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CPT 27500: Femoral Shaft Fracture Reduction

CPT code 27500 represents surgical reduction of a femoral shaft fracture performed to restore proper alignment and allow repair and healing. This procedure is clinically significant because femoral shaft fractures are high-resource orthopedic injuries that often require operative intervention and can drive inpatient surgical volume, anesthesia services, and postoperative rehabilitation needs. Nationally, accurate coding of this service affects surgical quality reporting, facility and professional reimbursement, and utilization monitoring.

Key payers commonly involved in coverage and claims for CPT code 27500 include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a clinical and billing-focused overview of the procedure, common places of service, and typical coding considerations. The publication also outlines benchmarking context and policy implications relevant to hospitals, surgical centers, and orthopedic providers. Where input data is incomplete, the content notes: "Data not available in the input."

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Billing Code Overview

CPT code 27500 describes a surgical procedure to reduce a fracture of the femoral shaft into correct position without manipulation, facilitating repair and healing. This is an open or closed reduction procedure for femoral shaft fracture focused on alignment and stabilization of the femur.

Service type: Fracture reduction and stabilization surgery
Typical site of service: Hospital inpatient or outpatient surgical setting, including operating room or same-day surgical center

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CPT 27500: Femoral Shaft Fracture Reduction

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Billing Code Overview

Service type: Fracture reduction and stabilization surgery
Typical site of service: Hospital inpatient or outpatient surgical setting, including operating room or same-day surgical center

Clinical & Coding Specifications

Clinical Context

A typical patient is an adult who presents to the emergency department after a high-energy mechanism such as a motor vehicle collision or fall from height with acute pain, deformity, and inability to bear weight on the affected lower extremity. Radiographs or CT confirm a displaced femoral shaft fracture. The orthopedic trauma team evaluates the patient, performs preoperative clearance, and schedules urgent operative fixation. In the operating room under general or regional anesthesia, the surgeon performs a closed reduction of the femoral shaft fracture to realign bone fragments without an open surgical approach, followed by internal fixation (intramedullary nail or rod) during the same operative episode. Perioperative workflow includes anesthesia evaluation, informed consent, neurovascular assessment, intraoperative imaging with fluoroscopy to confirm reduction, and postoperative orders for pain control, venous thromboembolism prophylaxis, and weight-bearing instructions. Typical sites of service are the hospital operating room or ambulatory surgical center when appropriate, with inpatient postoperative admission common for pain control and monitoring in acute trauma cases.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work or time substantially exceeds the usual for `27500` due to complexity or extensive additional work.
`23`	Unusual anesthesia	Use if general anesthesia is required for an otherwise minor procedure in a patient with unusual circumstances that increase anesthesia needs.
`26`	Professional component	Use if reporting only the surgeon's professional component separate from facility technical component (rare for `27500`).
`50`	Bilateral procedure	Use if bilateral femoral shaft fractures are reduced in the same operative session.
`51`	Multiple procedures	Use when `27500` is performed with additional distinct procedures during the same session.
`52`	Reduced services	Use if the procedure is intentionally partially reduced or not completed as normally described.
`53`	Discontinued procedure	Use when the procedure is started but then terminated due to extenuating circumstances.
`62`	Two surgeons	Use when two surgeons work together as primary surgeons for a single encounter for `27500`.
`66`	Surgical team approach	Use when a surgical team approach is documented for complex fracture care beyond a single surgeon.
`80`	Assistant surgeon	Use when an assistant-at-surgery is documented and necessary for the reduction and fixation steps.
`81`	Minimum assistant surgeon	Use when a minimum assistant (per payer definition) assists rather than a professional assistant.
`82`	Assistant (when qualified resident not available)	Use when an assistant surgeon is used because a qualified resident is not available.
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist	Use if a qualified non-physician practitioner performs portions of the service under appropriate rules.
`LT`	Left side	Use to identify the left femur when laterality is required by payer adjudication.
`RT`	Right side	Use to identify the right femur when laterality is required by payer adjudication.

