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Billing code 27252: Hip reductionMedicare rate & RVUs

Reports closed reduction of a hip dislocation when the physician performs the reduction under anesthesia, rather than without anesthesia or through open treatment.

CMS RVU26DEffective Oct 1, 2026109 payment localities792 Medicare services in 2024

Medicare pays $718.45 for 27252 nationally in a facility.

Medicare rate · 27252

Hip reduction

Swap in your local Medicare rate.

Work RVUs
10.75
Total RVUs
21.51
Global days
090

National rate · 2026

$718.45

Facility setting, before claim adjustments.

See every locality for 27252 → · 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 27252 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 27252 covers

This service is a closed reduction of a dislocated hip performed under anesthesia: the physician manipulates the joint to restore alignment without open surgical exposure. It is typically performed by an orthopedic surgeon in a hospital operating room or other setting equipped to provide anesthesia. The code distinguishes this service from reduction without anesthesia and from open treatment; it is not the code for treating a dislocated hip prosthesis.

Report 27252 when the documented closed reduction required anesthesia. The operative record should identify the affected hip, the dislocation treated, the reduction performed, and the use of anesthesia. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are 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 27252 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

27252 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$649.17
Alaska*Unavailable$880.83
ArizonaUnavailable$698.40
ArkansasUnavailable$640.66
AtlantaUnavailable$739.86
AustinUnavailable$726.46
BakersfieldUnavailable$721.39
Baltimore/Surr. CntysUnavailable$763.36
BeaumontUnavailable$687.61
BrazoriaUnavailable$701.46

27252 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
27252 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 27252 rate is calculated

Each of 27252’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 · 27252

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 10.75Practice expense 8.40Malpractice 2.36

21.5100 adjusted RVUs×$33.4009 conversion factor=$718.45

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

Payment rules and modifiers for 27252

27252 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27252

Hip reduction

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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
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 · 27252

Hip reduction

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

27252 without 50 · national facility

$718.45

Hip reduction

27252-50 · Bilateral: 150%

$1,077.68

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

27252 compared with similar codes

Compare codes

27252 vs 27250 vs 27253 vs 27266: national Medicare rates

Swap in your local Medicare rate.

  • 27252
    Hip reduction · 10.75 wRVU
    —
  • 27250
    Hip dislocation reduction · 3.72 wRVU
    —
  • 27253
    Hip dislocation · 13.24 wRVU
    —
  • 27266
    Hip reduction · 7.59 wRVU
    —

How to choose

27250Hip dislocation reduction
Both describe closed treatment of a hip dislocation; 27252 is for treatment requiring anesthesia, while 27250 is for treatment without anesthesia.
27253Hip dislocation
27253 describes open treatment without internal fixation. Choose 27252 when treatment is closed and requires anesthesia.
27266Hip reduction
27266 concerns closed treatment of a dislocated hip arthroplasty requiring anesthesia. Use 27252 for a native hip dislocation.

Codes related to 27252

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

Codes related to 27252
CodeHow it relatesNational office range
Same family
27250Hip dislocation reductionClosed hip-dislocation treatment without anesthesia.No office rate
27253Hip dislocationOpen treatment of hip dislocation without internal fixation.No office rate
27254Hip dislocation repairOpen treatment of hip dislocation with internal fixation.No office rate
Used instead
27265Hip reductionClosed treatment of dislocated hip arthroplasty without anesthesia.No office rate
27266Hip reductionClosed treatment of dislocated hip arthroplasty requiring anesthesia.No office rate

27252 billing questions

How does 27252 differ from 27250?

Use 27252 for closed reduction requiring anesthesia. Code 27250 describes closed treatment without anesthesia.

Does the code cover open reduction?

No. It describes closed treatment. Open treatment is reported with a different code, selected according to the procedure performed.

Can 27252 be used for a dislocated hip replacement?

No. Codes 27265 and 27266 address closed treatment of post-arthroplasty hip dislocation; the anesthesia circumstance distinguishes those codes.

What documentation supports reporting 27252?

Document the hip treated, the dislocation, the closed reduction performed, and that anesthesia was required for the service.

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 or co-surgeon be reported?

CMS lists a statutory restriction on assistant-at-surgery payment. Co-surgeons and team surgery are not permitted for this code.

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 27252PPRRVU2026_Oct_nonQPP.csv, line 2,806 (RVU26D)

Open CMS sourceHow we calculate rates

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