CPT code 27284: Hip fusion2026 Medicare rate & RVUs in Nebraska

Hip joint fusion stabilizes a severely painful, damaged hip when the operative plan calls for eliminating joint motion rather than replacing it.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Nebraska, Medicare pays $1,294.00 for 27284 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,294.00Hospital or facility

Check a contract rate as a % of Medicare · 27284 nationwide

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

We’ll open 27284 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nebraska
  2. What 27284 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 27284 covers

An orthopedic surgeon fuses the femoral head and pelvis to eliminate motion at the hip. The operation involves preparing the joint surfaces and stabilizing the bones with fixation; the surgeon may use bone graft as part of the operative plan. Hip fusion is an uncommon salvage choice for severe hip disease when preserving or replacing the joint is not the selected approach, and it is generally performed in a hospital operating room.

Report 27284 for hip arthrodesis without the subtrochanteric osteotomy that distinguishes 27286. The operative report should establish the hip joint fused, laterality, and the procedure performed. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 pays bilateral procedures 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.

How Nebraska compares for 27284

Across 109 of 109 payment localities, the facility rate for 27284 runs from $1,289.15 in Arkansas to $1,795.45 in Alaska. Nebraska pays $1,294.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

27284 in Nebraska vs other payment areas
  1. Nebraska · this page$1,294.00
  2. Los Angeles, CA · California$1,493.23+$199.23
  3. Washington, DC area · District of Columbia$1,579.44+$285.44
  4. Miami, FL · Florida$1,719.61+$425.61
  5. Chicago, IL · Illinois$1,668.67+$374.67
  6. Manhattan, NY · New York$1,662.44+$368.44
  7. Alaska · Alaska$1,795.45+$501.45

Other areas in Nebraska first, then benchmark localities. Bars start at $0.

Every other payment area

27284 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,305.14
ArkansasArkansas—$1,289.15
ArizonaArizona—$1,397.42
Bakersfield, CACalifornia—$1,426.87
Chico, CACalifornia—$1,412.58
El Centro, CACalifornia—$1,413.45
Fresno, CACalifornia—$1,412.58
Hanford, CACalifornia—$1,412.58

27284 rates by state

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

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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
27284 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 27284 in every payment locality

How the 27284 rate is calculated

Each of 27284’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 · 27284

RVUs × geographic indexes × conversion factor

Office or facility?

Work24.43

24.43 RVUs× 1.000 GPCI

Practice expense13.38

13.38 RVUs× 1.000 GPCI

Malpractice5.19

5.19 RVUs× 1.000 GPCI

Adjusted RVUs

43.0000

Conversion factor

$33.4009

Medicare rate

$1,436.24

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Nebraska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,823

Code
27284
Physician work
24.43
Practice expense
13.38
Malpractice
5.19

GPCI2026.csv

72

Locality
Nebraska
Physician work
1.000
Practice expense
0.923
Malpractice
0.378
Facility calculation for 27284 in Nebraska
ComponentRVULocality factorAdjusted
Physician work24.43× 1.00024.4300
Practice expense13.38× 0.92312.3497
Malpractice5.19× 0.3781.9618
Total RVUs38.7416
Conversion factor× 33.4009

Facility rate, Nebraska$1294.00

Facility: (24.43 × 1 + 13.38 × 0.923 + 5.19 × 0.378) × $33.4009 = $1294.00

Open 27284 in the RVU calculator

Payment rules and modifiers for 27284

27284 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27284

Hip fusion

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27284

Hip fusion

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27284 without 50 · national facility

$1,436.24

Hip fusion

27284-50 · Bilateral: 150%

$2,154.36

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).

