Billing code 27510: Femur fracture careMedicare rate & RVUs in Delaware
Reports closed treatment with manipulation of a fracture at the medial or lateral condyle of the distal femur, without open exposure.
CMS doesn’t publish an office rate for 27510 in Delaware.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 27510 covers
An orthopedic surgeon uses this code when treating a medial or lateral condyle fracture at the lower end of the femur by manipulating the fracture without surgically exposing it. The treatment may include reduction and immobilization, such as with a cast or brace. This is distinct from a femoral shaft fracture and from a distal femoral growth-plate injury. It may be performed in a hospital or other setting where the clinician can reduce and stabilize the fracture.
Select the code when the fracture location is the distal femoral condyle and manipulation is part of the closed treatment. The record should identify the fracture site and document the reduction and treatment provided. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 multiple procedure reduction. For bilateral treatment reported with modifier 50, CMS pays at 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.
27510 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $663.72 |
How the 27510 rate is calculated
Each of 27510’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.
How the rate is built · 27510
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 9.56Practice expense 8.45Malpractice 2.13
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27510
27510 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27510
Femur fracture care
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27510
Femur fracture care
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27510 without 50 · national facility
$672.69
Femur fracture care
27510-50 · Bilateral: 150%
$1,009.04
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
27510 compared with similar codes
Compare codes
27510 vs 27508 vs 27511 vs 27513 vs 27514: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27508Femur fracture care
- Use 27508 for closed treatment of a distal femoral condyle fracture without manipulation. This code requires manipulation as part of closed treatment.
- 27511Femur fracture
- 27511 is for open treatment of a medial or lateral distal femoral condyle fracture. Choose this code when the condyle fracture is treated closed with manipulation.
- 27513Distal femur repair
- 27513 concerns open treatment of a supracondylar or transcondylar fracture with intercondylar extension, rather than closed treatment of a medial or lateral condyle fracture.
- 27514Distal femur fracture
- 27514 concerns open treatment of a supracondylar or transcondylar fracture without intercondylar extension. This code instead describes closed treatment with manipulation of a condylar fracture.
27510 billing questions
How does this differ from 27508?
Both codes concern closed treatment of a distal femoral condyle fracture. Use 27510 when manipulation is performed; 27508 is for treatment without manipulation.
When is 27511 more appropriate?
27511 describes open treatment of a medial or lateral distal femoral condyle fracture. This code is for closed treatment involving manipulation, without surgical exposure.
Are routine fracture follow-up visits included?
Yes. The 90-day global period includes related postoperative care, as well as the day-before preoperative visit.
How is bilateral treatment paid?
CMS pays bilateral treatment reported with modifier 50 at 150%.
Can an assistant surgeon or co-surgeon be reported?
CMS applies a statutory restriction on assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.
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
Show the CMS file lines behind this rate
Fee sheets
Put 27510 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →