No office rate
27520 is closed treatment without manipulation; 27524 is open treatment of the patellar fracture.
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CMS RVU26D · Effective 2026-10-01
27520 Patella fracture Medicare reimbursement rates in Kentucky
Reports definitive closed, nonmanipulative care of a patellar fracture, typically when a stable kneecap fracture is managed without operative exposure or reduction. Compare 27520 office and facility rates across CMS payment localities in Kentucky.
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 27520 in Kentucky?
Kentucky 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
$340.21
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$287.95
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 27520: Closed patellar fracture treatment without manipulation
Reports definitive closed, nonmanipulative care of a patellar fracture, typically when a stable kneecap fracture is managed without operative exposure or reduction.
This code describes definitive closed care of a fractured patella without manipulating the fracture to change its position. It is generally used when the clinician selects nonoperative management, such as immobilization and follow-up for a fracture that can be treated without reduction. Orthopedic surgeons and other physicians who assume responsibility for the fracture treatment may provide this care in an office, emergency department, or other setting. The code is specific to the kneecap; a fracture of the tibial plateau or distal femur is coded from a different fracture family.
Report 27520 when the record supports closed fracture treatment and confirms that manipulation was not performed. Document the patellar fracture, treatment plan, and management provided; use 27522 when closed treatment includes manipulation, and 27524 for open treatment. 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 other procedures are subject to the standard multiple procedure reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 27520
- 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 RVU2.96 · 27%
- Practice expense (office) RVU7.50 · 68%
- Malpractice RVU0.61 · 6%
6.8K
Medicare services in 2024 · #1679 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.
27520 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$320.32
27530 concerns a tibial plateau fracture. Use 27520 when the fracture being treated is in the patella.
Compare 27520 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
Kentucky →
Office / nonfacility
$340.21
Facility
$287.95
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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 27520 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
2,937
- Code
- 27520
- Physician work
- 2.96
- Practice expense
- 7.50
- Malpractice
- 0.61
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.96 | × 1.000 | 2.9600 |
| Practice expense | 7.50 | × 0.889 | 6.6675 |
| Malpractice | 0.61 | × 0.915 | 0.5582 |
| Total RVUs | 10.1857 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$340.21
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.96 | 1 |
| Practice expense | 7.5 | 0.889 |
| Malpractice | 0.61 | 0.915 |
(2.96 × 1 + 7.5 × 0.889 + 0.61 × 0.915) × $33.4009 = $340.21
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.96 | 1 |
| Practice expense | 5.74 | 0.889 |
| Malpractice | 0.61 | 0.915 |
(2.96 × 1 + 5.74 × 0.889 + 0.61 × 0.915) × $33.4009 = $287.95
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.
27520 billing questions
When should 27520 be chosen over 27522?
Use 27520 for closed patellar fracture treatment without manipulation. Use 27522 when the clinician manipulates the fracture during closed treatment.
How does 27520 differ from 27524?
27520 describes closed treatment without manipulation. 27524 is used for open treatment of the patellar fracture.
Are related follow-up visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What documentation supports reporting 27520?
Document the patellar fracture, the closed treatment plan, and that manipulation was not performed. The record should support that the clinician assumed responsibility for definitive fracture care.
How is bilateral treatment reported?
For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.
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.
2,93427516,,Treat thigh fx growth plate,A,,5.45,10.54,,7.68,,1.17,17.16,14.30,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,93527517,,Treat thigh fx growth plate,A,,8.89,8.78,NA,8.78,,1.90,19.57,19.57,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,93627519,,Treat thigh fx growth plate,A,,12.92,8.61,NA,8.61,,2.75,24.28,24.28,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,93727520,,Treat kneecap fracture,A,,2.96,7.50,,5.74,,0.61,11.07,9.31,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,93827524,,Treat kneecap fracture,A,,10.11,8.89,NA,8.89,,2.11,21.11,21.11,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,93927530,,Treat knee fracture,A,,2.58,7.34,,5.90,,0.53,10.45,9.01,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,94027532,,Treat knee fracture,A,,7.36,11.43,,7.74,,1.54,20.33,16.64,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631