No office rate
27250 is for closed treatment without anesthesia. Report 27253 when the surgeon opens the joint to reduce the dislocation and uses no internal fixation.
On this page
CMS RVU26D · Effective 2026-10-01
27253 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$865.39
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Orthopedic surgery
About 27253: Open hip dislocation reduction without fixation
Reports open reduction of a traumatic native hip dislocation when direct surgical treatment is performed without internal fixation.
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.
CMS billing rules for 27253
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.24 · 51%
- Practice expense (office) RVU9.97 · 38%
- Malpractice RVU2.83 · 11%
236
Medicare services in 2024 · #4180 by national volume
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.
27253 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
27252 describes closed treatment requiring anesthesia. An open surgical approach without internal fixation points to 27253.
No office rate
Both codes involve open treatment, but 27254 includes internal fixation. Use 27253 when no internal fixation is placed.
The same code, a different location
How does Chico compare?
27253 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 27253
Office
Unavailable
Facility
$865.39
No comparable office rate is available.
Modesto
California · 27253
Office
Unavailable
Facility
$865.39
No comparable office rate is available.
Napa
California · 27253
Office
Unavailable
Facility
$957.01
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 27253
Office
Unavailable
Facility
$907.11
No comparable office rate is available.
Redding
California · 27253
Office
Unavailable
Facility
$865.39
No comparable office rate is available.
Rest Of California
California · 27253
Office
Unavailable
Facility
$865.39
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 27253
Office
Unavailable
Facility
$895.79
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 27253
Office
Unavailable
Facility
$896.10
No comparable office rate is available.
Salinas
California · 27253
Office
Unavailable
Facility
$892.56
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 27253
Office
Unavailable
Facility
$905.00
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 27253
Office
Unavailable
Facility
$997.17
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 27253
Office
Unavailable
Facility
$993.95
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 27253
Office
Unavailable
Facility
$1021.73
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 27253
Office
Unavailable
Facility
$1008.60
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 27253
Office
Unavailable
Facility
$879.71
No comparable office rate is available.
Santa Cruz-Watsonville
California · 27253
Office
Unavailable
Facility
$906.78
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 27253
Office
Unavailable
Facility
$893.56
No comparable office rate is available.
Santa Rosa-Petaluma
California · 27253
Office
Unavailable
Facility
$915.09
No comparable office rate is available.
Stockton
California · 27253
Office
Unavailable
Facility
$865.39
No comparable office rate is available.
Vallejo
California · 27253
Office
Unavailable
Facility
$952.38
No comparable office rate is available.
Visalia
California · 27253
Office
Unavailable
Facility
$865.39
No comparable office rate is available.
Yuba City
California · 27253
Office
Unavailable
Facility
$865.39
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 27253
Office
Unavailable
Facility
$963.60
No comparable office rate is available.
Miami
Florida · 27253
Office
Unavailable
Facility
$1027.94
No comparable office rate is available.
Chicago
Illinois · 27253
Office
Unavailable
Facility
$996.93
No comparable office rate is available.
Manhattan
New York · 27253
Office
Unavailable
Facility
$1007.40
No comparable office rate is available.
Alaska*
Alaska · 27253
Office
Unavailable
Facility
$1070.08
No comparable office rate is available.
Alabama
Alabama · 27253
Office
Unavailable
Facility
$787.11
No comparable office rate is available.
Arkansas
Arkansas · 27253
Office
Unavailable
Facility
$776.96
No comparable office rate is available.
Arizona
Arizona · 27253
Office
Unavailable
Facility
$845.82
No comparable office rate is available.
Colorado
Colorado · 27253
Office
Unavailable
Facility
$875.68
No comparable office rate is available.
Connecticut
Connecticut · 27253
Office
Unavailable
Facility
$924.10
No comparable office rate is available.
Delaware
Delaware · 27253
Office
Unavailable
Facility
$858.43
No comparable office rate is available.
Fort Lauderdale
Florida · 27253
Office
Unavailable
Facility
$950.46
No comparable office rate is available.
Rest Of Florida
Florida · 27253
Office
Unavailable
Facility
$902.65
No comparable office rate is available.
Atlanta
Georgia · 27253
Office
Unavailable
Facility
$895.41
No comparable office rate is available.
Rest Of Georgia
Georgia · 27253
Office
Unavailable
Facility
$851.94
No comparable office rate is available.
Hawaii, Guam
Hawaii · 27253
Office
Unavailable
Facility
$875.59
No comparable office rate is available.
