No office rate
Use 27510 for closed treatment of the corresponding supracondylar or transcondylar fracture pattern; use 27511 when treatment is open.
On this page
CMS RVU26D · Effective 2026-10-01
27511 Femur fracture Medicare reimbursement rates in Virginia
Reports open surgical treatment of a distal femoral fracture above the knee when the fracture has no intercondylar extension. Compare 27511 office and facility rates across CMS payment localities in Virginia.
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 27511 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$865.10–$993.41
2 of 2 localities have a supported rate.
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 surgery
About 27511: Open treatment of supracondylar femur fracture
Reports open surgical treatment of a distal femoral fracture above the knee when the fracture has no intercondylar extension.
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.
CMS billing rules for 27511
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.73 · 55%
- Practice expense (office) RVU9.13 · 34%
- Malpractice RVU3.11 · 12%
4.8K
Medicare services in 2024 · #1898 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.
27511 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
27513 addresses a fracture of a femoral condyle. This code is for a supracondylar or transcondylar fracture without intercondylar extension.
No office rate
Use 27514 when the distal femoral fracture extends between the condyles; 27511 is for the specified pattern without that extension.
Compare 27511 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$993.41
Virginia →
Office / nonfacility
Unavailable
Facility
$865.10
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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 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.
2,92827508,,Treatment of thigh fracture,A,,6.05,10.08,,7.30,,1.28,17.41,14.63,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92927509,,Treatment of thigh fracture,A,,7.94,9.94,NA,9.94,,1.66,19.54,19.54,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,93027510,,Treatment of thigh fracture,A,,9.56,8.45,NA,8.45,,2.13,20.14,20.14,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,93127511,,Treatment of thigh fracture,A,,14.73,9.13,NA,9.13,,3.11,26.97,26.97,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,93227513,,Treatment of thigh fracture,A,,18.77,10.41,NA,10.41,,3.96,33.14,33.14,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,93327514,,Treatment of thigh fracture,A,,14.24,8.96,NA,8.96,,3.00,26.20,26.20,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,93427516,,Treat thigh fx growth plate,A,,5.45,10.54,,7.68,,1.17,17.16,14.30,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00