# CPT 27538: Closed treatment of intercondylar fracture of femur

Medicare CPT 27538 pays $538.76 in a non-facility setting and $450.58 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $473.97 in Arkansas to $627.64 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/27538-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $538.76 |
| National facility | $450.58 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $627.64 | $533.73 |
| District of Columbia | $611.81 | $507.94 |
| New York | $598.38 | $500.01 |
| New Jersey | $592.76 | $493.47 |
| California | $590.38 | $486.04 |
| Washington | $583.78 | $483.26 |
| Massachusetts | $579.64 | $480.58 |
| Connecticut | $575.51 | $480.54 |
| Florida | $573.40 | $484.93 |
| Hawaii | $570.11 | $469.85 |
| Illinois | $560.19 | $474.99 |
| Maryland | $558.01 | $466.08 |
| Colorado | $554.60 | $460.78 |
| Rhode Island | $549.22 | $458.14 |
| Oregon | $548.36 | $455.46 |
| New Hampshire | $548.18 | $456.38 |
| Puerto Rico | $541.94 | $452.79 |
| Virgin Islands | $541.94 | $452.79 |
| Montana | $538.69 | $450.51 |
| Pennsylvania | $535.77 | $449.40 |
| Nevada | $533.18 | $444.92 |
| Michigan | $532.59 | $449.79 |
| Delaware | $531.96 | $444.84 |
| Texas | $531.92 | $445.10 |
| Georgia | $530.42 | $446.31 |
| Wyoming | $529.55 | $441.37 |
| Minnesota | $523.62 | $432.89 |
| Arizona | $523.19 | $437.75 |
| Virginia | $522.61 | $435.93 |
| Vermont | $517.89 | $430.59 |
| New Mexico | $517.85 | $436.99 |
| North Dakota | $517.73 | $429.55 |
| South Dakota | $515.25 | $427.07 |
| Utah | $514.88 | $432.00 |
| Louisiana | $511.04 | $430.54 |
| Maine | $510.51 | $426.25 |
| Missouri | $510.40 | $429.48 |
| West Virginia | $509.78 | $433.15 |
| Ohio | $509.66 | $429.15 |
| South Carolina | $507.78 | $426.31 |
| North Carolina | $503.35 | $421.08 |
| Wisconsin | $500.07 | $415.60 |
| Kentucky | $498.26 | $419.87 |
| Indiana | $495.91 | $414.17 |
| Oklahoma | $494.73 | $415.99 |
| Idaho | $493.08 | $411.96 |
| Tennessee | $491.63 | $411.48 |
| Nebraska | $490.73 | $409.34 |
| Kansas | $488.78 | $409.06 |
| Iowa | $488.70 | $408.02 |
| Mississippi | $482.58 | $406.66 |
| Alabama | $481.18 | $404.02 |
| Arkansas | $473.97 | $398.23 |

## Related codes

- 20100: Exploration of penetrating wound, neck — https://www.med-reveal.com/rates/20100-cpt-fee-schedule
- 20103: Exploration of penetrating wound, extremity — https://www.med-reveal.com/rates/20103-cpt-fee-schedule
- 20200: Biopsy, muscle, superficial — https://www.med-reveal.com/rates/20200-cpt-fee-schedule
- 20220: Biopsy, bone, trocar or needle, superficial — https://www.med-reveal.com/rates/20220-cpt-fee-schedule
- 20245: Biopsy, bone, open, deep — https://www.med-reveal.com/rates/20245-cpt-fee-schedule
- 20500: Injection of sinus tract — https://www.med-reveal.com/rates/20500-cpt-fee-schedule
- 20526: Injection, carpal tunnel — https://www.med-reveal.com/rates/20526-cpt-fee-schedule
- 20550: Injection, single tendon sheath or ligament — https://www.med-reveal.com/rates/20550-cpt-fee-schedule

Commercial negotiated rates for 27538 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules