No office rate
This code concerns transfer of the iliopsoas muscle. Use 27140 when the operative service relocates the greater trochanter.
On this page
CMS RVU26D · Effective 2026-10-01
27140 in Manhattan
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$961.61
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 27140: Greater trochanter transplantation
Reports surgical relocation of the femur’s greater trochanter, typically to address hip deformity or restore the effectiveness of the hip abductor mechanism.
An orthopedic surgeon detaches and relocates the greater trochanter, the bony prominence where important hip muscles attach. The operation is associated with reconstructive treatment of hip deformity, including selected cases of congenital hip dislocation, when repositioning the trochanter can improve the abductor mechanism. It is generally performed in an operating room rather than an office setting.
Select this code when the operative report supports transplantation of the greater trochanter, rather than a muscle transfer or a different hip-bone reconstruction. Document the indication, operative side, detachment and new position of the trochanter, and any fixation performed. The service has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. 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 27140
- 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 RVU12.46 · 50%
- Practice expense (office) RVU9.75 · 39%
- Malpractice RVU2.65 · 11%
47
Medicare services in 2024 · #5386 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.
27140 compared with similar codes
Office rates for Manhattan, from the same CMS release.
No office rate
This code also concerns iliopsoas muscle transfer, not transplantation of a bony prominence of the femur.
No office rate
This code describes an incision or osteotomy involving hip bone; 27140 is for transplantation of the greater trochanter.
The same code, a different location
How does Manhattan compare?
27140 across payment areas
Same release and payment basis · bars start at $0
Manhattan · 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 New York 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
Miami
Florida · 27140
Office
Unavailable
Facility
$979.03
No comparable office rate is available.
Chicago
Illinois · 27140
Office
Unavailable
Facility
$949.51
No comparable office rate is available.
Alaska*
Alaska · 27140
Office
Unavailable
Facility
$1019.86
No comparable office rate is available.
Alabama
Alabama · 27140
Office
Unavailable
Facility
$751.22
No comparable office rate is available.
Arkansas
Arkansas · 27140
Office
Unavailable
Facility
$741.50
No comparable office rate is available.
Arizona
Arizona · 27140
Office
Unavailable
Facility
$807.51
No comparable office rate is available.
Bakersfield
California · 27140
Office
Unavailable
Facility
$834.91
No comparable office rate is available.
Chico
California · 27140
Office
Unavailable
Facility
$827.61
No comparable office rate is available.
El Centro
California · 27140
Office
Unavailable
Facility
$828.06
No comparable office rate is available.
Fresno
California · 27140
Office
Unavailable
Facility
$827.61
No comparable office rate is available.
Hanford-Corcoran
California · 27140
Office
Unavailable
Facility
$827.61
No comparable office rate is available.
Madera
California · 27140
Office
Unavailable
Facility
$827.61
No comparable office rate is available.
Merced
California · 27140
Office
Unavailable
Facility
$827.61
No comparable office rate is available.
Modesto
California · 27140
Office
Unavailable
Facility
$827.61
No comparable office rate is available.
Napa
California · 27140
Office
Unavailable
Facility
$916.58
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 27140
Office
Unavailable
Facility
$867.90
No comparable office rate is available.
Redding
California · 27140
Office
Unavailable
Facility
$827.61
No comparable office rate is available.
Rest Of California
California · 27140
Office
Unavailable
Facility
$827.61
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 27140
Office
Unavailable
Facility
$856.09
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 27140
Office
Unavailable
Facility
$857.34
No comparable office rate is available.
Salinas
California · 27140
Office
Unavailable
Facility
$853.96
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 27140
Office
Unavailable
Facility
$866.12
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 27140
Office
Unavailable
Facility
$955.52
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 27140
Office
Unavailable
Facility
$952.51
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 27140
Office
Unavailable
Facility
$979.00
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 27140
Office
Unavailable
Facility
$966.69
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 27140
Office
Unavailable
Facility
$841.62
No comparable office rate is available.
Santa Cruz-Watsonville
California · 27140
Office
Unavailable
Facility
$868.03
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 27140
Office
Unavailable
Facility
$854.99
No comparable office rate is available.
Santa Rosa-Petaluma
California · 27140
Office
Unavailable
Facility
$876.01
No comparable office rate is available.
Stockton
California · 27140
Office
Unavailable
Facility
$827.61
No comparable office rate is available.
Vallejo
California · 27140
Office
Unavailable
Facility
$912.24
No comparable office rate is available.
Visalia
California · 27140
Office
Unavailable
Facility
$827.61
No comparable office rate is available.
Yuba City
California · 27140
Office
Unavailable
Facility
$827.61
No comparable office rate is available.
Colorado
Colorado · 27140
Office
Unavailable
Facility
$836.80
No comparable office rate is available.
Connecticut
Connecticut · 27140
Office
Unavailable
Facility
$882.33
No comparable office rate is available.
Delaware
Delaware · 27140
Office
Unavailable
Facility
$819.58
No comparable office rate is available.
