No office rate
Both describe closed treatment of a femoral fracture, but 27268 is for treatment with manipulation. Use 27267 when the provider does not manipulate the fracture.
On this page
CMS RVU26D · Effective 2026-10-01
27267 Fracture treatment Medicare reimbursement rates in Nebraska
Reports closed, nonoperative care of a femoral shaft fracture when the treating provider manages the fracture without manipulating it to restore alignment. Compare 27267 office and facility rates across CMS payment localities in Nebraska.
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 27267 in Nebraska?
Nebraska 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
$391.40
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 27267: Closed femoral shaft fracture care
Reports closed, nonoperative care of a femoral shaft fracture when the treating provider manages the fracture without manipulating it to restore alignment.
This code is for closed treatment of a femoral shaft fracture managed without manipulation. The provider treats the fracture without surgically exposing it or manipulating the fragments to change their alignment. Orthopedic surgeons and other physicians who provide fracture care may report it in a hospital or other setting where nonoperative treatment is selected. This is a less common approach for femoral shaft fractures than operative fixation, so the record should make the treatment plan clear.
Choose this code when the provider assumes fracture care and no manipulation is performed; use the manipulation code when the provider actively repositions the fracture. Document the fracture site, closed treatment plan, and whether manipulation occurred. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 27267
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.36 · 42%
- Practice expense (office) RVU6.43 · 50%
- Malpractice RVU1.12 · 9%
82
Medicare services in 2024 · #5025 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.
27267 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
This code describes closed care without manipulation; 27269 is used for open operative treatment of a femoral fracture.
No office rate
Use 27245 for operative femoral shaft treatment with an intramedullary implant, not closed treatment without manipulation.
Compare 27267 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$391.40
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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 27267 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
2,815
- Code
- 27267
- Physician work
- 5.36
- Practice expense
- 6.43
- Malpractice
- 1.12
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.36 | × 1.000 | 5.3600 |
| Practice expense | 6.43 | × 0.923 | 5.9349 |
| Malpractice | 1.12 | × 0.378 | 0.4234 |
| Total RVUs | 11.7183 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$391.40
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.36 | 1 |
| Practice expense | 6.43 | 0.923 |
| Malpractice | 1.12 | 0.378 |
(5.36 × 1 + 6.43 × 0.923 + 1.12 × 0.378) × $33.4009 = $391.40
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.
27267 billing questions
When should this code be chosen over 27268?
Use this code when the femoral fracture is treated closed without manipulation. Report 27268 when the provider manipulates the fracture.
Can fracture care visits during the global period be billed separately?
Related postoperative care within the 90-day global period is included. CMS also includes the day-before preoperative visit in the global period.
Can modifier 50 be used for bilateral femoral shaft fractures?
CMS identifies this as a bilateral procedure; with modifier 50, payment is at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
What documentation supports reporting this code?
Document the femoral shaft fracture, the closed treatment plan, and that the provider did not manipulate the fracture. The record should also show that the provider undertook fracture care.
How does the multiple-procedure reduction work?
When procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
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.
2,81227259,,Treat hip dislocation,A,,22.68,14.42,NA,14.42,,4.83,41.93,41.93,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81327265,,Treat hip dislocation,A,,5.11,8.43,NA,8.43,,1.23,14.77,14.77,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81427266,,Treat hip dislocation,A,,7.59,7.49,NA,7.49,,1.62,16.70,16.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81527267,,Cltx thigh fx,A,,5.36,6.43,NA,6.43,,1.12,12.91,12.91,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81627268,,Cltx thigh fx w/mnpj,A,,6.94,7.05,NA,7.05,,1.47,15.46,15.46,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81727269,,Optx thigh fx,A,,18.42,11.26,NA,11.26,,3.89,33.57,33.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81827275,,Manipulation of hip joint,A,,2.26,2.63,NA,2.63,,0.46,5.35,5.35,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068