Billing code 27514: Distal femur fractureMedicare rate & RVUs in Florida
Reports operative treatment of a distal femoral supracondylar or transcondylar fracture extending between the condyles, with fixation included when performed.
CMS doesn’t publish an office rate for 27514 in Florida.
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 27514 covers
This code describes operative treatment of a distal femoral supracondylar or transcondylar fracture that extends into the intercondylar region. The surgeon exposes and reduces the fracture to restore the joint surface; internal fixation is included when used. An orthopedic surgeon typically performs the procedure in an operating room, often for a displaced fracture involving the distal femur and knee joint.
Select this code when the operative documentation establishes intercondylar extension and open treatment. The record should identify the fracture pattern and support the reduction and any fixation performed; fixation is not separately reported as a distinct service for the same fracture. 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 services may be paid; co-surgeons require supporting documentation, and 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.
Where 27514 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.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $959.96 |
| Miami | Unavailable | $1,040.58 |
| Rest Of Florida | Unavailable | $912.34 |
How the 27514 rate is calculated
Each of 27514’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 · 27514
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 14.24Practice expense 8.96Malpractice 3.00
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27514
27514 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27514
Distal femur fracture
| 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) | 1 | Permitted with supporting documentation. |
| 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 · 27514
Distal femur fracture
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
27514 without 50 · national facility
$875.10
Distal femur fracture
27514-50 · Bilateral: 150%
$1,312.65
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).
27514 compared with similar codes
Compare codes
27514 vs 27513 vs 27510 vs 27511: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27513Distal femur repair
- Both describe open treatment of distal femoral supracondylar or transcondylar fractures. Choose 27514 when the fracture extends into the intercondylar region; 27513 is for a pattern without that extension.
- 27510Femur fracture care
- 27510 is closed treatment without manipulation. Use 27514 for operative open treatment with intercondylar extension.
- 27511Femur fracture
- 27511 is closed treatment with manipulation, with or without skeletal traction. It does not describe open treatment of an intercondylar fracture.
27514 billing questions
How does 27514 differ from 27513?
Use 27514 when the distal femoral supracondylar or transcondylar fracture extends into the intercondylar region. Code 27513 describes the corresponding open treatment without intercondylar extension.
Does 27514 require internal fixation?
The code includes internal fixation when performed, but the distinguishing feature is open treatment of a fracture with intercondylar extension. Document the actual fracture pattern and treatment.
Can fixation be billed separately for the same fracture?
Internal fixation performed as part of the fracture treatment is included in 27514 and should not be reported separately as a distinct service for that fracture.
How does Medicare pay 27514 when other procedures are performed?
For procedures performed in the same session, Medicare pays the highest-valued procedure in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%.
What should the record support for assistant or co-surgeon billing?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery 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.
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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