27238 Femoral fracture care Medicare reimbursement rates in Vermont

This code describes closed management of a fracture through the femoral shaft without manipulating the fracture fragments. An orthopedic surgeon or other qualified physician may use this approach when the fracture can be managed without operative fixation, maintaining alignment with appropriate nonoperative care such as immobilization or traction. Treatment may occur in a hospital or another setting where the physician establishes and directs the fracture-care plan.

Select the code when documentation supports a femoral shaft fracture and confirms treatment without manipulation; distinguish it from care involving manipulation or surgical fixation. The record should identify the fracture site, treatment plan, and whether the fragments were manipulated. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.