No office rate
Both address open treatment of femoral shaft fractures, but 27507 is for plate-and-screw fixation; 27506 is for fixation with an intramedullary implant.
On this page
CMS RVU26D · Effective 2026-10-01
27507 Femur fracture repair Medicare reimbursement rates in Massachusetts
Reports operative stabilization of a femoral shaft fracture using a plate and screws, with or without supplemental cerclage fixation. Compare 27507 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 27507 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
No supported rate
Facility setting
$887.26–$952.33
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 27507: Femoral shaft fracture plate fixation
Reports operative stabilization of a femoral shaft fracture using a plate and screws, with or without supplemental cerclage fixation.
An orthopedic surgeon reports this service when surgically exposing and stabilizing a fracture through the shaft of the femur with a plate-and-screw construct. Cerclage may be used as supplemental fixation. The procedure is typically performed in an operating room, commonly for a displaced shaft fracture requiring operative stabilization when plate fixation is selected.
Report the code for the femoral shaft fracture treated with this fixation method; documentation should identify the fracture site and laterality and describe the open treatment and plate-and-screw construct. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral procedures reported with modifier 50, CMS pays at 150%. Assistant-at-surgery payment may be available, and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 27507
- 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 may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.12 · 53%
- Practice expense (office) RVU9.34 · 35%
- Malpractice RVU2.99 · 11%
6.2K
Medicare services in 2024 · #1731 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.
27507 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$586.15–$641.27
27500 describes closed femoral shaft fracture treatment without manipulation. Use 27507 when the fracture is treated operatively with a plate-and-screw construct.
No office rate
27502 describes closed treatment with manipulation, with or without skeletal traction. It does not represent open plate-and-screw fixation as 27507 does.
Compare 27507 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
Unavailable
Facility
$952.33
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$887.26
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27507 billing questions
How is this different from 27506?
Use 27507 for plate-and-screw fixation of a femoral shaft fracture. Code 27506 describes shaft-fracture fixation using an intramedullary implant.
Can this code be used for closed fracture care?
No. This code represents open operative treatment with plate-and-screw fixation. Codes 27500 and 27502 describe closed treatment of femoral shaft fractures.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How is bilateral treatment reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available, and co-surgeons are permitted. Team surgery is 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.
2,92427502,,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
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