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

CPT code 27507 denotes open reduction and internal fixation of a femoral shaft fracture using plates or screws, with or without cerclage. This operative orthopaedic procedure is a cornerstone intervention for displaced or unstable femoral shaft and proximal femur fractures where an open approach is required to restore anatomic alignment and achieve stable fixation for bone healing. Nationally, proper coding and documentation for 27507 affect hospital and surgeon billing, resource allocation in trauma care, and quality measurement for orthopaedic outcomes.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will gain a concise clinical and billing context for 27507, including typical sites of service, common clinical indications, and how this code relates to adjacent femur fracture procedure codes. The publication summarizes benchmarking and policy-relevant points such as expected care settings and the role of 27507 in orthopaedic trauma workflows. It also highlights related procedure codes for femoral fracture management to help clinicians and coding professionals identify appropriate code selection in operative scenarios. This summary is intended for a national audience of clinicians, coders, and payers seeking a clear operational view of CPT code 27507.

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Billing Code Overview

CPT code 27507 describes open reduction of a femoral shaft fracture with internal fixation using plates or screws, with or without cerclage. The procedure is performed to restore alignment and stabilize the femoral shaft to promote proper bone healing.

Service Type: Surgical — Open fracture fixation (orthopaedic trauma/operative procedure)

Typical Site of Service: Inpatient hospital operating room or ambulatory surgical center (orthopaedic surgery setting)

National Reimbursement Benchmarks

Commercial averages sit well above Medicare: BUCA’s mean commercial rate is $2,310 versus Medicare’s mean of $896.8, a gap of $1,413.20 that highlights a sizable premium for commercial reimbursement relative to the federal program. Blue Cross Blue Shield and UnitedHealth Group also show notably higher means ($3,036.20 and $1,733.00 respectively), while Aetna and Cigna are closer to Medicare but still above it on average.

Dispersion (P75 minus P25) varies materially by payer. Blue Cross Blue Shield has the widest interquartile spread at $2,560.70 (P75 $3,929.70 minus P25 $1,369.00), indicating greater variability, followed by UnitedHealth Group at $1,038.30 and BUCA at $1,889.90. Aetna and Cigna are comparatively tighter markets with spreads of $841.40 and $1,099.80 respectively, suggesting more concentrated commercial pricing bands.

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

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Get alerted when payer policies referencing 27507 are released or updated.

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Billing Code Overview

Service Type: Surgical — Open fracture fixation (orthopaedic trauma/operative procedure)

Typical Site of Service: Inpatient hospital operating room or ambulatory surgical center (orthopaedic surgery setting)

National Reimbursement Benchmarks

National Payer Mean Reimbursement Rates

Clinical & Coding Specifications

Clinical Context

A 72-year-old male presents to the emergency department after a ground-level fall with acute right thigh pain, inability to ambulate, and shortening of the right lower extremity. Radiographs and CT confirm a displaced femoral neck/shaft fracture pattern of the right femur consistent with an acute traumatic fracture (S72.031A / related femoral shaft fracture). The patient has controlled hypertension and type 2 diabetes and is evaluated preoperatively by the orthopedic trauma team. After medical optimization and informed consent, the patient is taken to the operating room for open reduction and internal fixation of the femoral shaft fracture using plates and screws with or without cerclage to restore alignment and stability.

The typical clinical workflow includes:

Emergency evaluation, imaging, and stabilization.
Preoperative clearance and anesthesia evaluation.
Operative open reduction of the femoral shaft fracture with application of plate(s) and screw fixation, +/- cerclage wires (CPT 27507).
Postoperative imaging to confirm hardware position and alignment.
Immediate postoperative inpatient recovery with pain control, thromboprophylaxis, and early mobilization per weight-bearing status.
Follow-up outpatient visits with radiographic monitoring until union and functional recovery are achieved.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work, time, or intensity is substantially greater than typical for `CPT` `27507` and supported in documentation.
`24`	Unrelated evaluation and management service by the same physician during a postoperative period	Data not available in the input.
`50`	Bilateral procedure	Use when identical open fixation is performed on both femurs during the same operative session.
`51`	Multiple procedures	Use when `CPT` `27507` is performed in the same session with other distinct procedures; sequence per payer rules.
`52`	Reduced services	Use when the procedure is intentionally partially reduced or not completed, with documentation.
`53`	Discontinued procedure	Use when the procedure is terminated due to extenuating circumstances after anesthesia has begun.
`58`	Staged or related procedure/service by the same physician during the postoperative period	Use when `CPT` `27507` is planned as the first of staged procedures.
`62`	Two surgeons	Use when two surgeons of different specialties work together as primary surgeons during the open fixation.
`76`	Repeat procedure by same physician	Data not available in the input.
`78`	Unplanned return to the operating room for a related procedure during the postoperative period	Use when a return to OR for fixation revision or complication management is required.
`79`	Unrelated procedure or service by the same physician during the postoperative period	Use when an unrelated surgical procedure is performed during the global period.
`AS`	Ambulatory surgery center facility service	Use when the procedure is performed in an ASC setting and payer requires the modifier.
`LT`	Left side	Use to identify laterality when the procedure is performed on the left femur.
`RT`	Right side	Use to identify laterality when the procedure is performed on the right femur.

