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See a sample rate comparisonCPT 27509 Fee Schedule
Medicare rates as of October 2026
CPT 27509 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Treatment Of Thigh Fracture, Percutaneous Skeletal Fixation Of Femoral Fracture Distal End Medial Or Lateral Condyle Or Supracondylar Or Transcondylar With Or Without Intercondylar Extension Or Distal Femoral Epiphyseal Separation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 03600450Sign up to view all 4 |
| Medicare Fee Schedule | $652.65 national non-facility rate (2026)View Medicare rates for 27509 |
| Medicaid Fee Schedule | $523.495 median of the 8 states in the free previewView Medicaid rates for 27509 |
National average reimbursement for CPT 27509 by major payers:
$928.87
BCBS / Anthem
$880.53
UnitedHealthcare
$919.93
Aetna
$1,095.19
Cigna
Compare published rates across providers.
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CPT 27509
5 of 25 sample ratesHigher to lower in this preview
Bay Area Surgicenter, LLC, Brandon Surgery Center
Bay Area Surgicenter LLC
$6,651.00Published rateRidgeline Surgicenter, LLC
$2,924.00Published rateSierra Eye Ambulatory Surgery Center, LLC
Sierra Eye Ambulatory Surgery Center LLC
$1,436.00Published rateWaxahachie Surgery Center
$1,200.00Published rateIndependence Asc LLC, The Endoscopy Center - East
$622.00Published rate
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See a sample payer proposalCPT 27509 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27509. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27500-CPT | Closed Treatment Of Femoral Sh, Closed Treatment Of Femoral Shaft Fracture Withoutmanipulation Closed Treatment Of Femoral Shaft Fracture Without |
| 27501-CPT | Closed Treatment Of Supracondy, Closed Treatment Of Supracondylar Or Transcondylarfemoralfracture With Or Without Intercondylar Ext Ension Without Manipulation |
| 27509-CPT | Treatment Of Thigh Fracture, Percutaneous Skeletal Fixation Of Femoral Fracture Distal End Medial Or Lateral Condyle Or Supracondylar Or Transcondylar With Or Without Intercondylar Extension Or Distal Femoral Epiphyseal Separation |
| 27511-CPT | Open Treatment Of Femoral Supr, Open Treatment Of Femoral Supracondylar Or Transcondylar Fracture Without Intercondylar Extension Includes Internal Fixation When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27509. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27509 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
What APC is CPT 27509 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27509 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27509 in an ambulatory surgery center?
CMS lists CPT 27509 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27509?
Hospital price transparency files list CPT 27509 under these revenue codes: 0360, 0450, 0361 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.