Taxonomy Code	Specialty	Notes
208D00000X	Orthopaedic Surgery	Primary specialty performing femoral shaft fracture reductions and fixation.
207R00000X	Emergency Medicine	Initial evaluation and stabilization prior to operative management.
208800000X	General Surgery	May be involved in trauma centers for operative fracture management when orthopedics not available.
221H00000X	Anesthesiology	Provides general or regional anesthesia for operative reduction and fixation.
261QM0800X	Physical Therapy	Provides inpatient and outpatient rehabilitation following operative fixation.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`S72.301A`	Unspecified fracture of shaft of right femur, initial encounter for closed fracture	A common primary diagnosis indicating a closed femoral shaft fracture appropriate for closed reduction such as `27500`.
`S72.302A`	Unspecified fracture of shaft of left femur, initial encounter for closed fracture	Left-sided counterpart for a closed femoral shaft fracture treated with closed reduction.
`S72.321A`	Displaced fracture of shaft of right femur, initial encounter for closed fracture	Specifies a displaced shaft fracture where closed reduction and fixation are often required.
`S72.322A`	Displaced fracture of shaft of left femur, initial encounter for closed fracture	Left-sided displaced shaft fracture commonly managed with closed reduction and fixation.
`S72.331A`	Comminuted fracture of shaft of right femur, initial encounter for closed fracture	Comminuted fractures may be more complex but can still undergo closed reduction and intramedullary fixation.
`S72.332A`	Comminuted fracture of shaft of left femur, initial encounter for closed fracture	Left-sided comminuted shaft fracture relevant to `27500` when closed methods suffice.
`S72.391A`	Other fracture of shaft of right femur, initial encounter for closed fracture	Additional fracture types of the femoral shaft that are treated with closed reduction during initial encounter.
`S72.392A`	Other fracture of shaft of left femur, initial encounter for closed fracture	Left-sided variant for other femoral shaft fracture patterns managed with closed reduction.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`27447`	Open treatment of femoral fracture, proximal or distal, with internal fixation, with or without bone graft	Used when an open approach is required instead of closed reduction; may be an alternative or subsequent procedure if closed reduction fails.
`27506`	Open treatment of femoral shaft fracture, with or without internal fixation, with or without external fixation; proximal two-thirds	Represents open fixation of the femoral shaft when `27500` (closed reduction) is not adequate.
`20680`	Removal of implant; deep (e.g., buried wire, pin, screw, metal band, nail, rod or plate)	Performed later in the clinical course when removal of intramedullary nail or hardware placed after closed reduction is indicated.
`77002`	Fluoroscopic guidance for needle placement (not a perfect match but represents intraoperative fluoroscopy)	Intraoperative fluoroscopy is commonly used to confirm closed reduction and guide implant placement during `27500`.
`99024`	Postoperative follow-up visit, typically global period visit	Represents postoperative evaluation and management in the global period after surgical fixation associated with the closed reduction procedure.

