No office rate
Both address closed treatment of a femoral shaft fracture. Choose 27500 when no manipulation is performed; 27502 is for treatment involving manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
27500 Femur fracture care Medicare reimbursement rates in Wyoming
Reports closed management of a femoral shaft fracture when the provider treats it without manipulating or reducing the fracture. Compare 27500 office and facility rates across CMS payment localities in Wyoming.
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 27500 in Wyoming?
Wyoming has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$563.12
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$453.56
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
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.
Fracture treatment
About 27500: Closed femoral shaft fracture care without reduction
Reports closed management of a femoral shaft fracture when the provider treats it without manipulating or reducing the fracture.
This code describes closed management of a fracture through the shaft of the femur when the provider does not manipulate the fracture to change its alignment. An orthopedic surgeon or other qualified physician may provide this care in a hospital or outpatient setting when the fracture can be managed without a reduction. The treatment plan may include immobilization and follow-up to monitor healing; the record should identify the fracture’s shaft location and the closed-treatment approach.
Report the code when documentation supports treatment without manipulation, rather than reduction or operative fixation. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%. For bilateral treatment reported with modifier 50, CMS pays at 150%. CMS does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 27500
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.14 · 36%
- Practice expense (office) RVU9.75 · 57%
- Malpractice RVU1.31 · 8%
421
Medicare services in 2024 · #3689 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.
27500 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
27500 is closed treatment without manipulation. 27506 describes operative treatment of a femoral shaft fracture with an intramedullary implant.
No office rate
27500 is closed treatment without manipulation. 27507 describes operative shaft-fracture treatment using plate-and-screw fixation.
$570.39
Both describe closed fracture treatment without manipulation, but 27508 concerns the distal femur rather than the femoral shaft.
Compare 27500 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.
1 of 1 payment localities
Wyoming** →
Office / nonfacility
$563.12
Facility
$453.56
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27500 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,922
- Code
- 27500
- Physician work
- 6.14
- Practice expense
- 9.75
- Malpractice
- 1.31
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.14 | × 1.000 | 6.1400 |
| Practice expense | 9.75 | × 1.000 | 9.7500 |
| Malpractice | 1.31 | × 0.740 | 0.9694 |
| Total RVUs | 16.8594 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$563.12
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.14 | 1 |
| Practice expense | 9.75 | 1 |
| Malpractice | 1.31 | 0.74 |
(6.14 × 1 + 9.75 × 1 + 1.31 × 0.74) × $33.4009 = $563.12
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.14 | 1 |
| Practice expense | 6.47 | 1 |
| Malpractice | 1.31 | 0.74 |
(6.14 × 1 + 6.47 × 1 + 1.31 × 0.74) × $33.4009 = $453.56
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
27500 billing questions
When should 27500 be chosen instead of 27502?
Use 27500 when the femoral shaft fracture is treated without manipulating its alignment. When the provider manipulates the fracture, consider 27502.
What documentation supports reporting 27500?
Document that the fracture is in the femoral shaft, that treatment was closed, and that no manipulation or reduction was performed.
Does the 90-day global period include follow-up care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.
How is bilateral treatment handled?
For bilateral treatment reported with modifier 50, CMS pays at 150%.
Can an assistant or co-surgeon be reported for this procedure?
CMS does not pay an assistant at surgery for this code, and 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 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.
2,91927497,,Decompression of thigh/knee,A,,7.60,7.30,NA,7.30,,1.62,16.52,16.52,0,090,0.10,0.69,0.21,2,1,0,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92027498,,Decompression of thigh/knee,A,,8.44,8.48,NA,8.48,,1.79,18.71,18.71,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92127499,,Decompression of thigh/knee,A,,9.19,8.72,NA,8.72,,1.96,19.87,19.87,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92227500,,Treatment of thigh fracture,A,,6.14,9.75,,6.47,,1.31,17.20,13.92,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92327501,,Treatment of thigh fracture,A,,6.29,8.87,,6.75,,1.32,16.48,14.36,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92427502,,Treatment of thigh fracture,A,,11.08,8.93,NA,8.93,,2.52,22.53,22.53,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92527503,,Treatment of thigh fracture,A,,10.99,9.12,NA,9.12,,2.36,22.47,22.47,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,