Billing code 27140: Trochanter transferMedicare rate & RVUs in Merced

Reports surgical relocation of the femur’s greater trochanter, typically to address hip deformity or restore the effectiveness of the hip abductor mechanism.

CMS RVU26DEffective Oct 1, 2026One payment locality47 Medicare services in 2024

In Merced, Medicare pays $827.61 for 27140 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$827.61Hospital or facility

Check a contract rate as a % of Medicare · 27140 nationwide

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

We’ll open 27140 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Merced
  2. What 27140 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 27140 covers

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.

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.

How Merced compares for 27140

Across 109 of 109 payment localities, the facility rate for 27140 runs from $741.50 in Arkansas to $1,019.86 in Alaska*. Merced pays $827.61. The RVUs are the same everywhere; the geographic indexes change the dollars.

27140 in Merced vs other payment areas
  1. Merced · this page$827.61
  2. Bakersfield · California$834.91+$7.30
  3. Chico · California$827.61
  4. El Centro · California$828.06+$0.45
  5. Fresno · California$827.61
  6. Hanford-Corcoran · California$827.61

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

27140 in every other Medicare payment locality
Payment localityOfficeFacility
MaderaCalifornia—$827.61
ModestoCalifornia—$827.61
NapaCalifornia—$916.58
Oxnard-Thousand Oaks-VenturaCalifornia—$867.90
ReddingCalifornia—$827.61
Rest Of CaliforniaCalifornia—$827.61
Riverside-San Bernardino-OntarioCalifornia—$856.09
Sacramento-Roseville-FolsomCalifornia—$857.34

27140 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.

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27140 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

See 27140 in every payment locality

How the 27140 rate is calculated

Each of 27140’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 · 27140

RVUs × geographic indexes × conversion factor

Work12.46

12.46 RVUs× 1.000 GPCI

Practice expense9.75

9.75 RVUs× 1.000 GPCI

Malpractice2.65

2.65 RVUs× 1.000 GPCI

Adjusted RVUs

24.8600

Conversion factor

$33.4009

Medicare rate

$830.35

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Merced inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,765

Code
27140
Physician work
12.46
Practice expense
9.75
Malpractice
2.65

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Facility calculation for 27140 in Merced
ComponentRVULocality factorAdjusted
Physician work12.46× 1.01712.6718
Practice expense9.75× 1.09610.6860
Malpractice2.65× 0.5361.4204
Total RVUs24.7782
Conversion factor× 33.4009

Facility rate, Merced$827.61

Facility: (12.46 × 1.017 + 9.75 × 1.096 + 2.65 × 0.536) × $33.4009 = $827.61

Open 27140 in the RVU calculator

Payment rules and modifiers for 27140

27140 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27140

Trochanter transfer

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 · 27140

Trochanter transfer

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned 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

27140 without 50 · national facility

$830.35

Trochanter transfer

27140-50 · Bilateral: 150%

$1,245.53

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

How 27140 has changed in Merced

27140 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$827.61RVU26D
2026-07-01Not available in this setting$827.61RVU26C
2026-04-01Not available in this setting$827.61RVU26B
2026-01-01Not available in this setting$827.61RVU26A
2025-10-01Not available in this setting$890.89RVU25D
2025-07-01Not available in this setting$890.89RVU25C
2025-04-01Not available in this setting$890.89RVU25B
2025-01-01Not available in this setting$890.89RVU25A
2024-10-01Not available in this setting$907.72RVU24D
2022-07-01Not available in this setting$919.65RVU22C
2021-04-01Not available in this setting$922.12RVU21B
2021-01-01Not available in this setting$922.12RVU21A
2020-10-01Not available in this setting$932.44RVU20D
2020-07-01Not available in this setting$932.44RVU20C
2020-04-01Not available in this setting$932.44RVU20B
2020-01-01Not available in this setting$932.44RVU20A
2019-10-01Not available in this setting$925.02RVU19D
2019-07-01Not available in this setting$925.02RVU19C
2019-04-01Not available in this setting$925.02RVU19B
2019-01-01Not available in this setting$925.02RVU19A
2018-10-01Not available in this setting$925.77RVU18D
2018-07-01Not available in this setting$925.77RVU18C
2018-04-01Not available in this setting$925.77RVU18B
2018-01-01Not available in this setting$925.77RVU18AR1
2017-10-01Not available in this setting$927.58RVU17D
2017-07-01Not available in this setting$927.58RVU17C
2017-04-01Not available in this setting$927.58RVU17B
2017-01-01Not available in this setting$927.58RVU17A
2016-10-01Not available in this settingRate data unavailableRVU16D
2016-07-01Not available in this settingRate data unavailableRVU16C
2016-04-01Not available in this settingRate data unavailableRVU16B
2016-01-01Not available in this settingRate data unavailableRVU16A
2015-10-01Not available in this settingRate data unavailableRVU15D
2015-07-01Not available in this settingRate data unavailableRVU15C
2015-04-01Not available in this settingRate data unavailableRVU15B
2015-01-01Not available in this settingRate data unavailableRVU15A
2014-10-01Not available in this settingRate data unavailableRVU14D
2014-07-01Not available in this settingRate data unavailableRVU14C
2014-04-01Not available in this settingRate data unavailableRVU14B
2014-01-01Not available in this settingRate data unavailableRVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 27140 for an earlier date of service

Where the Merced rate applies

Merced is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

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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 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 27140PPRRVU2026_Oct_nonQPP.csv, line 2,765 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)

Open CMS sourceHow we calculate rates

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