CPT code 27125: Hip replacement, partial femoral replacement2026 Medicare rate & RVUs in Puerto Rico
Reports partial hip arthroplasty replacing the femoral head while retaining the natural acetabulum, commonly for selected hip conditions requiring prosthetic replacement.
In Puerto Rico, Medicare pays $1,038.22 for 27125 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 27125 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 27125 covers
The surgeon replaces the femoral head with a prosthesis while leaving the patient’s acetabulum in place. This partial arthroplasty, also called hemiarthroplasty, is commonly performed by an orthopedic surgeon in a hospital or other surgical facility. The operative report should make clear that the acetabulum was retained and describe the implanted femoral prosthesis and the condition prompting surgery.
Report this code when the procedure is a partial replacement, rather than a total hip arthroplasty that also replaces the acetabular surface. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral surgery reported with modifier 50, payment is 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Puerto Rico compares for 27125
Across 109 of 109 payment localities, the facility rate for 27125 runs from $926.70 in Arkansas to $1,279.87 in Alaska. Puerto Rico pays $1,038.22. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$1,038.22
- Los Angeles, CA · California$1,088.92+$50.70
- Washington, DC area · District of Columbia$1,145.50+$107.28
- Miami, FL · Florida$1,226.49+$188.27
- Chicago, IL · Illinois$1,189.81+$151.59
- Manhattan, NY · New York$1,199.04+$160.82
- Alaska · Alaska$1,279.87+$241.65
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $938.61 |
| ArkansasArkansas | — | $926.70 |
| ArizonaArizona | — | $1,007.50 |
| Bakersfield, CACalifornia | — | $1,037.69 |
| Chico, CACalifornia | — | $1,028.24 |
| El Centro, CACalifornia | — | $1,028.81 |
| Fresno, CACalifornia | — | $1,028.24 |
| Hanford, CACalifornia | — | $1,028.24 |
| Madera, CACalifornia | — | $1,028.24 |
| Merced, CACalifornia | — | $1,028.24 |
| Modesto, CACalifornia | — | $1,028.24 |
| Napa, CACalifornia | — | $1,134.19 |
| Oxnard, CACalifornia | — | $1,076.80 |
| Redding, CACalifornia | — | $1,028.24 |
| Rest of CaliforniaCalifornia | — | $1,028.24 |
| Riverside, CACalifornia | — | $1,065.10 |
| Sacramento, CACalifornia | — | $1,063.95 |
| Salinas, CACalifornia | — | $1,059.73 |
| San Diego, CACalifornia | — | $1,073.91 |
| Marin County, CACalifornia | — | $1,180.82 |
| San Francisco, CACalifornia | — | $1,176.92 |
| San Benito County, CACalifornia | — | $1,209.91 |
| Santa Clara County, CACalifornia | — | $1,193.98 |
| San Luis Obispo, CACalifornia | — | $1,044.56 |
| Santa Cruz, CACalifornia | — | $1,075.56 |
| Santa Maria, CACalifornia | — | $1,060.76 |
| Santa Rosa, CACalifornia | — | $1,085.37 |
| Stockton, CACalifornia | — | $1,028.24 |
| Vallejo, CACalifornia | — | $1,128.57 |
| Visalia, CACalifornia | — | $1,028.24 |
| Yuba City, CACalifornia | — | $1,028.24 |
| ColoradoColorado | — | $1,041.46 |
| ConnecticutConnecticut | — | $1,099.87 |
| DelawareDelaware | — | $1,022.35 |
| Fort Lauderdale, FLFlorida | — | $1,133.26 |
| Rest of FloridaFlorida | — | $1,076.69 |
| Atlanta, GAGeorgia | — | $1,066.49 |
| Rest of GeorgiaGeorgia | — | $1,016.78 |
| Hawaii, Guam, HIHawaii | — | $1,039.51 |
| IowaIowa | — | $934.43 |
| IdahoIdaho | — | $945.03 |
| East St. Louis, ILIllinois | — | $1,121.58 |
| Rest of IllinoisIllinois | — | $1,067.25 |
| Suburban Chicago, ILIllinois | — | $1,138.24 |
| IndianaIndiana | — | $949.18 |
| KansasKansas | — | $942.51 |
| KentuckyKentucky | — | $983.91 |
| New Orleans, LALouisiana | — | $1,028.96 |
| Rest of LouisianaLouisiana | — | $987.32 |
| Metropolitan Boston, MAMassachusetts | — | $1,118.98 |
| Rest of MassachusettsMassachusetts | — | $1,041.28 |
| Baltimore area, MDMaryland | — | $1,099.28 |
| Rest of MarylandMaryland | — | $1,036.34 |
| Rest of MaineMaine | — | $962.10 |
| Southern Maine, MEMaine | — | $990.07 |
| Detroit, MIMichigan | — | $1,101.07 |
| Rest of MichiganMichigan | — | $1,017.53 |
| MinnesotaMinnesota | — | $966.11 |
| Metropolitan Kansas City, MOMissouri | — | $1,009.98 |
| Metropolitan St. Louis, MOMissouri | — | $1,017.78 |
| Rest of MissouriMissouri | — | $980.42 |
| MississippiMississippi | — | $953.12 |
| MontanaMontana | — | $1,035.53 |
| North CarolinaNorth Carolina | — | $968.98 |
| North DakotaNorth Dakota | — | $967.71 |
| NebraskaNebraska | — | $935.29 |
| New HampshireNew Hampshire | — | $1,037.00 |
| Northern New JerseyNew Jersey | — | $1,138.39 |
| Rest of New JerseyNew Jersey | — | $1,103.45 |
| New MexicoNew Mexico | — | $1,027.30 |
| NevadaNevada | — | $1,017.01 |
| NYC suburbs and Long Island, NYNew York | — | $1,240.33 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,120.25 |
| Queens, NYNew York | — | $1,190.13 |
| Rest of New YorkNew York | — | $982.76 |
| OhioOhio | — | $1,003.67 |
| OklahomaOklahoma | — | $969.61 |
| Portland, OROregon | — | $1,057.22 |
| Rest of OregonOregon | — | $1,000.22 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,083.18 |
| Rest of PennsylvaniaPennsylvania | — | $998.35 |
| Rhode IslandRhode Island | — | $1,046.20 |
| South CarolinaSouth Carolina | — | $989.74 |
| South DakotaSouth Dakota | — | $959.69 |
| TennesseeTennessee | — | $948.19 |
| Austin, TXTexas | — | $1,045.79 |
| Beaumont, TXTexas | — | $993.48 |
| Brazoria, TXTexas | — | $1,011.48 |
| Dallas, TXTexas | — | $1,022.85 |
| Fort Worth, TXTexas | — | $1,020.55 |
| Galveston, TXTexas | — | $1,017.73 |
| Houston, TXTexas | — | $1,080.52 |
| Rest of TexasTexas | — | $1,005.30 |
| UtahUtah | — | $1,001.31 |
| VirginiaVirginia | — | $995.63 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,038.22 |
| VermontVermont | — | $975.37 |
| Rest of WashingtonWashington | — | $1,035.53 |