When to use modifier 50

How 27284 has changed in Nebraska

27284 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,294.00RVU26D
2026-07-01Not available in this setting$1,294.00RVU26C
2026-04-01Not available in this setting$1,294.00RVU26B
2026-01-01Not available in this setting$1,294.00RVU26A
2025-10-01Not available in this setting$1,403.46RVU25D
2025-07-01Not available in this setting$1,403.46RVU25C
2025-04-01Not available in this setting$1,403.46RVU25B
2025-01-01Not available in this setting$1,403.46RVU25A
2024-10-01Not available in this setting$1,431.87RVU24D
2024-07-01Not available in this setting$1,431.87RVU24C
2024-04-01Not available in this setting$1,431.87RVU24B
2024-03-09Not available in this setting$1,431.87RVU24AR
2024-01-01Not available in this setting$1,408.50RVU24A
2023-10-01Not available in this setting$1,443.70RVU23D
2023-07-01Not available in this setting$1,443.70RVU23C
2023-04-01Not available in this setting$1,443.70RVU23B
2023-01-01Not available in this setting$1,443.70RVU23A
2022-10-01Not available in this setting$1,450.68RVU22D
2022-07-01Not available in this setting$1,450.68RVU22C
2022-04-01Not available in this setting$1,450.68RVU22B
2022-01-01Not available in this setting$1,450.68RVU22A
2021-10-01Not available in this setting$1,461.87RVU21D
2021-07-01Not available in this setting$1,461.87RVU21C
2021-04-01Not available in this setting$1,461.87RVU21B
2021-01-01Not available in this setting$1,461.87RVU21A
2020-10-01Not available in this setting$1,498.56RVU20D
2020-07-01Not available in this setting$1,498.56RVU20C
2020-04-01Not available in this setting$1,498.56RVU20B
2020-01-01Not available in this setting$1,498.56RVU20A
2019-10-01Not available in this setting$1,505.26RVU19D
2019-07-01Not available in this setting$1,505.26RVU19C
2019-04-01Not available in this setting$1,495.51RVU19B
2019-01-01Not available in this setting$1,495.51RVU19A
2018-10-01Not available in this setting$1,506.96RVU18D
2018-07-01Not available in this setting$1,506.96RVU18C
2018-04-01Not available in this setting$1,506.96RVU18B
2018-01-01Not available in this setting$1,506.96RVU18AR1
2017-10-01Not available in this setting$1,415.21RVU17D
2017-07-01Not available in this setting$1,415.21RVU17C
2017-04-01Not available in this setting$1,415.21RVU17B
2017-01-01Not available in this setting$1,415.21RVU17A
2016-10-01Not available in this setting$1,454.41RVU16D
2016-07-01Not available in this setting$1,454.41RVU16C
2016-04-01Not available in this setting$1,454.41RVU16B
2016-01-01Not available in this setting$1,454.41RVU16A
2015-10-01Not available in this setting$1,421.13RVU15D
2015-07-01Not available in this setting$1,421.13RVU15C
2015-04-01Not available in this setting$1,414.06RVU15B
2015-01-01Not available in this setting$1,414.06RVU15A
2014-10-01Not available in this setting$1,492.81RVU14D
2014-07-01Not available in this setting$1,492.81RVU14C
2014-04-01Not available in this setting$1,492.81RVU14B
2014-01-01Not available in this setting$1,492.81RVU14A
2013-10-01Not available in this setting$1,454.93RVU13D
2013-07-01Not available in this setting$1,454.93RVU13C
2013-04-01Not available in this setting$1,454.93RVU13B
2013-01-01Not available in this setting$1,454.93RVU13AR

Price 27284 for an earlier date of service

Where the Nebraska rate applies

Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.

  • Abie
  • Adams
  • Agnew
  • Ainsworth
  • Albion
  • Alda
  • Alexandria
  • Allen

Browse all communities in Nebraska

27284 billing questions

How do I choose between 27284 and 27286?

Use 27284 for hip arthrodesis without a subtrochanteric osteotomy. When the surgeon performs that osteotomy with the fusion, consider 27286.

Does 27284 describe a hip replacement?

No. It represents fusion of the hip joint, which eliminates motion; hip replacement is a different operation.

What documentation supports 27284?

The operative report should identify the hip joint fused, the side, and the fusion procedure. It should also clarify whether a subtrochanteric osteotomy was performed.

How is bilateral hip arthrodesis reported?

Report the bilateral procedure with modifier 50. CMS pays bilateral procedures at 150%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. 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
RVUs for 27284PPRRVU2026_Oct_nonQPP.csv, line 2,823 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)

Open CMS sourceHow we calculate rates

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