$586.15–$641.27
Choose 27501 when manipulation is performed during closed treatment; choose 27500 when the shaft fracture is treated without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
27501 Femur fracture care Medicare reimbursement rates in Massachusetts
Report 27501 for closed reduction of a femoral shaft fracture requiring manipulation, rather than nonmanipulative care or treatment using skeletal traction. Compare 27501 office and facility rates across CMS payment localities in Massachusetts.
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 27501 in Massachusetts?
Massachusetts 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
$560.56–$611.69
2 of 2 localities have a supported rate.
Facility setting
$486.00–$527.14
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.
Fracture care
About 27501: Closed femoral shaft fracture reduction
Report 27501 for closed reduction of a femoral shaft fracture requiring manipulation, rather than nonmanipulative care or treatment using skeletal traction.
An orthopedic surgeon or other qualified physician uses manipulation to reduce a femoral shaft fracture without open surgical exposure. The service is typically performed in an acute-care or other procedural setting, with the fracture then stabilized by an appropriate method. The clinical record should identify the shaft fracture and describe the reduction and stabilization performed.
Choose this code when manipulation is part of closed fracture treatment and skeletal traction is not used as the treatment method. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral treatment reported with modifier 50, CMS pays at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 27501
- 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 RVU6.29 · 38%
- Practice expense (office) RVU8.87 · 54%
- Malpractice RVU1.32 · 8%
409
Medicare services in 2024 · #3720 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.
27501 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
27502 is used when skeletal traction is part of femoral shaft fracture treatment. 27501 represents closed treatment with manipulation without that traction method.
No office rate
27506 describes open treatment with an intramedullary implant. 27501 is closed reduction and does not describe open implant fixation.
No office rate
27507 describes open treatment with plate-and-screw fixation; 27501 is used for closed treatment requiring manipulation.
Compare 27501 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
Metropolitan Boston →
Office / nonfacility
$611.69
Facility
$527.14
Rest Of Massachusetts →
Office / nonfacility
$560.56
Facility
$486.00
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27501 billing questions
When should 27501 be chosen over 27500?
Use 27501 when the closed treatment of a femoral shaft fracture includes manipulation. Use 27500 when the fracture is treated without manipulation.
How does 27501 differ from 27502?
27501 describes closed shaft-fracture treatment with manipulation. 27502 is the relevant family code when treatment uses skeletal traction.
Can the initial cast or splint be billed separately?
Immobilization applied as part of the definitive fracture treatment is generally included in the fracture-care service. Related postoperative care falls within the 90-day global period.
What should the record document?
Document the femoral shaft fracture and the manipulation used to reduce it, along with the stabilization provided. The record should support that skeletal traction was not the treatment method.
How is bilateral treatment handled?
When both sides are treated and reported with modifier 50, CMS pays at 150%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code under the listed CMS rules.
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.
2,92027498,,Decompression of thigh/knee,A,,8.44,8.48,NA,8.48,,1.79,18.71,18.71,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92127499,,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