Taxonomy Code	Specialty	Notes
`207X00000X`	Orthopaedic Surgery Physician	Primary specialty performing open femoral fixation procedures.
`207XS0117X`	Orthopaedic Trauma Physician	Subspecialist for complex fracture care and trauma operative management.
`207XX0801X`	Orthopaedic Surgery of the Spine Physician	Included in input; may be listed when an orthopaedic spine surgeon is credentialed but not typically primary for femoral shaft fixation.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`S72.001A`	Fracture of unspecified part of neck of right femur, initial encounter for closed fracture	Right femoral neck/shaft pathology that may require operative fixation with plates/screws depending on fracture extension and stability.
`S72.002A`	Fracture of unspecified part of neck of left femur, initial encounter for closed fracture	Left-sided counterpart; indicates location and encounter type relevant to coding `CPT` `27507` when left femur fixation is performed.
`S72.031A`	Displaced fracture of base of neck of right femur, initial encounter for closed fracture	Displaced fracture requiring surgical reduction and fixation to restore alignment and promote healing; often coded with open reduction procedures.
`S72.032A`	Displaced fracture of base of neck of left femur, initial encounter for closed fracture	Left-sided displaced fracture of the femoral neck/base with similar operative indications.
`M84.451A`	Pathological fracture in neoplastic disease, right femur, initial encounter	Pathologic fractures may necessitate open fixation with plates/screws to stabilize structurally compromised bone and allow oncologic management.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`27506`	Open treatment of femoral shaft fracture with insertion of intramedullary fixation, with or without external fixation.	Alternative open surgical technique for femoral shaft fractures; may be selected instead of plate fixation depending on fracture pattern and surgeon preference.
`27508`	Closed treatment of distal end femoral fracture involving medial or lateral condyle, without manipulation.	Represents a different anatomical femur region and treatment approach; may appear in differential coding when distal femoral fractures are present or concurrent.

CPT 27500: Femoral Shaft Fracture Reduction

CPT-27501-CLOSED-REDUCTION-SUPRACONDYLAR-FEMUR-FRACTURE

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-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

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

The typical clinical workflow includes:

Emergency evaluation, imaging, and stabilization.
Preoperative clearance and anesthesia evaluation.
Operative open reduction of the femoral shaft fracture with application of plate(s) and screw fixation, +/- cerclage wires (CPT 27507).
Postoperative imaging to confirm hardware position and alignment.
Immediate postoperative inpatient recovery with pain control, thromboprophylaxis, and early mobilization per weight-bearing status.
Follow-up outpatient visits with radiographic monitoring until union and functional recovery are achieved.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work, time, or intensity is substantially greater than typical for `CPT` `27507` and supported in documentation.
`24`	Unrelated evaluation and management service by the same physician during a postoperative period	Data not available in the input.
`50`	Bilateral procedure	Use when identical open fixation is performed on both femurs during the same operative session.
`51`	Multiple procedures	Use when `CPT` `27507` is performed in the same session with other distinct procedures; sequence per payer rules.
`52`	Reduced services	Use when the procedure is intentionally partially reduced or not completed, with documentation.
`53`	Discontinued procedure	Use when the procedure is terminated due to extenuating circumstances after anesthesia has begun.
`58`	Staged or related procedure/service by the same physician during the postoperative period	Use when `CPT` `27507` is planned as the first of staged procedures.
`62`	Two surgeons	Use when two surgeons of different specialties work together as primary surgeons during the open fixation.
`76`	Repeat procedure by same physician	Data not available in the input.
`78`	Unplanned return to the operating room for a related procedure during the postoperative period	Use when a return to OR for fixation revision or complication management is required.
`79`	Unrelated procedure or service by the same physician during the postoperative period	Use when an unrelated surgical procedure is performed during the global period.
`AS`	Ambulatory surgery center facility service	Use when the procedure is performed in an ASC setting and payer requires the modifier.
`LT`	Left side	Use to identify laterality when the procedure is performed on the left femur.
`RT`	Right side	Use to identify laterality when the procedure is performed on the right femur.

Taxonomy Code	Specialty	Notes
`207X00000X`	Orthopaedic Surgery Physician	Primary specialty performing open femoral fixation procedures.
`207XS0117X`	Orthopaedic Trauma Physician	Subspecialist for complex fracture care and trauma operative management.
`207XX0801X`	Orthopaedic Surgery of the Spine Physician	Included in input; may be listed when an orthopaedic spine surgeon is credentialed but not typically primary for femoral shaft fixation.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`S72.001A`	Fracture of unspecified part of neck of right femur, initial encounter for closed fracture	Right femoral neck/shaft pathology that may require operative fixation with plates/screws depending on fracture extension and stability.
`S72.002A`	Fracture of unspecified part of neck of left femur, initial encounter for closed fracture	Left-sided counterpart; indicates location and encounter type relevant to coding `CPT` `27507` when left femur fixation is performed.
`S72.031A`	Displaced fracture of base of neck of right femur, initial encounter for closed fracture	Displaced fracture requiring surgical reduction and fixation to restore alignment and promote healing; often coded with open reduction procedures.
`S72.032A`	Displaced fracture of base of neck of left femur, initial encounter for closed fracture	Left-sided displaced fracture of the femoral neck/base with similar operative indications.
`M84.451A`	Pathological fracture in neoplastic disease, right femur, initial encounter	Pathologic fractures may necessitate open fixation with plates/screws to stabilize structurally compromised bone and allow oncologic management.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`27506`	Open treatment of femoral shaft fracture with insertion of intramedullary fixation, with or without external fixation.	Alternative open surgical technique for femoral shaft fractures; may be selected instead of plate fixation depending on fracture pattern and surgeon preference.
`27508`	Closed treatment of distal end femoral fracture involving medial or lateral condyle, without manipulation.	Represents a different anatomical femur region and treatment approach; may appear in differential coding when distal femoral fractures are present or concurrent.

CPT 27500: Femoral Shaft Fracture Reduction

CPT-27501-CLOSED-REDUCTION-SUPRACONDYLAR-FEMUR-FRACTURE

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-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

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

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Billing Code Overview

National Reimbursement Benchmarks

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

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Billing Code Overview

National Reimbursement Benchmarks

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