$576.29–$639.97
Use 27508 for closed treatment of a distal femoral condyle fracture without manipulation. This code requires manipulation as part of closed treatment.
On this page
CMS RVU26D · Effective 2026-10-01
27510 Femur fracture care Medicare reimbursement rates in Illinois
Reports closed treatment with manipulation of a fracture at the medial or lateral condyle of the distal femur, without open exposure. Compare 27510 office and facility rates across CMS payment localities in Illinois.
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 27510 in Illinois?
Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$688.19–$768.47
4 of 4 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 27510 pays more and less in Illinois
Fracture treatment
About 27510: Closed reduction of distal femoral condyle fracture
Reports closed treatment with manipulation of a fracture at the medial or lateral condyle of the distal femur, without open exposure.
An orthopedic surgeon uses this code when treating a medial or lateral condyle fracture at the lower end of the femur by manipulating the fracture without surgically exposing it. The treatment may include reduction and immobilization, such as with a cast or brace. This is distinct from a femoral shaft fracture and from a distal femoral growth-plate injury. It may be performed in a hospital or other setting where the clinician can reduce and stabilize the fracture.
Select the code when the fracture location is the distal femoral condyle and manipulation is part of the closed treatment. The record should identify the fracture site and document the reduction and treatment provided. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. For bilateral treatment reported with modifier 50, CMS pays at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 27510
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.56 · 47%
- Practice expense (office) RVU8.45 · 42%
- Malpractice RVU2.13 · 11%
287
Medicare services in 2024 · #4028 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.
27510 compared with similar codes
Office rates for Illinois, from the same CMS release.
No office rate
27511 is for open treatment of a medial or lateral distal femoral condyle fracture. Choose this code when the condyle fracture is treated closed with manipulation.
No office rate
27513 concerns open treatment of a supracondylar or transcondylar fracture with intercondylar extension, rather than closed treatment of a medial or lateral condyle fracture.
No office rate
27514 concerns open treatment of a supracondylar or transcondylar fracture without intercondylar extension. This code instead describes closed treatment with manipulation of a condylar fracture.
Compare 27510 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.
4 of 4 payment localities
Chicago →
Office / nonfacility
Unavailable
Facility
$768.47
East St. Louis →
Office / nonfacility
Unavailable
Facility
$722.26
Rest Of Illinois →
Office / nonfacility
Unavailable
Facility
$688.19
Suburban Chicago →
Office / nonfacility
Unavailable
Facility
$737.47
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27510 billing questions
How does this differ from 27508?
Both codes concern closed treatment of a distal femoral condyle fracture. Use 27510 when manipulation is performed; 27508 is for treatment without manipulation.
When is 27511 more appropriate?
27511 describes open treatment of a medial or lateral distal femoral condyle fracture. This code is for closed treatment involving manipulation, without surgical exposure.
Are routine fracture follow-up visits included?
Yes. The 90-day global period includes related postoperative care, as well as the day-before preoperative visit.
How is bilateral treatment paid?
CMS pays bilateral treatment reported with modifier 50 at 150%.
Can an assistant surgeon or co-surgeon be reported?
CMS applies a statutory restriction on assistant-at-surgery payment for this code. Co-surgeons and team surgery are 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.
2,92727507,,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
2,93327514,,Treatment of thigh fracture,A,,14.24,8.96,NA,8.96,,3.00,26.20,26.20,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00