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Billing code 27253: Hip dislocationMedicare rate & RVUs

Reports open reduction of a traumatic native hip dislocation when direct surgical treatment is performed without internal fixation.

CMS RVU26DEffective Oct 1, 2026109 payment localities236 Medicare services in 2024

Medicare pays $869.76 for 27253 nationally in a facility.

Medicare rate · 27253

Hip dislocation

Swap in your local Medicare rate.

Work RVUs
13.24
Total RVUs
26.04
Global days
090

National rate · 2026

$869.76

Facility setting, before claim adjustments.

See every locality for 27253 → · 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 27253 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 27253 covers

An orthopedic surgeon uses an open surgical approach to reduce a traumatic dislocation of the native hip without internal fixation. The procedure is typically performed in an operating room when direct exposure is needed to restore the femoral head to the joint. These injuries often follow high-energy trauma, such as a motor-vehicle collision.

Report this code when the operative record supports an open reduction and confirms that internal fixation was not used. Closed treatment under anesthesia is reported with a different code; open treatment with internal fixation is also distinct. The CMS global period includes 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 a 50% reduction. 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 27253 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

27253 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$787.11
Alaska*Unavailable$1,070.08
ArizonaUnavailable$845.82
ArkansasUnavailable$776.96
AtlantaUnavailable$895.41
AustinUnavailable$879.18
BakersfieldUnavailable$873.17
Baltimore/Surr. CntysUnavailable$923.55
BeaumontUnavailable$833.08
BrazoriaUnavailable$849.50

27253 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
27253 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 27253 rate is calculated

Each of 27253’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 · 27253

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 13.24Practice expense 9.97Malpractice 2.83

26.0400 adjusted RVUs×$33.4009 conversion factor=$869.76

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

Payment rules and modifiers for 27253

27253 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27253

Hip dislocation

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 · 27253

Hip dislocation

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

27253 without 50 · national facility

$869.76

Hip dislocation

27253-50 · Bilateral: 150%

$1,304.64

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

27253 compared with similar codes

Compare codes

27253 vs 27250 vs 27252 vs 27254: national Medicare rates

Swap in your local Medicare rate.

  • 27253
    Hip dislocation · 13.24 wRVU
    —
  • 27250
    Hip dislocation reduction · 3.72 wRVU
    —
  • 27252
    Hip reduction · 10.75 wRVU
    —
  • 27254
    Hip dislocation repair · 18.47 wRVU
    —

How to choose

27250Hip dislocation reduction
27250 is for closed treatment without anesthesia. Report 27253 when the surgeon opens the joint to reduce the dislocation and uses no internal fixation.
27252Hip reduction
27252 describes closed treatment requiring anesthesia. An open surgical approach without internal fixation points to 27253.
27254Hip dislocation repair
Both codes involve open treatment, but 27254 includes internal fixation. Use 27253 when no internal fixation is placed.

Codes related to 27253

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

Codes related to 27253
CodeHow it relatesNational office range
Used instead
27250Hip dislocation reductionClosed treatment without anesthesia for a hip dislocation.No office rate
27252Hip reductionClosed treatment requiring anesthesia rather than open reduction.No office rate
Same family
27254Hip dislocation repairOpen hip dislocation treatment when internal fixation is used.No office rate

27253 billing questions

How does this differ from closed treatment of a hip dislocation?

This code is for an open surgical reduction without internal fixation. Codes 27250 and 27252 describe closed treatment, with the distinction between them based on whether anesthesia is required.

When should 27254 be reported instead?

Use 27254 when open treatment includes internal fixation. The operative report should make clear whether fixation was placed.

Can closed treatment also be reported for the same dislocation?

Do not separately report closed treatment as a second treatment of the same dislocation during the same operative episode. Report the definitive open procedure performed.

What documentation supports reporting this code?

The operative report should identify the hip dislocation, describe the open approach and reduction, and establish that internal fixation was not used.

How are bilateral procedures and assistants handled?

CMS pays bilateral reporting with modifier 50 at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation.

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 27253PPRRVU2026_Oct_nonQPP.csv, line 2,807 (RVU26D)

Open CMS sourceHow we calculate rates

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