Iowa
Iowa · 27253
Office
Unavailable
Facility
$784.46
No comparable office rate is available.
Idaho
Idaho · 27253
Office
Unavailable
Facility
$793.30
No comparable office rate is available.
East St. Louis
Illinois · 27253
Office
Unavailable
Facility
$938.97
No comparable office rate is available.
Rest Of Illinois
Illinois · 27253
Office
Unavailable
Facility
$894.01
No comparable office rate is available.
Suburban Chicago
Illinois · 27253
Office
Unavailable
Facility
$954.82
No comparable office rate is available.
Indiana
Indiana · 27253
Office
Unavailable
Facility
$796.86
No comparable office rate is available.
Kansas
Kansas · 27253
Office
Unavailable
Facility
$790.91
No comparable office rate is available.
Kentucky
Kentucky · 27253
Office
Unavailable
Facility
$824.76
No comparable office rate is available.
New Orleans
Louisiana · 27253
Office
Unavailable
Facility
$862.97
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 27253
Office
Unavailable
Facility
$827.49
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 27253
Office
Unavailable
Facility
$942.10
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 27253
Office
Unavailable
Facility
$875.30
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 27253
Office
Unavailable
Facility
$923.55
No comparable office rate is available.
Rest Of Maryland
Maryland · 27253
Office
Unavailable
Facility
$870.43
No comparable office rate is available.
Rest Of Maine
Maine · 27253
Office
Unavailable
Facility
$807.39
No comparable office rate is available.
Southern Maine
Maine · 27253
Office
Unavailable
Facility
$831.88
No comparable office rate is available.
Detroit
Michigan · 27253
Office
Unavailable
Facility
$922.95
No comparable office rate is available.
Rest Of Michigan
Michigan · 27253
Office
Unavailable
Facility
$852.98
No comparable office rate is available.
Minnesota
Minnesota · 27253
Office
Unavailable
Facility
$812.87
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 27253
Office
Unavailable
Facility
$847.27
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 27253
Office
Unavailable
Facility
$853.96
No comparable office rate is available.
Rest Of Missouri
Missouri · 27253
Office
Unavailable
Facility
$821.35
No comparable office rate is available.
Mississippi
Mississippi · 27253
Office
Unavailable
Facility
$798.80
No comparable office rate is available.
Montana**
Montana · 27253
Office
Unavailable
Facility
$869.57
No comparable office rate is available.
North Carolina
North Carolina · 27253
Office
Unavailable
Facility
$813.32
No comparable office rate is available.
North Dakota**
North Dakota · 27253
Office
Unavailable
Facility
$813.61
No comparable office rate is available.
Nebraska
Nebraska · 27253
Office
Unavailable
Facility
$785.32
No comparable office rate is available.
New Hampshire
New Hampshire · 27253
Office
Unavailable
Facility
$871.60
No comparable office rate is available.
Northern Nj
New Jersey · 27253
Office
Unavailable
Facility
$957.33
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 27253
Office
Unavailable
Facility
$927.25
No comparable office rate is available.
New Mexico
New Mexico · 27253
Office
Unavailable
Facility
$861.12
No comparable office rate is available.
Nevada**
Nevada · 27253
Office
Unavailable
Facility
$854.31
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 27253
Office
Unavailable
Facility
$1042.01
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 27253
Office
Unavailable
Facility
$941.15
No comparable office rate is available.
Queens
New York · 27253
Office
Unavailable
Facility
$1000.45
No comparable office rate is available.
Rest Of New York
New York · 27253
Office
Unavailable
Facility
$825.04
No comparable office rate is available.
Ohio
Ohio · 27253
Office
Unavailable
Facility
$841.54
No comparable office rate is available.
Oklahoma
Oklahoma · 27253
Office
Unavailable
Facility
$813.05
No comparable office rate is available.
Portland
Oregon · 27253
Office
Unavailable
Facility
$889.60
No comparable office rate is available.
Rest Of Oregon
Oregon · 27253
Office
Unavailable
Facility
$840.35
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 27253
Office
Unavailable
Facility
$909.62
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 27253
Office
Unavailable
Facility
$837.25
No comparable office rate is available.
Puerto Rico
Puerto Rico · 27253
Office
Unavailable
Facility
$872.00
No comparable office rate is available.
Rhode Island
Rhode Island · 27253
Office
Unavailable
Facility
$878.94
No comparable office rate is available.
