CPT 27266: Hip reductionMedicare rate & RVUs

Medicare pays $557.80 for 27266 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 27266 covers

Code 27266 represents closed reduction of a dislocated hip prosthesis when anesthesia is required. An orthopedic surgeon or other qualified physician typically performs the reduction in a hospital operating room or other setting equipped to provide anesthesia. The treatment restores the prosthetic femoral head to the acetabular component without open surgical exposure; a dislocated native hip is coded elsewhere in the hip-dislocation family.

Document the prior hip arthroplasty, the dislocation, the closed reduction, and the need for anesthesia. This major surgery code has 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 50% reduction. For bilateral reporting with modifier 50, CMS pays 150%. Medicare does not pay an assistant at surgery for this code; 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 27266 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

27266 rates by state

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

How the 27266 rate is calculated

Each of 27266’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.

Payment rules and modifiers for 27266

27266 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

27266 compared with similar codes

How to choose

27265Hip reduction

Use 27265 for a dislocated hip arthroplasty treated closed without anesthesia. Code 27266 is the anesthesia-required counterpart.

27252Hip reduction

Code 27252 concerns closed treatment of a native hip dislocation requiring anesthesia; 27266 is for a dislocated hip arthroplasty.

27253Hip dislocation

Code 27253 describes open treatment of a hip dislocation. Use 27266 when the prosthetic hip is reduced closed.

Codes related to 27266

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

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

Open CMS sourceHow we calculate rates