$555.86
Choose 27517 when closed treatment includes manipulation to reduce the separation. Choose 27516 when the fracture is treated without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
27517 Growth plate fracture Medicare reimbursement rates in Minnesota
Reports closed treatment with manipulation to reduce a distal femoral growth plate separation, typically in a child or adolescent with a displaced injury. Compare 27517 office and facility rates across CMS payment localities in Minnesota.
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 27517 in Minnesota?
Minnesota 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
$617.48
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 27517: Closed reduction of distal femoral physeal fracture
Reports closed treatment with manipulation to reduce a distal femoral growth plate separation, typically in a child or adolescent with a displaced injury.
This service treats a separation through the distal femoral growth plate without surgically exposing the fracture. The orthopedist manipulates the injured thigh or knee to restore alignment, then typically immobilizes the leg. It is used for a pediatric or adolescent physeal injury when the clinician performs a closed reduction rather than treating the fracture without manipulation or opening the site for repair.
Report the code when the documented injury is a distal femoral epiphyseal separation and the physician performs manipulation as part of closed treatment. The record should identify the growth plate injury and support that a reduction was performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 27517
- 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 RVU8.89 · 45%
- Practice expense (office) RVU8.78 · 45%
- Malpractice RVU1.90 · 10%
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.
27517 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
27519 describes open treatment of a distal femoral growth plate separation; 27517 is closed treatment with manipulation.
$553.14
27500 treats a femoral shaft fracture without manipulation. This code is for a distal femoral growth plate separation treated with manipulation.
Compare 27517 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$617.48
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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 27517 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
2,935
- Code
- 27517
- Physician work
- 8.89
- Practice expense
- 8.78
- Malpractice
- 1.90
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.89 | × 1.000 | 8.8900 |
| Practice expense | 8.78 | × 1.029 | 9.0346 |
| Malpractice | 1.90 | × 0.296 | 0.5624 |
| Total RVUs | 18.4870 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$617.48
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.89 | 1 |
| Practice expense | 8.78 | 1.029 |
| Malpractice | 1.9 | 0.296 |
(8.89 × 1 + 8.78 × 1.029 + 1.9 × 0.296) × $33.4009 = $617.48
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.
27517 billing questions
How does this differ from 27516?
Both codes treat a distal femoral growth plate separation without open exposure. Use 27517 when manipulation is performed; 27516 describes closed treatment without manipulation.
When is 27519 more appropriate?
Use 27519 for open treatment of the distal femoral epiphyseal separation. This code is for closed treatment with manipulation.
What documentation supports reporting this code?
Document the distal femoral physeal separation and the manipulation performed to reduce it. The record should distinguish the treatment from closed care without manipulation or open treatment.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in the session are subject to the standard multiple-procedure reduction.
Can modifier 50 be used for bilateral treatment?
Yes. CMS pays bilateral reporting with modifier 50 at 150%.
Can an assistant or another surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. 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.
2,93227513,,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
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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002