CPT code 27511: Femur fracture2026 Medicare rate & RVUs in Ohio
Reports open surgical treatment of a distal femoral fracture above the knee when the fracture has no intercondylar extension.
CMS doesn’t publish an office rate for 27511 in Ohio.
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 27511 covers
An orthopedic surgeon typically uses this service to expose and treat a supracondylar or transcondylar fracture of the distal femur that does not extend between the condyles. The surgeon restores alignment and may secure the fracture with internal fixation. These cases commonly arise after significant trauma and are performed in an operating room, generally in a hospital or other facility setting.
Choose this code when the operative findings and documentation support the fracture location and absence of intercondylar extension, and the fracture is treated through an open approach. Internal fixation, when performed, is included in the fracture treatment. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery and co-surgeon services may be paid; team surgery is 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.
27511 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $875.12 |
How the 27511 rate is calculated
Each of 27511’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 · 27511
RVUs × geographic indexes × conversion factor
Work14.73
14.73 RVUs× 1.000 GPCI
Practice expense9.13
9.13 RVUs× 1.000 GPCI
Malpractice3.11
3.11 RVUs× 1.000 GPCI
Adjusted RVUs
26.9700
Conversion factor
$33.4009
Medicare rate
$900.82
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27511
27511 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27511
Femur 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) | 2 | Paid. |
| Co-surgeons (62) | 2 | 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 · 27511
Femur 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
27511 without 50 · national facility
$900.82
Femur fracture
27511-50 · Bilateral: 150%
$1,351.23
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).
27511 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27510Femur fracture care
- Use 27510 for closed treatment of the corresponding supracondylar or transcondylar fracture pattern; use 27511 when treatment is open.
- 27513Distal femur repair
- 27513 addresses a fracture of a femoral condyle. This code is for a supracondylar or transcondylar fracture without intercondylar extension.
- 27514Distal femur fracture
- Use 27514 when the distal femoral fracture extends between the condyles; 27511 is for the specified pattern without that extension.
27511 billing questions
How does this differ from 27510?
Code 27511 is for open treatment of the specified distal femur fracture pattern. Code 27510 describes closed treatment of that pattern.
Is internal fixation reported separately?
No. Internal fixation, when performed as part of this fracture treatment, is included in the code.
What documentation supports choosing 27511?
Document the distal femur fracture pattern, the absence of intercondylar extension, and that treatment was open. The operative report should support the fracture location and approach.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for bilateral fractures?
CMS identifies this as a bilateral procedure; reporting with modifier 50 is paid at 150%.
Can an assistant or co-surgeon be paid?
CMS permits payment for an assistant at surgery and co-surgeons for this code. Team-surgery payment 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 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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