| King County, WAWashington | — | $1,128.02 |
| WisconsinWisconsin | — | $940.55 |
| West VirginiaWest Virginia | — | $1,035.43 |
| WyomingWyoming | — | $1,005.97 |
27125 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 27125 rate is calculated
Each of 27125’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 27125
RVUs × geographic indexes × conversion factor
Work16.22
16.22 RVUs× 1.000 GPCI
Practice expense11.36
11.36 RVUs× 1.000 GPCI
Malpractice3.43
3.43 RVUs× 1.000 GPCI
Adjusted RVUs
31.0100
Conversion factor
$33.4009
Medicare rate
$1,035.76
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,759
- Code
- 27125
- Physician work
- 16.22
- Practice expense
- 11.36
- Malpractice
- 3.43
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.22 | × 1.000 | 16.2200 |
| Practice expense | 11.36 | × 1.011 | 11.4850 |
| Malpractice | 3.43 | × 0.985 | 3.3786 |
| Total RVUs | 31.0835 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Puerto Rico$1038.22
Facility: (16.22 × 1 + 11.36 × 1.011 + 3.43 × 0.985) × $33.4009 = $1038.22
Payment rules and modifiers for 27125
27125 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27125
Hip replacement, partial femoral replacement
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27125
Hip replacement, partial femoral replacement
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27125 without 50 · national facility
$1,035.76
Hip replacement, partial femoral replacement
27125-50 · Bilateral: 150%
$1,553.64
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 27125 has changed in Puerto Rico
27125 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,038.22 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,038.22 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,038.22 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,038.22 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,114.33 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,114.33 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,114.33 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,114.33 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,137.34 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,137.34 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,137.34 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,137.34 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,118.78 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,150.08 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,148.10 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,148.10 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,148.10 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,162.77 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,162.77 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,162.77 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,162.77 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,166.52 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,166.52 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,166.52 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,166.52 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,183.14 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,183.14 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,183.14 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,183.14 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,180.86 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,180.86 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,180.86 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,180.86 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,179.58 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,179.58 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,179.58 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,179.58 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,064.22 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,064.22 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,064.22 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,064.22 | RVU17A |
| 2016-10-01 | Not available in this setting | $951.14 | RVU16D |
| 2016-07-01 | Not available in this setting | $951.14 | RVU16C |
| 2016-04-01 | Not available in this setting | $951.14 | RVU16B |
| 2016-01-01 | Not available in this setting | $951.14 | RVU16A |
| 2015-10-01 | Not available in this setting | $955.40 | RVU15D |
| 2015-07-01 | Not available in this setting | $955.40 | RVU15C |
| 2015-04-01 | Not available in this setting | $950.64 | RVU15B |
| 2015-01-01 | Not available in this setting | $950.64 | RVU15A |
| 2014-10-01 | Not available in this setting | $940.16 | RVU14D |
| 2014-07-01 | Not available in this setting | $940.16 | RVU14C |
| 2014-04-01 | Not available in this setting | $940.16 | RVU14B |
| 2014-01-01 | Not available in this setting | $940.16 | RVU14A |
| 2013-10-01 | Not available in this setting | $909.96 | RVU13D |
| 2013-07-01 | Not available in this setting | $909.96 | RVU13C |
| 2013-04-01 | Not available in this setting | $909.96 | RVU13B |
| 2013-01-01 | Not available in this setting | $909.96 | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
27125 billing questions
How does this differ from total hip arthroplasty?
This procedure replaces the femoral head and retains the natural acetabulum. Total hip arthroplasty replaces the acetabular surface as well.
What operative details support reporting this code?
The operative report should document partial replacement of the hip, identify the femoral prosthesis, and clarify that the acetabulum was retained.
What is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery paid?
When both hips are treated in the same session and the service is reported with modifier 50, CMS payment is 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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