Billing code 27524: Patellar fracture repairMedicare rate & RVUs in Florida
Report this service when a surgeon treats a patellar fracture through an open approach, using fixation or partial or complete patellectomy with soft-tissue repair.
CMS doesn’t publish an office rate for 27524 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 27524 covers
This code covers open surgical treatment of a kneecap fracture. The surgeon exposes the fracture, restores alignment, and stabilizes it with fixation when performed; the procedure may instead or also include partial or complete removal of the patella and repair of associated soft tissue. Orthopedic surgeons most often perform it in a hospital operating room or ambulatory surgery center for a fracture requiring operative treatment.
Select the code from the procedure actually performed, not the fracture image alone: closed treatment belongs to a different patellar-fracture code. The operative report should identify the patella and side, open approach, fracture treatment, fixation or patellectomy performed, and soft-tissue repair. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires 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 27524 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 | $765.90 |
| Miami | Unavailable | $825.02 |
| Rest Of Florida | Unavailable | $727.48 |
How the 27524 rate is calculated
Each of 27524’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 · 27524
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 10.11Practice expense 8.89Malpractice 2.11
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27524
27524 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27524
Patellar fracture 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) | 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 · 27524
Patellar fracture 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
27524 without 50 · national facility
$705.09
Patellar fracture repair
27524-50 · Bilateral: 150%
$1,057.64
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).
27524 compared with similar codes
Compare codes
27524 vs 27520 vs 27380: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27520Patella fracture
- Use 27520 for closed treatment of a patellar fracture without manipulation; use 27524 when the fracture receives open surgical treatment.
- 27380Patellar tendon repair
- This code is for primary repair of an infrapatellar tendon injury. It is not the patellar-fracture treatment code used for open fracture surgery.
27524 billing questions
How is 27524 different from 27520 or 27522?
27524 is for open surgical treatment of the patellar fracture. Codes 27520 and 27522 describe closed treatment, without and with manipulation, respectively.
What should the operative note document?
Document the patellar fracture and side, the open approach, and the treatment performed, including fixation, patellectomy, and soft-tissue repair as applicable.
Can modifier 50 be used for bilateral patellar fracture treatment?
Yes. CMS identifies this as a bilateral procedure; bilateral reporting with modifier 50 is paid at 150%.
How does Medicare apply the multiple-procedure rule?
When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and the other procedures at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is 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
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