No office rate
Choose 27506 for intramedullary implant fixation of the femoral shaft; choose 27507 when the shaft is treated with plate-and-screw fixation.
On this page
CMS RVU26D · Effective 2026-10-01
27506 Femur fracture repair Medicare reimbursement rates in Wyoming
Reports operative stabilization of a femoral shaft fracture using an intramedullary implant, with or without cerclage or locking screws. Compare 27506 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 27506 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
No supported rate
Facility setting
$1188.14
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.
Orthopedic surgery
About 27506: Femoral shaft fracture fixation with intramedullary implant
Reports operative stabilization of a femoral shaft fracture using an intramedullary implant, with or without cerclage or locking screws.
An orthopedic surgeon uses an intramedullary implant, commonly a nail or rod placed within the femur, to stabilize a shaft fracture. The operation may include cerclage or locking screws. This code describes open treatment of the femoral shaft, not fracture care limited to the knee or growth plate. Medicare claims predominantly involve facility services for this operation.
Select the code when the operative report supports treatment of a femoral shaft fracture with an intramedullary implant; document the fracture site and fixation method, including any cerclage or locking screws. The 90-day global period includes 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 the others at 50%. For bilateral procedures reported with modifier 50, CMS pays at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27506
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU19.16 · 52%
- Practice expense (office) RVU13.43 · 37%
- Malpractice RVU4.03 · 11%
11.4K
Medicare services in 2024 · #1405 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.
27506 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
27502 describes closed treatment of a femoral shaft fracture with manipulation. This code describes operative stabilization using an intramedullary implant.
$563.12
27500 is closed treatment without manipulation. Use this code when the femoral shaft fracture is operatively stabilized with an intramedullary implant.
Compare 27506 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
Unavailable
Facility
$1188.14
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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 27506 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,926
- Code
- 27506
- Physician work
- 19.16
- Practice expense
- 13.43
- Malpractice
- 4.03
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.16 | × 1.000 | 19.1600 |
| Practice expense | 13.43 | × 1.000 | 13.4300 |
| Malpractice | 4.03 | × 0.740 | 2.9822 |
| Total RVUs | 35.5722 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1188.14
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.16 | 1 |
| Practice expense | 13.43 | 1 |
| Malpractice | 4.03 | 0.74 |
(19.16 × 1 + 13.43 × 1 + 4.03 × 0.74) × $33.4009 = $1188.14
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.
27506 billing questions
When should this code be chosen over 27507?
Use 27506 when the femoral shaft is stabilized with an intramedullary implant. Code 27507 describes fixation with a plate and screws.
How does this differ from closed fracture treatment?
This code reports operative fixation with an intramedullary implant. Codes 27500 and 27502 describe closed treatment, without and with manipulation, respectively.
Are cerclage or locking screws reported separately?
They are included as possible components of this fracture treatment when used with the intramedullary implant; they do not change the code selection.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How is bilateral treatment handled?
For bilateral procedures reported with modifier 50, CMS pays at 150%.
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.
2,92327501,,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
2,92627506,,Treatment of thigh fracture,A,,19.16,13.43,NA,13.43,,4.03,36.62,36.62,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92727507,,Treatment of thigh fracture,A,,14.12,9.34,NA,9.34,,2.99,26.45,26.45,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92827508,,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
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.,,,,,,