Billing code 27501: Femur fracture careMedicare rate & RVUs in Florida
Report 27501 for closed reduction of a femoral shaft fracture requiring manipulation, rather than nonmanipulative care or treatment using skeletal traction.
Medicare pays $559.59–$630.01 for 27501 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
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 27501 covers
An orthopedic surgeon or other qualified physician uses manipulation to reduce a femoral shaft fracture without open surgical exposure. The service is typically performed in an acute-care or other procedural setting, with the fracture then stabilized by an appropriate method. The clinical record should identify the shaft fracture and describe the reduction and stabilization performed.
Choose this code when manipulation is part of closed fracture treatment and skeletal traction is not used as the treatment method. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral treatment reported with modifier 50, CMS pays at 150%. Assistant-at-surgery payment requires documentation of medical necessity; 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.
Where 27501 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$559.59 to $630.01
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $589.92 | $518.19 |
| Miami | $630.01 | $556.29 |
| Rest Of Florida | $559.59 | $491.89 |
How the 27501 rate is calculated
Each of 27501’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 · 27501
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.29Practice expense 8.87Malpractice 1.32
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27501
27501 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27501
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) | 0 | Not paid without supporting documentation. |
| 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 · 27501
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
27501 without 50 · national office
$550.45
Femur fracture care
27501-50 · Bilateral: 150%
$825.68
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).
27501 compared with similar codes
Compare codes
27501 vs 27500 vs 27502 vs 27506 vs 27507: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27500Femur fracture care
- Choose 27501 when manipulation is performed during closed treatment; choose 27500 when the shaft fracture is treated without manipulation.
- 27502Femur fracture care
- 27502 is used when skeletal traction is part of femoral shaft fracture treatment. 27501 represents closed treatment with manipulation without that traction method.
- 27506Femur fracture repair
- 27506 describes open treatment with an intramedullary implant. 27501 is closed reduction and does not describe open implant fixation.
- 27507Femur fracture repair
- 27507 describes open treatment with plate-and-screw fixation; 27501 is used for closed treatment requiring manipulation.
27501 billing questions
When should 27501 be chosen over 27500?
Use 27501 when the closed treatment of a femoral shaft fracture includes manipulation. Use 27500 when the fracture is treated without manipulation.
How does 27501 differ from 27502?
27501 describes closed shaft-fracture treatment with manipulation. 27502 is the relevant family code when treatment uses skeletal traction.
Can the initial cast or splint be billed separately?
Immobilization applied as part of the definitive fracture treatment is generally included in the fracture-care service. Related postoperative care falls within the 90-day global period.
What should the record document?
Document the femoral shaft fracture and the manipulation used to reduce it, along with the stabilization provided. The record should support that skeletal traction was not the treatment method.
How is bilateral treatment handled?
When both sides are treated and reported with modifier 50, CMS pays at 150%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code under the listed CMS rules.
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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