Fort Lauderdale
Florida · 27140
Office
Unavailable
Facility
$906.10
No comparable office rate is available.
Rest Of Florida
Florida · 27140
Office
Unavailable
Facility
$860.54
No comparable office rate is available.
Atlanta
Georgia · 27140
Office
Unavailable
Facility
$854.60
No comparable office rate is available.
Rest Of Georgia
Georgia · 27140
Office
Unavailable
Facility
$812.17
No comparable office rate is available.
Hawaii, Guam
Hawaii · 27140
Office
Unavailable
Facility
$837.70
No comparable office rate is available.
Iowa
Iowa · 27140
Office
Unavailable
Facility
$749.29
No comparable office rate is available.
Idaho
Idaho · 27140
Office
Unavailable
Facility
$757.65
No comparable office rate is available.
East St. Louis
Illinois · 27140
Office
Unavailable
Facility
$894.05
No comparable office rate is available.
Rest Of Illinois
Illinois · 27140
Office
Unavailable
Facility
$851.85
No comparable office rate is available.
Suburban Chicago
Illinois · 27140
Office
Unavailable
Facility
$910.38
No comparable office rate is available.
Indiana
Indiana · 27140
Office
Unavailable
Facility
$761.08
No comparable office rate is available.
Kansas
Kansas · 27140
Office
Unavailable
Facility
$755.18
No comparable office rate is available.
Kentucky
Kentucky · 27140
Office
Unavailable
Facility
$786.67
No comparable office rate is available.
New Orleans
Louisiana · 27140
Office
Unavailable
Facility
$823.17
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 27140
Office
Unavailable
Facility
$789.18
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 27140
Office
Unavailable
Facility
$900.85
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 27140
Office
Unavailable
Facility
$836.30
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 27140
Office
Unavailable
Facility
$881.76
No comparable office rate is available.
Rest Of Maryland
Maryland · 27140
Office
Unavailable
Facility
$831.16
No comparable office rate is available.
Rest Of Maine
Maine · 27140
Office
Unavailable
Facility
$770.84
No comparable office rate is available.
Southern Maine
Maine · 27140
Office
Unavailable
Facility
$794.75
No comparable office rate is available.
Detroit
Michigan · 27140
Office
Unavailable
Facility
$879.67
No comparable office rate is available.
Rest Of Michigan
Michigan · 27140
Office
Unavailable
Facility
$813.43
No comparable office rate is available.
Minnesota
Minnesota · 27140
Office
Unavailable
Facility
$777.48
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 27140
Office
Unavailable
Facility
$808.45
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 27140
Office
Unavailable
Facility
$814.89
No comparable office rate is available.
Rest Of Missouri
Missouri · 27140
Office
Unavailable
Facility
$783.10
No comparable office rate is available.
Mississippi
Mississippi · 27140
Office
Unavailable
Facility
$761.98
No comparable office rate is available.
Montana**
Montana · 27140
Office
Unavailable
Facility
$830.17
No comparable office rate is available.
North Carolina
North Carolina · 27140
Office
Unavailable
Facility
$776.57
No comparable office rate is available.
North Dakota**
North Dakota · 27140
Office
Unavailable
Facility
$777.77
No comparable office rate is available.
Nebraska
Nebraska · 27140
Office
Unavailable
Facility
$750.22
No comparable office rate is available.
New Hampshire
New Hampshire · 27140
Office
Unavailable
Facility
$832.63
No comparable office rate is available.
Northern Nj
New Jersey · 27140
Office
Unavailable
Facility
$914.69
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 27140
Office
Unavailable
Facility
$885.54
No comparable office rate is available.
New Mexico
New Mexico · 27140
Office
Unavailable
Facility
$821.11
No comparable office rate is available.
Nevada**
Nevada · 27140
Office
Unavailable
Facility
$815.89
No comparable office rate is available.
Ohio
Ohio · 27140
Office
Unavailable
Facility
$802.72
No comparable office rate is available.
Oklahoma
Oklahoma · 27140
Office
Unavailable
Facility
$775.76
No comparable office rate is available.
Portland
Oregon · 27140
Office
Unavailable
Facility
$850.49
No comparable office rate is available.
Rest Of Oregon
Oregon · 27140
Office
Unavailable
Facility
$802.76
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 27140
Office
Unavailable
Facility
$868.27
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 27140
Office
Unavailable
Facility
$798.77
No comparable office rate is available.
Puerto Rico
Puerto Rico · 27140
Office
Unavailable
Facility
$832.60
No comparable office rate is available.
Rhode Island
Rhode Island · 27140
Office
Unavailable
Facility
$839.44
No comparable office rate is available.
South Carolina
South Carolina · 27140
Office
Unavailable
Facility
$792.32
No comparable office rate is available.
South Dakota**
South Dakota · 27140
Office
Unavailable
Facility
$771.57
No comparable office rate is available.
Tennessee
Tennessee · 27140
Office
Unavailable
Facility
$759.73
No comparable office rate is available.
Austin
Texas · 27140
Office
Unavailable
Facility
$839.98
No comparable office rate is available.