CPT 27501: Closed Reduction of Supracondylar Femur Fracture

CPT-27502-CLOSED-REDUCTION-FEMORAL-SHAFT-FRACTURE-MANIPULATION

CPT 27502: Closed Reduction of Femoral Shaft Fracture

CPT-27503-CLOSED-REDUCTION-SUPRACONDYLAR-FEMUR-FRACTURE

CPT 27503: Closed Reduction of Supracondylar Femur Fracture

CPT-27506-OPEN-REDUCTION-FEMORAL-SHAFT-INTRAMEDULLARY-FIXATION

CPT 27506: Open Reduction of Femoral Shaft Fracture with Intramedullary Fixation

CPT-27507-OPEN-REDUCTION-FEMORAL-SHAFT-PLATE-SCREW-FIXATION

CPT 27507: Open Reduction, Femoral Shaft Fracture with Plate or Screw Fixation

CPT-27508-CLOSED-REDUCTION-DISTAL-FEMUR-CONDYLAR-FRACTURE

CPT 27508: Closed Reduction of Distal Femur Condylar Fracture

CPT-27509-PERCUTANEOUS-FEMORAL-CONDYLAR-FRACTURE-FIXATION

CPT 27509: Percutaneous Fixation of Femoral Condylar Fracture

CPT-27510-CLOSED-REDUCTION-DISTAL-FEMUR-CONDYLAR-FRACTURE

CPT 27510: Closed Reduction of Distal Femur Condylar Fracture

CPT-27511-SUPRACONDYLAR-FEMUR-FRACTURE-OPEN-REDUCTION-INTERNAL-FIXATION

CPT 27511: Supracondylar Femur Fracture Open Reduction with Fixation

CPT-27513-DISTAL-FEMUR-INTERCONDYLAR-FRACTURE-OPEN-REDUCTION

CPT 27513: Open Reduction, Distal Femur Intercondylar Fracture

Showing 1–10 of 30

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work or time substantially exceeds the usual for `27500` due to complexity or extensive additional work.
`23`	Unusual anesthesia	Use if general anesthesia is required for an otherwise minor procedure in a patient with unusual circumstances that increase anesthesia needs.
`26`	Professional component	Use if reporting only the surgeon's professional component separate from facility technical component (rare for `27500`).
`50`	Bilateral procedure	Use if bilateral femoral shaft fractures are reduced in the same operative session.
`51`	Multiple procedures	Use when `27500` is performed with additional distinct procedures during the same session.
`52`	Reduced services	Use if the procedure is intentionally partially reduced or not completed as normally described.
`53`	Discontinued procedure	Use when the procedure is started but then terminated due to extenuating circumstances.
`62`	Two surgeons	Use when two surgeons work together as primary surgeons for a single encounter for `27500`.
`66`	Surgical team approach	Use when a surgical team approach is documented for complex fracture care beyond a single surgeon.
`80`	Assistant surgeon	Use when an assistant-at-surgery is documented and necessary for the reduction and fixation steps.
`81`	Minimum assistant surgeon	Use when a minimum assistant (per payer definition) assists rather than a professional assistant.
`82`	Assistant (when qualified resident not available)	Use when an assistant surgeon is used because a qualified resident is not available.
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist	Use if a qualified non-physician practitioner performs portions of the service under appropriate rules.
`LT`	Left side	Use to identify the left femur when laterality is required by payer adjudication.
`RT`	Right side	Use to identify the right femur when laterality is required by payer adjudication.

Taxonomy Code	Specialty	Notes
208D00000X	Orthopaedic Surgery	Primary specialty performing femoral shaft fracture reductions and fixation.
207R00000X	Emergency Medicine	Initial evaluation and stabilization prior to operative management.
208800000X	General Surgery	May be involved in trauma centers for operative fracture management when orthopedics not available.
221H00000X	Anesthesiology	Provides general or regional anesthesia for operative reduction and fixation.
261QM0800X	Physical Therapy	Provides inpatient and outpatient rehabilitation following operative fixation.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`S72.301A`	Unspecified fracture of shaft of right femur, initial encounter for closed fracture	A common primary diagnosis indicating a closed femoral shaft fracture appropriate for closed reduction such as `27500`.
`S72.302A`	Unspecified fracture of shaft of left femur, initial encounter for closed fracture	Left-sided counterpart for a closed femoral shaft fracture treated with closed reduction.
`S72.321A`	Displaced fracture of shaft of right femur, initial encounter for closed fracture	Specifies a displaced shaft fracture where closed reduction and fixation are often required.
`S72.322A`	Displaced fracture of shaft of left femur, initial encounter for closed fracture	Left-sided displaced shaft fracture commonly managed with closed reduction and fixation.
`S72.331A`	Comminuted fracture of shaft of right femur, initial encounter for closed fracture	Comminuted fractures may be more complex but can still undergo closed reduction and intramedullary fixation.
`S72.332A`	Comminuted fracture of shaft of left femur, initial encounter for closed fracture	Left-sided comminuted shaft fracture relevant to `27500` when closed methods suffice.
`S72.391A`	Other fracture of shaft of right femur, initial encounter for closed fracture	Additional fracture types of the femoral shaft that are treated with closed reduction during initial encounter.
`S72.392A`	Other fracture of shaft of left femur, initial encounter for closed fracture	Left-sided variant for other femoral shaft fracture patterns managed with closed reduction.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`27447`	Open treatment of femoral fracture, proximal or distal, with internal fixation, with or without bone graft	Used when an open approach is required instead of closed reduction; may be an alternative or subsequent procedure if closed reduction fails.
`27506`	Open treatment of femoral shaft fracture, with or without internal fixation, with or without external fixation; proximal two-thirds	Represents open fixation of the femoral shaft when `27500` (closed reduction) is not adequate.
`20680`	Removal of implant; deep (e.g., buried wire, pin, screw, metal band, nail, rod or plate)	Performed later in the clinical course when removal of intramedullary nail or hardware placed after closed reduction is indicated.
`77002`	Fluoroscopic guidance for needle placement (not a perfect match but represents intraoperative fluoroscopy)	Intraoperative fluoroscopy is commonly used to confirm closed reduction and guide implant placement during `27500`.
`99024`	Postoperative follow-up visit, typically global period visit	Represents postoperative evaluation and management in the global period after surgical fixation associated with the closed reduction procedure.