South Carolina
South Carolina · 27253
Office
Unavailable
Facility
$830.27
No comparable office rate is available.
South Dakota**
South Dakota · 27253
Office
Unavailable
Facility
$807.00
No comparable office rate is available.
Tennessee
Tennessee · 27253
Office
Unavailable
Facility
$795.69
No comparable office rate is available.
Austin
Texas · 27253
Office
Unavailable
Facility
$879.18
No comparable office rate is available.
Beaumont
Texas · 27253
Office
Unavailable
Facility
$833.08
No comparable office rate is available.
Brazoria
Texas · 27253
Office
Unavailable
Facility
$849.50
No comparable office rate is available.
Dallas
Texas · 27253
Office
Unavailable
Facility
$858.98
No comparable office rate is available.
Fort Worth
Texas · 27253
Office
Unavailable
Facility
$856.88
No comparable office rate is available.
Galveston
Texas · 27253
Office
Unavailable
Facility
$854.71
No comparable office rate is available.
Houston
Texas · 27253
Office
Unavailable
Facility
$906.51
No comparable office rate is available.
Rest Of Texas
Texas · 27253
Office
Unavailable
Facility
$843.61
No comparable office rate is available.
Utah
Utah · 27253
Office
Unavailable
Facility
$840.14
No comparable office rate is available.
Virginia
Virginia · 27253
Office
Unavailable
Facility
$836.31
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 27253
Office
Unavailable
Facility
$872.00
No comparable office rate is available.
Vermont
Vermont · 27253
Office
Unavailable
Facility
$819.73
No comparable office rate is available.
Rest Of Washington
Washington · 27253
Office
Unavailable
Facility
$870.57
No comparable office rate is available.
Seattle (King Cnty)
Washington · 27253
Office
Unavailable
Facility
$950.17
No comparable office rate is available.
Wisconsin
Wisconsin · 27253
Office
Unavailable
Facility
$790.36
No comparable office rate is available.
West Virginia
West Virginia · 27253
Office
Unavailable
Facility
$866.88
No comparable office rate is available.
Wyoming**
Wyoming · 27253
Office
Unavailable
Facility
$845.18
No comparable office rate is available.
See how rates vary across the country
27253 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 27253 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$951.93
$865.39 × 110% = $951.93
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27253 in Chico.
PPRRVU2026_Oct_nonQPP.csv
2,807
- Code
- 27253
- Physician work
- 13.24
- Practice expense
- 9.97
- Malpractice
- 2.83
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.24 | × 1.017 | 13.4651 |
| Practice expense | 9.97 | × 1.096 | 10.9271 |
| Malpractice | 2.83 | × 0.536 | 1.5169 |
| Total RVUs | 25.9091 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$865.39
Open 27253 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.24 | 1.017 |
| Practice expense | 9.97 | 1.096 |
| Malpractice | 2.83 | 0.536 |
(13.24 × 1.017 + 9.97 × 1.096 + 2.83 × 0.536) × $33.4009 = $865.39
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
27253 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $865.39 | RVU26D |
| 2026-07-01 | Not available in this setting | $865.39 | RVU26C |
| 2026-04-01 | Not available in this setting | $865.39 | RVU26B |
| 2026-01-01 | Not available in this setting | $865.39 | RVU26A |
| 2025-10-01 | Not available in this setting | $929.57 | RVU25D |
| 2025-07-01 | Not available in this setting | $929.57 | RVU25C |
| 2025-04-01 | Not available in this setting | $929.57 | RVU25B |
| 2025-01-01 | Not available in this setting | $929.57 | RVU25A |
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,80427248,,Treat thigh fracture,A,,10.51,7.81,NA,7.81,,2.21,20.53,20.53,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80527250,,Treat hip dislocation,A,,3.72,0.61,NA,0.61,,0.90,5.23,5.23,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80627252,,Treat hip dislocation,A,,10.75,8.40,NA,8.40,,2.36,21.51,21.51,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80727253,,Treat hip dislocation,A,,13.24,9.97,NA,9.97,,2.83,26.04,26.04,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80827254,,Treat hip dislocation,A,,18.47,12.24,NA,12.24,,3.93,34.64,34.64,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80927256,,Treat hip dislocation,A,,4.17,6.87,,2.62,,1.05,12.09,7.84,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81027257,,Treat hip dislocation,A,,5.25,3.50,NA,3.50,,1.12,9.87,9.87,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536