Billing code 27517: Growth plate fractureMedicare rate & RVUs in Nevada
Reports closed treatment with manipulation to reduce a distal femoral growth plate separation, typically in a child or adolescent with a displaced injury.
CMS doesn’t publish an office rate for 27517 in Nevada.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 27517 covers
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.
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 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $643.35 |
How the 27517 rate is calculated
Each of 27517’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 27517
RVUs × geographic indexes × conversion factor
Work8.89
8.89 RVUs× 1.000 GPCI
Practice expense8.78
8.78 RVUs× 1.000 GPCI
Malpractice1.90
1.90 RVUs× 1.000 GPCI
Adjusted RVUs
19.5700
Conversion factor
$33.4009
Medicare rate
$653.66
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27517
27517 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27517
Growth plate fracture
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27517
Growth plate fracture
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27517 without 50 · national facility
$653.66
Growth plate fracture
27517-50 · Bilateral: 150%
$980.49
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
27517 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27516Growth plate fracture
- Choose 27517 when closed treatment includes manipulation to reduce the separation. Choose 27516 when the fracture is treated without manipulation.
- 27519Physeal fracture repair
- 27519 describes open treatment of a distal femoral growth plate separation; 27517 is closed treatment with manipulation.
- 27500Femur fracture care
- 27500 treats a femoral shaft fracture without manipulation. This code is for a distal femoral growth plate separation treated with manipulation.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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