CPT code 27132: Hip replacement, conversion after prior surgery2026 Medicare rate & RVUs

Medicare pays $1,504.04 for 27132 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 27132 covers

This code represents conversion of a hip altered by prior surgery to a total hip replacement. The surgeon replaces the joint’s femoral and acetabular sides; the history may include a prior partial hip replacement, hip fusion, or osteotomy. Orthopedic surgeons typically perform the operation in a hospital operating room, with the conversion work addressing the changed anatomy and any existing implant or fixation material as needed.

Select this code when the operation converts prior hip surgery to a total replacement; use the primary replacement code for a joint without that conversion history and revision codes when revising an existing total hip replacement. The operative report should identify the prior procedure and describe the conversion performed. CMS assigns 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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.

Where 27132 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

27132 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 27132 rate is calculated

Each of 27132’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.

Payment rules and modifiers for 27132

27132 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

27132 compared with similar codes

How to choose

27130Hip replacementTotal joint, primary procedure

27130 is for primary total hip replacement without conversion of prior hip surgery. Use 27132 when the operation converts a previously operated hip.

27125Hip replacementPartial femoral replacement

27125 describes partial hip replacement. Use 27132 when prior hip surgery is converted to a total replacement.

27134Hip revisionBoth components revised

27134 is for revision of an existing total hip replacement involving both components. Use 27132 when converting prior hip surgery to a total replacement.

Codes related to 27132

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates