment of thigh fracture,A,,7.94,9.94,NA,9.94,,1.66,19.54,19.54,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,93027510,,Treatment of thigh fracture,A,,9.56,8.45,NA,8.45,,2.13,20.14,20.14,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,93127511,,Treatment of thigh fracture,A,,14.73,9.13,NA,9.13,,3.11,26.97,26.97,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609