27503 Femur fracture care Medicare reimbursement rates in Arkansas

This code describes closed management of a fracture at the distal end of the femur involving a medial or lateral condyle, with manipulation to improve alignment. An orthopedic surgeon or other qualified clinician may perform the reduction, often in an emergency department, operating room, or hospital setting, and then immobilize the leg. It is distinct from treatment of a femoral shaft fracture and from open reduction with internal fixation of a distal femoral fracture.

Report 27503 when the documented fracture site and manipulation support this level of closed fracture care. The record should identify the distal femoral condyle involved, describe the manipulation and resulting alignment, and support the treatment plan. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.