$528.23
Both concern closed treatment of a femoral shaft fracture. Choose 27502 when the physician manipulates the fracture; choose 27500 when treatment is without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
27502 Femur fracture care Medicare reimbursement rates in Indiana
Reports closed reduction of a femoral shaft fracture when the physician manipulates the fracture, with or without skeletal traction, rather than treating it without reduction. Compare 27502 office and facility rates across CMS payment localities in Indiana.
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 27502 in Indiana?
Indiana has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$687.49
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
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 fracture care
About 27502: Closed femoral shaft fracture reduction
Reports closed reduction of a femoral shaft fracture when the physician manipulates the fracture, with or without skeletal traction, rather than treating it without reduction.
This service is closed reduction of a fracture through the femoral shaft: the physician manipulates the bone to improve alignment without surgically opening the fracture site. An orthopedic surgeon or other physician qualified to manage fractures may perform the reduction, commonly in a hospital or emergency setting. Skeletal traction may be used as part of the treatment. The code is specific to the femoral shaft, not a fracture at the distal femur near the knee.
Report it when documentation supports both the shaft location and a reduction maneuver; immobilization alone, without manipulation, points to 27500. The fracture-treatment record should identify the fracture, describe the reduction, and document any traction or immobilization. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures receive the standard multiple-procedure reduction. For bilateral treatment reported with modifier 50, CMS pays at 150%. CMS does not pay an assistant at surgery; co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 27502
- 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 RVU11.08 · 49%
- Practice expense (office) RVU8.93 · 40%
- Malpractice RVU2.52 · 11%
339
Medicare services in 2024 · #3888 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.
27502 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
27502 describes closed reduction. Code 27506 is for open treatment of a femoral shaft fracture using an intramedullary implant.
No office rate
27502 describes closed reduction. Code 27507 is for open treatment of a femoral shaft fracture with plate-and-screw fixation.
Compare 27502 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.
1 of 1 payment localities
Indiana →
Office / nonfacility
Unavailable
Facility
$687.49
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27502 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
2,924
- Code
- 27502
- Physician work
- 11.08
- Practice expense
- 8.93
- Malpractice
- 2.52
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.08 | × 1.000 | 11.0800 |
| Practice expense | 8.93 | × 0.927 | 8.2781 |
| Malpractice | 2.52 | × 0.486 | 1.2247 |
| Total RVUs | 20.5828 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$687.49
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.08 | 1 |
| Practice expense | 8.93 | 0.927 |
| Malpractice | 2.52 | 0.486 |
(11.08 × 1 + 8.93 × 0.927 + 2.52 × 0.486) × $33.4009 = $687.49
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
27502 billing questions
How does 27502 differ from 27500?
Use 27502 when the physician manipulates and reduces a femoral shaft fracture. Code 27500 is the related option when the shaft fracture is treated without manipulation.
Does applying immobilization alone support 27502?
No. The record should show a reduction maneuver that manipulates the fracture, not just immobilization. Document the shaft location and the reduction performed.
Is skeletal traction included in the service?
The code includes treatment with or without skeletal traction. Document traction when used, along with the fracture reduction.
What postoperative care is included?
CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be billed for 27502?
CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
How does CMS handle bilateral treatment or another procedure in the same session?
With modifier 50, bilateral treatment is paid at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others receive the standard reduction.
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.
2,92127499,,Decompression of thigh/knee,A,,9.19,8.72,NA,8.72,,1.96,19.87,19.87,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92227500,,Treatment of thigh fracture,A,,6.14,9.75,,6.47,,1.31,17.20,13.92,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92327501,,Treatment of thigh fracture,A,,6.29,8.87,,6.75,,1.32,16.48,14.36,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92427502,,Treatment of thigh fracture,A,,11.08,8.93,NA,8.93,,2.52,22.53,22.53,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92527503,,Treatment of thigh fracture,A,,10.99,9.12,NA,9.12,,2.36,22.47,22.47,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92627506,,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
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915