CPT code 27290: Hip amputation, through the hip joint2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $1,353.75 for 27290 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27290 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 27290 covers

This service involves removing the lower limb at the hip joint, rather than leaving a femoral segment below the hip. It may be performed when extensive tumor, severe infection, major trauma, or nonviable tissue makes preservation of the limb or a more distal amputation unsuitable. An orthopedic, orthopedic oncology, or other surgeon experienced in major limb amputation typically performs the operation in a hospital operating room.

Report the code when the operative record supports amputation at the hip; distinguish it from a thigh amputation that leaves part of the femur or a procedure that also resects pelvic bone. CMS assigns 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% multiple-procedure reduction. Modifier 50 is inappropriate for this code. 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 South Dakota compares for 27290

Across 109 of 109 payment localities, the facility rate for 27290 runs from $1,314.10 in Arkansas to $1,822.41 in Alaska. South Dakota pays $1,353.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27290 rates by state

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

See 27290 in every payment locality

How the 27290 rate is calculated

Each of 27290’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 27290

27290 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 51

Codes related to 27290

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

How 27290 has changed in South Dakota

Price 27290 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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