Billing code 27503: Femur fracture careMedicare rate & RVUs in Oregon
Reports closed treatment of a distal femoral condyle fracture when the clinician manipulates the fracture to improve alignment and immobilizes the limb.
CMS doesn’t publish an office rate for 27503 in Oregon.
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 27503 covers
This code describes closed management of a fracture at the distal end of the femur involving a medial or lateral condyle, with manipulation to improve alignment. An orthopedic surgeon or other qualified clinician may perform the reduction, often in an emergency department, operating room, or hospital setting, and then immobilize the leg. It is distinct from treatment of a femoral shaft fracture and from open reduction with internal fixation of a distal femoral fracture.
Report 27503 when the documented fracture site and manipulation support this level of closed fracture care. The record should identify the distal femoral condyle involved, describe the manipulation and resulting alignment, and support the treatment plan. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed 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 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.
Where 27503 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $770.02 |
| Rest Of Oregon | Unavailable | $725.89 |
How the 27503 rate is calculated
Each of 27503’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 · 27503
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 10.99Practice expense 9.12Malpractice 2.36
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27503
27503 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27503
Femur fracture care
| 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 · 27503
Femur fracture care
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
27503 without 50 · national facility
$750.52
Femur fracture care
27503-50 · Bilateral: 150%
$1,125.78
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).
27503 compared with similar codes
Compare codes
27503 vs 27508 vs 27511 vs 27502: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27508Femur fracture care
- Both concern closed treatment of a distal femoral condyle fracture. Choose 27503 when manipulation is performed; 27508 is for treatment without manipulation.
- 27511Femur fracture
- Code 27511 is for open treatment of a distal femoral condyle fracture with internal fixation; 27503 describes closed treatment with manipulation.
- 27502Femur fracture care
- Code 27502 applies to a femoral shaft fracture treated with manipulation. Code 27503 is for a distal femoral condyle fracture.
27503 billing questions
When should 27503 be selected instead of 27508?
Use 27503 for a distal femoral condyle fracture treated with manipulation. Code 27508 describes closed treatment without manipulation.
How is 27503 different from 27500 or 27502?
Code 27503 is for a distal femoral condyle fracture. Codes 27500 and 27502 concern a femoral shaft fracture, with the choice between them based on whether manipulation is performed.
What should the record document?
Document the distal femoral condyle fracture, the manipulation performed to improve alignment, and the resulting treatment plan and immobilization.
How does the 90-day global period affect follow-up billing?
The day-before preoperative visit and related postoperative care during the 90-day period are included in the global service.
Can 27503 be reported bilaterally or with an assistant?
For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction. Co-surgeons and team surgery are not permitted for this code.
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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