Billing code 27513: Distal femur repairMedicare rate & RVUs in Delaware
Reports operative repair of a distal femoral fracture above or through the condyles, including patterns with intercondylar extension and fixation when performed.
CMS doesn’t publish an office rate for 27513 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 27513 covers
An orthopedic surgeon uses this service to repair a supracondylar or transcondylar fracture at the lower end of the femur. The fracture may extend between the condyles into the knee joint. The operation involves open reduction; internal fixation is included when performed. These repairs are typically done in an operating room, often for displaced distal femur fractures that need operative stabilization.
Select the code based on the documented fracture pattern and operative treatment, distinguishing it from a fracture confined to a medial or lateral condyle or from a shaft fracture. The operative report should identify the distal femoral fracture pattern and describe the open repair and fixation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is 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.
27513 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $1,092.51 |
How the 27513 rate is calculated
Each of 27513’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 · 27513
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 18.77Practice expense 10.41Malpractice 3.96
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27513
27513 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27513
Distal femur repair
| 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) | 2 | Paid. |
| Co-surgeons (62) | 2 | 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 · 27513
Distal femur repair
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
27513 without 50 · national facility
$1,106.91
Distal femur repair
27513-50 · Bilateral: 150%
$1,660.37
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).
27513 compared with similar codes
Compare codes
27513 vs 27511 vs 27509 vs 27506: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27511Femur fracture
- Choose 27511 for an open-treated fracture limited to a medial or lateral femoral condyle; 27513 is for a supracondylar or transcondylar pattern, with or without intercondylar extension.
- 27509Femur fracture fixation
- 27509 describes percutaneous skeletal fixation of a distal femoral condylar fracture. This code is for open repair of a supracondylar or transcondylar fracture.
- 27506Femur fracture repair
- 27506 concerns open treatment of a femoral shaft fracture with an intramedullary implant. Use 27513 for the specified fracture pattern at the distal end of the femur.
27513 billing questions
How is this code distinguished from 27511?
Use 27513 for a supracondylar or transcondylar distal femur fracture, with or without intercondylar extension. Code 27511 describes open treatment of a fracture confined to a medial or lateral condyle.
Is internal fixation included?
Yes. Internal fixation, when performed as part of the open fracture repair, is included in this service.
Can an assistant surgeon or co-surgeon be reported?
CMS permits assistant-at-surgery payment and co-surgeons for this code. Team-surgery billing is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does CMS handle bilateral reporting?
When the service is performed bilaterally, report modifier 50; CMS pays it at 150%.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and other procedures at 50%.
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
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