CPT code 27147: Hip osteotomy, pelvic and femoral bones2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $1,328.72 for 27147 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27147 nationwide

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

What 27147 covers

This code describes a reconstructive operation combining an osteotomy of the iliac, acetabular, or innominate bone with a femoral osteotomy to improve hip alignment or joint coverage. Orthopedic surgeons most often perform it for significant structural deformity, including selected cases of developmental hip dysplasia. The operative report should identify the pelvic and femoral work performed and the side treated; the code represents the combined procedure rather than an isolated pelvic osteotomy.

Report it when both components are performed in the same operative session. Documentation should support the deformity being corrected, the specific bones and osteotomies, and laterality. It has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation. 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 27147

Across 109 of 109 payment localities, the facility rate for 27147 runs from $1,187.77 in Arkansas to $1,646.25 in Alaska. Puerto Rico pays $1,328.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27147 rates by state

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

See 27147 in every payment locality

How the 27147 rate is calculated

Each of 27147’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 27147

27147 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

Codes related to 27147

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

How 27147 has changed in Puerto Rico

Price 27147 for an earlier date of service

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

Browse all communities in Puerto Rico

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