$541.71–$606.74
Both concern intercondylar spine or knee tuberosity fractures. Choose 27540 for open treatment and 27538 for closed treatment.
On this page
CMS RVU26D · Effective 2026-10-01
27540 Knee fracture repair Medicare reimbursement rates in Florida
Report this code when a surgeon openly treats a knee fracture involving an intercondylar spine or tuberosity, with fixation when performed. Compare 27540 office and facility rates across CMS payment localities in Florida.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 27540 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$787.76–$894.52
3 of 3 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 27540 pays more and less in Florida
Orthopedic surgery
About 27540: Open treatment of tibial spine or tubercle fracture
Report this code when a surgeon openly treats a knee fracture involving an intercondylar spine or tuberosity, with fixation when performed.
An orthopedic surgeon reports this service for open treatment of a fracture involving an intercondylar spine or a knee tuberosity, such as a tibial spine avulsion or tibial tubercle fracture. Treatment takes place in an operating room and may include reduction and fixation; fixation is included when performed. The code is specific to these fracture sites, rather than a tibial plateau or patellar fracture.
Choose the code based on the documented fracture location and the open treatment performed. The operative report should identify the affected structure and describe the reduction and any fixation. This major surgery has 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 other procedures are paid at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 27540
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.02 · 48%
- Practice expense (office) RVU9.48 · 42%
- Malpractice RVU2.33 · 10%
349
Medicare services in 2024 · #3865 by national volume
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.
27540 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
This code is for open treatment of a unicondylar tibial plateau fracture. Use 27540 when the fracture involves an intercondylar spine or knee tuberosity.
No office rate
This code is for open treatment of a bicondylar tibial plateau fracture. Use 27540 for an intercondylar spine or knee tuberosity fracture.
Compare 27540 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$829.54
Miami →
Office / nonfacility
Unavailable
Facility
$894.52
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$787.76
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27540 billing questions
When should 27540 be chosen over 27538?
Use 27540 for open treatment of an intercondylar spine or knee tuberosity fracture. Code 27538 describes closed treatment of these fracture sites.
Does this code include fixation?
Yes. Fixation is included when performed as part of the open fracture treatment.
Is the day-before visit included in the global period?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,94127535,,Treat knee fracture,A,,13.07,8.59,NA,8.59,,2.75,24.41,24.41,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,94227536,,Treat knee fracture,A,,16.96,12.10,NA,12.10,,3.60,32.66,32.66,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,94327538,,Treat knee fracture(s),A,,4.96,10.11,,7.47,,1.06,16.13,13.49,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,94427540,,Treat knee fracture,A,,11.02,9.48,NA,9.48,,2.33,22.83,22.83,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,94527550,,Treat knee dislocation,A,,5.83,11.35,,8.50,,1.33,18.51,15.66,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,94627552,,Treat knee dislocation,A,,7.98,8.49,NA,8.49,,1.68,18.15,18.15,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,94727556,,Treat knee dislocation,A,,12.68,8.53,NA,8.53,,2.70,23.91,23.91,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00