CPT code 27299: Unlisted pelvis/hip procedure, carrier priced2026 Medicare rate & RVUs in Missouri
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 doesn’t publish an office rate for 27299 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | YYY | The Medicare contractor sets the global period. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 1 | Permitted with supporting documentation. |
| Professional/technical | 0 | Physician 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).
27299 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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
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