CPT 27501: Closed Reduction of Supracondylar Femur Fracture

CPT-27502-CLOSED-REDUCTION-FEMORAL-SHAFT-FRACTURE-MANIPULATION

CPT 27502: Closed Reduction of Femoral Shaft Fracture

CPT-27503-CLOSED-REDUCTION-SUPRACONDYLAR-FEMUR-FRACTURE

CPT 27503: Closed Reduction of Supracondylar Femur Fracture

CPT-27506-OPEN-REDUCTION-FEMORAL-SHAFT-INTRAMEDULLARY-FIXATION

CPT 27506: Open Reduction of Femoral Shaft Fracture with Intramedullary Fixation

CPT-27507-OPEN-REDUCTION-FEMORAL-SHAFT-PLATE-SCREW-FIXATION

CPT 27507: Open Reduction, Femoral Shaft Fracture with Plate or Screw Fixation

CPT-27508-CLOSED-REDUCTION-DISTAL-FEMUR-CONDYLAR-FRACTURE

CPT 27508: Closed Reduction of Distal Femur Condylar Fracture

CPT-27509-PERCUTANEOUS-FEMORAL-CONDYLAR-FRACTURE-FIXATION

CPT 27509: Percutaneous Fixation of Femoral Condylar Fracture

CPT-27510-CLOSED-REDUCTION-DISTAL-FEMUR-CONDYLAR-FRACTURE

CPT 27510: Closed Reduction of Distal Femur Condylar Fracture

CPT-27511-SUPRACONDYLAR-FEMUR-FRACTURE-OPEN-REDUCTION-INTERNAL-FIXATION

CPT 27511: Supracondylar Femur Fracture Open Reduction with Fixation

CPT-27513-DISTAL-FEMUR-INTERCONDYLAR-FRACTURE-OPEN-REDUCTION

CPT 27513: Open Reduction, Distal Femur Intercondylar Fracture

Showing 1–10 of 30

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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CPT 27500: Femoral Shaft Fracture Reduction

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Billing Code Overview

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

CPT 27500: Femoral Shaft Fracture Reduction

Sign up for cpt 27500 policy alerts

Billing Code Overview

CPT 27500: Femoral Shaft Fracture Reduction

Sign up for cpt 27500 policy alerts

Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

What does CPT 27500 represent and where is this procedure typically performed?

Which CPT modifiers are commonly used with 27500 and when should they be applied?

What related CPT codes should be considered when coding around a femoral shaft closed reduction?

Which ICD-10 diagnosis codes are typically paired with CPT 27500?

Which provider specialties and taxonomy codes are associated with performing or supporting CPT 27500?

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

What does CPT 27500 represent and where is this procedure typically performed?

Which CPT modifiers are commonly used with 27500 and when should they be applied?

What related CPT codes should be considered when coding around a femoral shaft closed reduction?

Which ICD-10 diagnosis codes are typically paired with CPT 27500?

Which provider specialties and taxonomy codes are associated with performing or supporting CPT 27500?

References