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See a sample rate comparisonCPT 27510 Fee Schedule
Medicare rates as of October 2026
CPT 27510 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Closed Treatment Of Femoral Fr, Closed Treatment Of Femoral Fracture Distal End Medial Or Lateral Condyle With Manipulation Closed Treatment Of Femoral Fracture Distal End Medial Or
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23Emergency Room 21Inpatient Hospital |
| Common Modifiers | LTLeft side of body 54Surgical Care Only |
| Hospital Outpatient Group (APC) | APC 5112 - Level 2 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 04500360Sign up to view all 6 |
| Medicare Fee Schedule | $672.69 national non-facility rate (2026)View Medicare rates for 27510 |
| Medicaid Fee Schedule | $534.76 median of the 8 states in the free previewView Medicaid rates for 27510 |
National average reimbursement for CPT 27510 by major payers:
$948.29
BCBS / Anthem
$923.20
UnitedHealthcare
$949.68
Aetna
$1,144.62
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27510.
CPT 27510
5 of 25 sample ratesHigher to lower in this preview
Community Endoscopy Center LLC
$3,922.00Published rateSurgical Center Of Tvh
$402.00Published rateFranciscan Medical Group, The Doctors Clinic Ambulatory Surgical Center, A Part Of The Francisca
Franciscan Medical Group
$212.00Published ratePhysicians Day Surgery Center
$118.00Published rateDoctors Surgery Center Of Texarkana, Doctor'S Surgery Center
Doctors Surgery Center Of Texarkana
$69.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27510 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27510. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27508-CPT | Closed Treatment Of Femoral Fr, Closed Treatment Of Femoral Fracture Distal End Medial Or Lateral Condyle Without Manipulation Closed Treatment Of Femoral Fracture Distal End Medial Or |
| 27510-CPT | Closed Treatment Of Femoral Fr, Closed Treatment Of Femoral Fracture Distal End Medial Or Lateral Condyle With Manipulation Closed Treatment Of Femoral Fracture Distal End Medial Or |
| 27511-CPT | Open Treatment Of Femoral Supr, Open Treatment Of Femoral Supracondylar Or Transcondylar Fracture Without Intercondylar Extension Includes Internal Fixation When Performed |
| 27514-CPT | Treatment Of Thigh Fracture, Open Treatment Of Fracture Of One Side Of Lower End Of Thigh Bone Just Above Knee Joint (Medial Or Lateral Condyle Fracture Of Femur) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27510. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27510 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 27510 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27510 to APC 5112 (Level 2 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27510 in an ambulatory surgery center?
CMS lists CPT 27510 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27510?
Hospital price transparency files list CPT 27510 under these revenue codes: including 0450, 0360, 0361, 0981 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.