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Billing code 27295: Hip amputationMedicare rate & RVUs

Reports surgical removal of a leg at the hip level, typically for severe disease, injury, or tumor when a more distal amputation is not appropriate.

CMS RVU26DEffective Oct 1, 2026109 payment localities142 Medicare services in 2024

Medicare pays $1,146.99 for 27295 nationally in a facility.

Medicare rate · 27295

Hip amputation

Swap in your local Medicare rate.

Work RVUs
19.17
Total RVUs
34.34
Global days
090

National rate · 2026

$1,146.99

Facility setting, before claim adjustments.

See every locality for 27295 → · 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 27295 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 27295 covers

This code represents removal of the leg at the hip level. The operation may be considered when severe infection, nonreconstructible limb disease, major trauma, or a tumor makes preservation of the limb impractical. An orthopedic, vascular, or oncologic surgeon may perform the procedure, depending on the underlying condition and operative plan. The operative report should make the amputation level and extent clear, particularly when distinguishing this service from a related hip-level amputation code.

Report the code for the procedure actually performed, supported by the indication and operative details. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral procedures, modifier 50 corresponds to payment at 150%. Assistant-at-surgery services 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 27295 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

27295 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,039.89
Alaska*Unavailable$1,427.28
ArizonaUnavailable$1,115.28
ArkansasUnavailable$1,026.83
AtlantaUnavailable$1,183.21
AustinUnavailable$1,153.30
BakersfieldUnavailable$1,138.83
Baltimore/Surr. CntysUnavailable$1,217.45
BeaumontUnavailable$1,104.08
BrazoriaUnavailable$1,117.67

27295 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
27295 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 27295 rate is calculated

Each of 27295’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 · 27295

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 19.17Practice expense 10.93Malpractice 4.24

34.3400 adjusted RVUs×$33.4009 conversion factor=$1,146.99

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

Payment rules and modifiers for 27295

27295 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27295

Hip amputation

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 · 27295

Hip amputation

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

27295 without 50 · national facility

$1,146.99

Hip amputation

27295-50 · Bilateral: 150%

$1,720.49

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

27295 compared with similar codes

Compare codes

27295 vs 27290 vs 27590 vs 27299: national Medicare rates

Swap in your local Medicare rate.

  • 27295
    Hip amputation · 19.17 wRVU
    —
  • 27290
    Hip amputation · 23.94 wRVU
    —
  • 27590
    Thigh amputation · 13.13 wRVU
    —
  • 27299
    · 0 wRVU
    —

How to choose

27290Hip amputation
Both codes have similar CMS short descriptors. Select by matching the full billing code descriptor to the operative technique and extent documented, rather than relying on the short descriptor.
27590Thigh amputation
This code describes a thigh amputation through the femur. Use 27295 when the documented procedure is at the hip level.
27299Unlisted px pelvis/hip joint
This is an unlisted pelvis or hip procedure code. Consider it only when the documented operation is not represented by a specific listed code.

Codes related to 27295

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

Codes related to 27295
CodeHow it relatesNational office range
Same family
27290Hip amputationRelated hip-level amputation code; distinguish by the full descriptor and documented operative extent.No office rate
Used instead
27590Thigh amputationFor thigh amputation through the femur rather than an amputation at the hip.No office rate
27299Unlisted px pelvis/hip jointUnlisted pelvis or hip procedure code when no listed code describes the operation performed.No office rate

27295 billing questions

How should this code be distinguished from 27290?

The CMS short descriptors are similar and do not explain the operative distinction. Compare the full billing code descriptors with the documented surgical approach and extent; do not select between them from the short label alone.

Is routine postoperative care separately reported?

Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.

How are bilateral procedures reported?

CMS identifies this as a bilateral procedure. Modifier 50 is associated with payment at 150% when the procedure is performed bilaterally.

Can an assistant surgeon or co-surgeon be paid?

Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

What documentation supports reporting this code?

Document the clinical indication, the level and extent of the amputation, and the operative findings. Clear operative detail is especially useful when distinguishing this code from another hip-level amputation 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 27295PPRRVU2026_Oct_nonQPP.csv, line 2,826 (RVU26D)

Open CMS sourceHow we calculate rates

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