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Billing code 27140: Trochanter transferMedicare rate & RVUs

Reports surgical relocation of the femur’s greater trochanter, typically to address hip deformity or restore the effectiveness of the hip abductor mechanism.

CMS RVU26DEffective Oct 1, 2026109 payment localities47 Medicare services in 2024

Medicare pays $830.35 for 27140 nationally in a facility.

Medicare rate · 27140

Trochanter transfer

Swap in your local Medicare rate.

Work RVUs
12.46
Total RVUs
24.86
Global days
090

National rate · 2026

$830.35

Facility setting, before claim adjustments.

See every locality for 27140 → · 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 27140 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 27140 covers

An orthopedic surgeon detaches and relocates the greater trochanter, the bony prominence where important hip muscles attach. The operation is associated with reconstructive treatment of hip deformity, including selected cases of congenital hip dislocation, when repositioning the trochanter can improve the abductor mechanism. It is generally performed in an operating room rather than an office setting.

Select this code when the operative report supports transplantation of the greater trochanter, rather than a muscle transfer or a different hip-bone reconstruction. Document the indication, operative side, detachment and new position of the trochanter, and any fixation performed. The service has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one 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-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 27140 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

27140 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$751.22
Alaska*Unavailable$1,019.86
ArizonaUnavailable$807.51
ArkansasUnavailable$741.50
AtlantaUnavailable$854.60
AustinUnavailable$839.98
BakersfieldUnavailable$834.91
Baltimore/Surr. CntysUnavailable$881.76
BeaumontUnavailable$794.75
BrazoriaUnavailable$811.27

27140 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.

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View every state and territory as a table
27140 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 27140 rate is calculated

Each of 27140’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 · 27140

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 12.46Practice expense 9.75Malpractice 2.65

24.8600 adjusted RVUs×$33.4009 conversion factor=$830.35

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

Payment rules and modifiers for 27140

27140 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27140

Trochanter transfer

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 · 27140

Trochanter transfer

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

27140 without 50 · national facility

$830.35

Trochanter transfer

27140-50 · Bilateral: 150%

$1,245.53

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

27140 compared with similar codes

Compare codes

27140 vs 27110 vs 27111 vs 27146: national Medicare rates

Swap in your local Medicare rate.

  • 27140
    Trochanter transfer · 12.46 wRVU
    —
  • 27110
    Iliopsoas transfer · 13.43 wRVU
    —
  • 27111
    Muscle transfer · 12.29 wRVU
    —
  • 27146
    Hip osteotomy · 18.45 wRVU
    —

How to choose

27110Iliopsoas transfer
This code concerns transfer of the iliopsoas muscle. Use 27140 when the operative service relocates the greater trochanter.
27111Muscle transfer
This code also concerns iliopsoas muscle transfer, not transplantation of a bony prominence of the femur.
27146Hip osteotomy
This code describes an incision or osteotomy involving hip bone; 27140 is for transplantation of the greater trochanter.

Codes related to 27140

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

Codes related to 27140
CodeHow it relatesNational office range
Used instead
27110Iliopsoas transferIliopsoas muscle transfer is a muscle procedure, not transplantation of the greater trochanter.No office rate
27111Muscle transferConsider when the operation transfers iliopsoas muscle rather than relocating the greater trochanter.No office rate
27146Hip osteotomyA hip-bone incision or osteotomy is distinct from transplantation of the greater trochanter.No office rate

27140 billing questions

When is this code appropriate instead of an iliopsoas transfer code?

Use this code for transplantation of the greater trochanter, a bony structure. Codes 27110 and 27111 concern transfer of the iliopsoas muscle.

What operative details support reporting this service?

Document the hip indication and side, the greater trochanter’s detachment and relocation, and the fixation or other operative steps performed.

How does the 90-day global period affect postoperative care?

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

How is bilateral surgery reported under the CMS facts?

For bilateral performance, modifier 50 is paid at 150%.

Can an assistant or co-surgeon be paid?

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

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

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others 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

Show the CMS file lines behind this rate
RVUs for 27140PPRRVU2026_Oct_nonQPP.csv, line 2,765 (RVU26D)

Open CMS sourceHow we calculate rates

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