No office rate
Use 27509 when skeletal fixation is performed percutaneously. Use 27506 for open treatment with an intramedullary implant.
On this page
CMS RVU26D · Effective 2026-10-01
27509 Femur fracture fixation Medicare reimbursement rates in Georgia
Percutaneous fixation of a femoral shaft fracture is reported when the surgeon stabilizes the fracture through small incisions without open exposure. Compare 27509 office and facility rates across CMS payment localities in Georgia.
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 27509 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$627.44–$669.91
2 of 2 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.
Orthopedic surgery
About 27509: Percutaneous femoral shaft fracture fixation
Percutaneous fixation of a femoral shaft fracture is reported when the surgeon stabilizes the fracture through small incisions without open exposure.
An orthopedic surgeon uses percutaneous fixation to stabilize a femoral shaft fracture by placing fixation devices through small incisions, rather than exposing the fracture through an open approach. The service may involve manipulation to align the fracture before fixation. It is typically performed in a hospital or ambulatory surgical setting; the operative report should identify the shaft fracture, the percutaneous approach, and the fixation performed.
Choose this code when the operative method is percutaneous skeletal fixation, not closed fracture care alone or open fixation. The documentation should support the fracture location and describe the approach and stabilization. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur 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 is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 27509
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.94 · 41%
- Practice expense (office) RVU9.94 · 51%
- Malpractice RVU1.66 · 8%
343
Medicare services in 2024 · #3876 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.
27509 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
Use 27507 for open femoral shaft fixation with a plate-and-screw construct; 27509 represents percutaneous skeletal fixation.
No office rate
27502 represents closed treatment with manipulation, with or without traction. Choose 27509 when the surgeon performs percutaneous skeletal fixation.
Compare 27509 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$669.91
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$627.44
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27509 billing questions
How is this code different from open femoral shaft fixation?
Use 27509 for percutaneous skeletal fixation. Open treatment with an intramedullary implant or a plate-and-screw construct is described by 27506 or 27507, respectively.
Can it be reported for closed fracture treatment without fixation?
No. This code describes percutaneous stabilization; closed treatment without skeletal fixation is represented by a different femoral shaft fracture code.
What documentation supports choosing this code?
The operative report should identify the femoral shaft fracture and document the percutaneous approach and skeletal fixation performed. Include any manipulation used to align the fracture.
How is bilateral treatment reported?
CMS identifies this as a bilateral procedure; reporting modifier 50 is paid at 150%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery for this code.
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 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.
2,92627506,,Treatment of thigh fracture,A,,19.16,13.43,NA,13.43,,4.03,36.62,36.62,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92727507,,Treatment of thigh fracture,A,,14.12,9.34,NA,9.34,,2.99,26.45,26.45,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92827508,,Treatment of thigh fracture,A,,6.05,10.08,,7.30,,1.28,17.41,14.63,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92927509,,Treatment of thigh fracture,A,,7.94,9.94,NA,9.94,,1.66,19.54,19.54,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,93027510,,Treatment of thigh fracture,A,,9.56,8.45,NA,8.45,,2.13,20.14,20.14,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,93127511,,Treatment of thigh fracture,A,,14.73,9.13,NA,9.13,,3.11,26.97,26.97,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,93227513,,Treatment of thigh fracture,A,,18.77,10.41,NA,10.41,,3.96,33.14,33.14,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00