Beaumont
Texas · 27140
Office
Unavailable
Facility
$794.75
No comparable office rate is available.
Brazoria
Texas · 27140
Office
Unavailable
Facility
$811.27
No comparable office rate is available.
Dallas
Texas · 27140
Office
Unavailable
Facility
$820.22
No comparable office rate is available.
Fort Worth
Texas · 27140
Office
Unavailable
Facility
$818.11
No comparable office rate is available.
Galveston
Texas · 27140
Office
Unavailable
Facility
$816.17
No comparable office rate is available.
Houston
Texas · 27140
Office
Unavailable
Facility
$864.68
No comparable office rate is available.
Rest Of Texas
Texas · 27140
Office
Unavailable
Facility
$805.15
No comparable office rate is available.
Utah
Utah · 27140
Office
Unavailable
Facility
$801.78
No comparable office rate is available.
Virginia
Virginia · 27140
Office
Unavailable
Facility
$798.79
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 27140
Office
Unavailable
Facility
$832.60
No comparable office rate is available.
Vermont
Vermont · 27140
Office
Unavailable
Facility
$783.36
No comparable office rate is available.
Rest Of Washington
Washington · 27140
Office
Unavailable
Facility
$831.86
No comparable office rate is available.
Seattle (King Cnty)
Washington · 27140
Office
Unavailable
Facility
$908.88
No comparable office rate is available.
Wisconsin
Wisconsin · 27140
Office
Unavailable
Facility
$755.42
No comparable office rate is available.
West Virginia
West Virginia · 27140
Office
Unavailable
Facility
$825.83
No comparable office rate is available.
Wyoming**
Wyoming · 27140
Office
Unavailable
Facility
$807.33
No comparable office rate is available.
See how rates vary across the country
27140 · 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?
Manhattan is a Medicare payment area. Our Census mapping connects it to 1 cities and communities in New York, 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.
- 27140 in New York
Multiple payment areas
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 27140 in Manhattan. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1057.77
$961.61 × 110% = $1057.77
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 27140 in Manhattan.
PPRRVU2026_Oct_nonQPP.csv
2,765
- Code
- 27140
- Physician work
- 12.46
- Practice expense
- 9.75
- Malpractice
- 2.65
GPCI2026.csv
78
- Locality
- Manhattan
- Physician work
- 1.064
- Practice expense
- 1.162
- Malpractice
- 1.586
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.46 | × 1.064 | 13.2574 |
| Practice expense | 9.75 | × 1.162 | 11.3295 |
| Malpractice | 2.65 | × 1.586 | 4.2029 |
| Total RVUs | 28.7898 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Manhattan$961.61
Open 27140 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.46 | 1.064 |
| Practice expense | 9.75 | 1.162 |
| Malpractice | 2.65 | 1.586 |
(12.46 × 1.064 + 9.75 × 1.162 + 2.65 × 1.586) × $33.4009 = $961.61
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
27140 · 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 | $961.61 | RVU26D |
| 2026-07-01 | Not available in this setting | $961.61 | RVU26C |
| 2026-04-01 | Not available in this setting | $961.61 | RVU26B |
| 2026-01-01 | Not available in this setting | $961.61 | RVU26A |
| 2025-10-01 | Not available in this setting | $1033.19 | RVU25D |
| 2025-07-01 | Not available in this setting | $1033.19 | RVU25C |
| 2025-04-01 | Not available in this setting | $1033.19 | RVU25B |
| 2025-01-01 | Not available in this setting | $1033.19 | RVU25A |
27140 billing questions
When is this code appropriate instead of an iliopsoas transfer code?
Use this code for transplantation of the greater trochanter, a bony structure. Codes 27110 and 27111 concern transfer of the iliopsoas muscle.
What operative details support reporting this service?
Document the hip indication and side, the greater trochanter’s detachment and relocation, and the fixation or other operative steps performed.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How is bilateral surgery reported under the CMS facts?
For bilateral performance, modifier 50 is paid at 150%.
Can an assistant or co-surgeon be paid?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
What happens when this procedure is performed with another procedure in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others at 50%.
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.
2,76227134,,Revise hip joint replacement,A,,29.52,14.96,NA,14.96,,6.28,50.76,50.76,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76327137,,Revise hip joint replacement,A,,22.13,12.61,NA,12.61,,4.71,39.45,39.45,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76427138,,Revise hip joint replacement,A,,23.11,12.92,NA,12.92,,4.90,40.93,40.93,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76527140,,Transplant femur ridge,A,,12.46,9.75,NA,9.75,,2.65,24.86,24.86,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76627146,,Incision of hip bone,A,,18.45,12.62,NA,12.62,,3.93,35.00,35.00,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76727147,,Revision of hip bone,A,,21.52,13.60,NA,13.60,,4.58,39.70,39.70,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76827151,,Incision of hip bones,A,,23.52,14.24,NA,14.24,,5.01,42.77,42.77,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210
8113292,NY,04,QUEENS,1.064,1.182,1.442