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Billing code 27036: Hip capsule surgeryMedicare rate & RVUs

Reports open release or excision of the hip joint capsule, typically to address capsular contracture or restricted motion, with or without heterotopic bone excision.

CMS RVU26DEffective Oct 1, 2026109 payment localities796 Medicare services in 2024

Medicare pays $942.91 for 27036 nationally in a facility.

Medicare rate · 27036

Hip capsule surgery

Swap in your local Medicare rate.

Work RVUs
14.02
Total RVUs
28.23
Global days
090

National rate · 2026

$942.91

Facility setting, before claim adjustments.

See every locality for 27036 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 27036 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 27036 covers

An orthopedic surgeon incises or removes part or all of the hip joint capsule to release restriction or address capsular pathology. The procedure may include excision of heterotopic bone. It is generally performed in an operating room when a hip condition requires operative treatment; the operative report should identify the capsule treated and describe the release or excision performed.

Select this code when the operative work is directed at the hip capsule, rather than at the joint lining, a loose body, or drainage of an infected joint. Document the indication, side, extent of capsular work, and any heterotopic bone excised. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with 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.

Where 27036 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

27036 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$852.93
Alaska*Unavailable$1,156.91
ArizonaUnavailable$916.98
ArkansasUnavailable$841.86
AtlantaUnavailable$970.26
AustinUnavailable$954.31
BakersfieldUnavailable$949.06
Baltimore/Surr. CntysUnavailable$1,001.32
BeaumontUnavailable$902.08
BrazoriaUnavailable$921.45

27036 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
27036 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 27036 rate is calculated

Each of 27036’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 · 27036

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 14.02Practice expense 11.24Malpractice 2.97

28.2300 adjusted RVUs×$33.4009 conversion factor=$942.91

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 27036

27036 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27036

Hip capsule surgery

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 · 27036

Hip capsule surgery

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

27036 without 50 · national facility

$942.91

Hip capsule surgery

27036-50 · Bilateral: 150%

$1,414.37

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

27036 compared with similar codes

Compare codes

27036 vs 27054 vs 27033 vs 27030: national Medicare rates

Swap in your local Medicare rate.

  • 27036
    Hip capsule surgery · 14.02 wRVU
    —
  • 27054
    Hip synovectomy · 8.98 wRVU
    —
  • 27033
    Hip arthrotomy · 13.76 wRVU
    —
  • 27030
    Hip drainage · 13.31 wRVU
    —

How to choose

27054Hip synovectomy
This code addresses the hip capsule. Use 27054 when the surgeon removes synovial tissue lining the hip joint.
27033Hip arthrotomy
This code describes capsular release or excision. Use 27033 when the operative objective is hip-joint exploration or removal of a loose or foreign body.
27030Hip drainage
This code addresses the hip capsule; 27030 is for hip arthrotomy with drainage.

Codes related to 27036

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

Codes related to 27036
CodeHow it relatesNational office range
Used instead
27054Hip synovectomySelect for operative removal of hip-joint synovium rather than release or excision of the capsule.No office rate
27033Hip arthrotomyApplies when the hip arthrotomy is for exploration or removal of a loose or foreign body.No office rate
27030Hip drainageApplies to hip arthrotomy for drainage rather than capsular release or excision.No office rate

27036 billing questions

When is this code preferable to hip synovectomy?

Use this code when the operative target is the hip capsule and the surgeon releases or excises it. Synovectomy is directed at the joint lining.

Does this code include excision of heterotopic bone?

Capsular surgery may include excision of heterotopic bone. The operative report should show the capsular work and describe any bone excised.

Can a separate loose-body removal code be reported?

Choose the code that reflects the documented operative target and work. This code describes capsular release or excision, while hip arthrotomy for loose-body removal describes a different objective.

How should bilateral hip surgery be reported?

Report bilateral surgery with modifier 50; CMS pays this procedure at 150%.

What postoperative care is included?

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

May an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are paid only with 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 27036PPRRVU2026_Oct_nonQPP.csv, line 2,719 (RVU26D)

Open CMS sourceHow we calculate rates

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