FeeBase
Log inGet started
Menu

Billing code 27054: Hip synovectomyMedicare rate & RVUs

Report extensive open removal of diseased synovial tissue from the hip joint when the surgeon performs therapeutic synovectomy rather than biopsy alone.

CMS RVU26DEffective Oct 1, 2026109 payment localities938 Medicare services in 2024

Medicare pays $651.32 for 27054 nationally in a facility.

Medicare rate · 27054

Hip synovectomy

Swap in your local Medicare rate.

Work RVUs
8.98
Total RVUs
19.50
Global days
090

National rate · 2026

$651.32

Facility setting, before claim adjustments.

See every locality for 27054 → · 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 27054 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 27054 covers

This code represents extensive surgical removal of the synovial lining within the hip joint. An orthopedic surgeon may perform it to treat substantial diseased or inflamed synovium, including synovial proliferation that requires operative excision. The procedure is typically performed in a hospital or ambulatory surgical setting; the operative report should establish the hip joint as the site and describe the extent of synovial tissue removed.

Select this code when the service is extensive synovectomy, not a limited tissue sample for diagnosis or an operation directed at a loose body or the joint capsule. Documentation should identify the indication, operative approach, and work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; 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.

Where 27054 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

27054 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$587.68
Alaska*Unavailable$791.34
ArizonaUnavailable$633.22
ArkansasUnavailable$579.83
AtlantaUnavailable$669.64
AustinUnavailable$661.32
BakersfieldUnavailable$659.68
Baltimore/Surr. CntysUnavailable$692.23
BeaumontUnavailable$620.91
BrazoriaUnavailable$637.09

27054 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
27054 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 27054 rate is calculated

Each of 27054’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 · 27054

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 8.98Practice expense 8.61Malpractice 1.91

19.5000 adjusted RVUs×$33.4009 conversion factor=$651.32

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

Payment rules and modifiers for 27054

27054 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27054

Hip synovectomy

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 · 27054

Hip synovectomy

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

27054 without 50 · national facility

$651.32

Hip synovectomy

27054-50 · Bilateral: 150%

$976.98

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

27054 compared with similar codes

Compare codes

27054 vs 29863 vs 27052 vs 27033 vs 27036: national Medicare rates

Swap in your local Medicare rate.

  • 27054
    Hip synovectomy · 8.98 wRVU
    —
  • 29863
    Hip arthroscopy · 10.89 wRVU
    —
  • 27052
    Joint biopsy · 7.23 wRVU
    —
  • 27033
    Hip arthrotomy · 13.76 wRVU
    —
  • 27036
    Hip capsule surgery · 14.02 wRVU
    —

How to choose

29863Hip arthroscopy
27054 describes extensive open hip synovectomy; 29863 is the arthroscopic hip synovectomy code.
27052Joint biopsy
Choose 27052 when the surgeon performs a hip joint biopsy. Choose 27054 when extensive synovial tissue is removed therapeutically.
27033Hip arthrotomy
27033 addresses hip arthrotomy for exploration or removal of a loose or foreign body; 27054 is for extensive synovial removal.
27036Hip capsule surgery
27036 represents surgery directed at the hip capsule. It is not a substitute for extensive removal of diseased synovium.

Codes related to 27054

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

Codes related to 27054
CodeHow it relatesNational office range
Used instead
29863Hip arthroscopyArthroscopic hip synovectomy is the minimally invasive method when that approach is performed.No office rate
27052Joint biopsyUse for hip joint biopsy when sampling, rather than extensive synovial removal, is performed.No office rate
27036Hip capsule surgeryAddresses the hip capsule when capsular surgery, rather than synovectomy, is the operative objective.No office rate

27054 billing questions

When is 27054 appropriate instead of a hip joint biopsy?

Use 27054 for extensive therapeutic removal of synovial tissue. A procedure limited to obtaining tissue for diagnosis is represented by 27052.

How does 27054 differ from arthroscopic hip synovectomy?

27054 represents the extensive open procedure. Use 29863 when the synovectomy is performed arthroscopically.

Does removing a loose body support 27054?

Not by itself. When the operative objective is exploration or removal of a loose or foreign body, consider 27033; report 27054 only when extensive synovial removal is performed.

What postoperative care is included?

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

Can an assistant surgeon be reported for 27054?

CMS indicates that assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while 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 27054PPRRVU2026_Oct_nonQPP.csv, line 2,729 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 27054 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 27054 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →