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Billing code 27130: Hip replacementMedicare rate & RVUs

Report this procedure when a surgeon replaces both the femoral and acetabular sides of a hip joint with prosthetic components.

CMS RVU26DEffective Oct 1, 2026109 payment localities325.2K Medicare services in 2024

Medicare pays $1,162.02 for 27130 nationally in a facility.

Medicare rate · 27130

Hip replacement

Swap in your local Medicare rate.

Work RVUs
19.11
Total RVUs
34.79
Global days
090

National rate · 2026

$1,162.02

Facility setting, before claim adjustments.

See every locality for 27130 → · 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 27130 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 27130 covers

An orthopedic surgeon performs a total hip arthroplasty by replacing the damaged femoral head and the hip socket with prosthetic components. It is commonly performed for advanced hip arthritis or other conditions that have severely damaged the joint. The procedure is typically done in a hospital or other surgical setting; the operative report should establish that both sides of the joint were replaced, rather than only the femoral head or a component of an existing implant.

Select this code for a primary total replacement, not a partial replacement, conversion after prior hip surgery, or revision of an existing prosthesis. Document the operative work, the components implanted, the side treated, and whether the procedure was primary or a conversion or revision. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral procedures reported with modifier 50, CMS pays 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 27130 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

27130 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,054.75
Alaska*Unavailable$1,445.67
ArizonaUnavailable$1,130.50
ArkansasUnavailable$1,041.64
AtlantaUnavailable$1,197.34
AustinUnavailable$1,170.40
BakersfieldUnavailable$1,158.54
Baltimore/Surr. CntysUnavailable$1,232.65
BeaumontUnavailable$1,117.45
BrazoriaUnavailable$1,133.87

27130 rates by state

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

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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
27130 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 27130 rate is calculated

Each of 27130’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 · 27130

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 19.11Practice expense 11.63Malpractice 4.05

34.7900 adjusted RVUs×$33.4009 conversion factor=$1,162.02

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

Payment rules and modifiers for 27130

27130 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27130

Hip replacement

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 · 27130

Hip replacement

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

27130 without 50 · national facility

$1,162.02

Hip replacement

27130-50 · Bilateral: 150%

$1,743.03

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

27130 compared with similar codes

Compare codes

27130 vs 27125 vs 27132 vs 27134 vs 27137: national Medicare rates

Swap in your local Medicare rate.

  • 27130
    Hip replacement · 19.11 wRVU
    —
  • 27125
    Hip replacement · 16.22 wRVU
    —
  • 27132
    Hip replacement · 25.05 wRVU
    —
  • 27134
    Hip revision · 29.52 wRVU
    —
  • 27137
    Hip revision · 22.13 wRVU
    —

How to choose

27125Hip replacement
27125 is for partial hip replacement, rather than replacement of both the femoral and acetabular sides.
27132Hip replacement
27132 describes conversion to total hip arthroplasty after prior hip surgery; 27130 is for a primary total replacement.
27134Hip revision
27134 is for revision of an existing total hip replacement involving both components. 27130 describes a primary replacement.
27137Hip revision
27137 is for revision of the acetabular component only. Use 27130 for primary replacement of both sides of the joint.

Codes related to 27130

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

Codes related to 27130
CodeHow it relatesNational office range
Same family
27125Hip replacementPartial hip replacement; replaces the femoral side rather than both sides of the joint.No office rate
27132Hip replacementConversion to total hip arthroplasty after prior hip surgery.No office rate
27134Hip revisionRevision of an existing total hip replacement involving both components.No office rate
27137Hip revisionRevision of the acetabular component of an existing total hip replacement.No office rate
27138Hip revisionRevision of the femoral component of an existing total hip replacement.No office rate

27130 billing questions

When should I report this instead of a partial hip replacement?

Report this code when both the femoral and acetabular sides are replaced. A partial replacement, such as a femoral head replacement without replacement of the socket, is reported with 27125.

How is a conversion after prior hip surgery distinguished?

Use 27132 when prior hip surgery is converted to a total hip arthroplasty. The operative documentation should clarify whether the surgeon is performing a primary replacement, a conversion, or revision of an existing prosthesis.

Are related postoperative visits included?

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

How is a bilateral procedure reported?

For bilateral total hip replacements performed in the same session, report modifier 50. CMS pays the bilateral procedure at 150%.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and other procedures at 50%. The operative record should support each procedure reported.

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 27130PPRRVU2026_Oct_nonQPP.csv, line 2,760 (RVU26D)

Open CMS sourceHow we calculate rates

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