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CPT code 27299: Unlisted pelvis/hip procedure, carrier priced2026 Medicare rate & RVUs

Reports an operative pelvis or hip service when no named CPT procedure code describes the work performed and a more specific code does not fit.

CMS RVU26DEffective Oct 1, 2026109 payment localities4.6K Medicare services in 2024

Medicare rate · 27299

Unlisted pelvis/hip procedure, carrier priced

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
YYY

National rate · 2026

—

Not priced in the facility setting.

See every locality for 27299 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 27299 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 27299 covers

CPT 27299 is reported for an operative service involving the pelvis or hip when no specific CPT procedure code describes the work performed. A surgeon uses it for work in this anatomic area that is not represented by a named procedure code; it is not a substitute for a specific code that fits the operation. The operative report should identify the indication, site, approach, techniques, and work performed, and explain why a specific code does not describe it.

Medicare assigns status C: CMS publishes no national physician fee schedule payment, and the Medicare Administrative Contractor sets payment for each claim and determines the global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For a bilateral procedure reported with modifier 50, payment is at 150%.

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 27299 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

27299 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

27299 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
27299 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

How the 27299 rate is calculated

Each of 27299’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 · 27299

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

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

Payment rules and modifiers for 27299

The CMS indicators that decide how 27299 is paid alongside other services.

CMS payment indicators · 27299

Unlisted pelvis/hip procedure, carrier priced

RuleCMS valueWhat it means
Global periodYYYThe Medicare contractor sets the global period.
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)1Permitted with supporting documentation.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27299 without 50 · national facility

$0.00

Unlisted pelvis/hip procedure, carrier priced

27299-50 · Bilateral: 150%

$0.00

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

27299 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 27299

    Unlisted pelvis/hip procedure, carrier priced0 wRVU

    Not priced

  • 27284

    Hip fusion24.43 wRVU

    Not priced

  • 27278

    SI joint fusion, intra-articular implants7.66 wRVU

    $13,754.82

  • 27280

    SI joint fusion, open, grafted, instrumented19.5 wRVU

    Not priced

  • 27282

    Pubic fusion, symphysis pubis11.55 wRVU

    Not priced

How to choose

27284Hip fusion
This code describes hip joint arthrodesis. Use it when the documented operation is a hip fusion that fits that code, rather than an unlisted operation.
27278SI joint fusionIntra-articular implants
This code describes sacroiliac joint arthrodesis with an intra-articular device. It is specific to that procedure, not a general code for unlisted pelvis or hip surgery.
27280SI joint fusionOpen, grafted, instrumented
This code describes open sacroiliac joint arthrodesis with bone graft and instrumentation. Choose it when those features match the operation performed.
27282Pubic fusionSymphysis pubis
This code describes arthrodesis of the pubic symphysis. It applies to that specific fusion, not to other unlisted pelvic procedures.

Codes related to 27299

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

Codes related to 27299
CodeHow it relatesNational office range
Used instead
27284Hip fusionUse for hip joint arthrodesis when that specific procedure code fits the operation.No office rate
27278SI joint fusion, intra-articular implantsUse for sacroiliac joint arthrodesis with an intra-articular device when that code fits.$11,841.70–$19,723.79
27280SI joint fusion, open, grafted, instrumentedUse for open sacroiliac joint arthrodesis with bone graft and instrumentation when that code fits.No office rate
27282Pubic fusion, symphysis pubisUse for arthrodesis of the pubic symphysis when that specific procedure code fits.No office rate

27299 billing questions

When should I report this instead of a specific pelvis or hip code?

Use it when no specific CPT code describes the operation performed. For example, report a coded hip arthrodesis or sacroiliac joint fusion with its specific code when that code fits the procedure.

What documentation should accompany the claim?

The operative report should describe the indication, site, approach, techniques, and work performed. Explain why a specific code does not describe the operation.

Does modifier 50 apply to a bilateral procedure?

For a bilateral procedure reported with modifier 50, Medicare payment treatment is 150%.

How does Medicare price this code and set its global period?

The code has physician fee schedule status C, so CMS publishes no national payment and the Medicare Administrative Contractor sets payment for each claim. The contractor also determines the global period.

How are multiple procedures treated in the same session?

The highest-valued procedure is paid in full, and other procedures are paid at 50%.

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

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