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.
In Merced, Medicare pays $827.61 for 27140 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- Merced · this page$827.61
- Bakersfield · California$834.91+$7.30
- Chico · California$827.61
- El Centro · California$828.06+$0.45
- Fresno · California$827.61
- Hanford-Corcoran · California$827.61
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$877.26+$49.65
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| SalinasCalifornia | — | $853.96 |
| San Diego-Chula Vista-CarlsbadCalifornia | — | $866.12 |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | — | $955.52 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | — | $952.51 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | — | $979.00 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | — | $966.69 |
| San Luis Obispo-Paso RoblesCalifornia | — | $841.62 |
| Santa Cruz-WatsonvilleCalifornia | — | $868.03 |
| Santa Maria-Santa BarbaraCalifornia | — | $854.99 |
| Santa Rosa-PetalumaCalifornia | — | $876.01 |
| StocktonCalifornia | — | $827.61 |
| VallejoCalifornia | — | $912.24 |
| VisaliaCalifornia | — | $827.61 |
| Yuba CityCalifornia | — | $827.61 |
| Dc + Md/Va SuburbsDistrict of Columbia | — | $920.79 |
| MiamiFlorida | — | $979.03 |
| ChicagoIllinois | — | $949.51 |
| ManhattanNew York | — | $961.61 |
| Alaska*Alaska | — | $1,019.86 |
| AlabamaAlabama | — | $751.22 |
| ArkansasArkansas | — | $741.50 |
| ArizonaArizona | — | $807.51 |
| ColoradoColorado | — | $836.80 |
| ConnecticutConnecticut | — | $882.33 |
| DelawareDelaware | — | $819.58 |
| Fort LauderdaleFlorida | — | $906.10 |
| Rest Of FloridaFlorida | — | $860.54 |
| AtlantaGeorgia | — | $854.60 |
| Rest Of GeorgiaGeorgia | — | $812.17 |
| Hawaii, GuamHawaii | — | $837.70 |
| IowaIowa | — | $749.29 |
| IdahoIdaho | — | $757.65 |
| East St. LouisIllinois | — | $894.05 |
| Rest Of IllinoisIllinois | — | $851.85 |
| Suburban ChicagoIllinois | — | $910.38 |
| IndianaIndiana | — | $761.08 |
| KansasKansas | — | $755.18 |
| KentuckyKentucky | — | $786.67 |
| New OrleansLouisiana | — | $823.17 |
| Rest Of LouisianaLouisiana | — | $789.18 |
| Metropolitan BostonMassachusetts | — | $900.85 |
| Rest Of MassachusettsMassachusetts | — | $836.30 |
| Baltimore/Surr. CntysMaryland | — | $881.76 |
| Rest Of MarylandMaryland | — | $831.16 |
| Rest Of MaineMaine | — | $770.84 |
| Southern MaineMaine | — | $794.75 |
| DetroitMichigan | — | $879.67 |
| Rest Of MichiganMichigan | — | $813.43 |
| MinnesotaMinnesota | — | $777.48 |
| Metropolitan Kansas CityMissouri | — | $808.45 |
| Metropolitan St. LouisMissouri | — | $814.89 |
| Rest Of MissouriMissouri | — | $783.10 |
| MississippiMississippi | — | $761.98 |
| Montana**Montana | — | $830.17 |
| North CarolinaNorth Carolina | — | $776.57 |
| North Dakota**North Dakota | — | $777.77 |
| NebraskaNebraska | — | $750.22 |
| New HampshireNew Hampshire | — | $832.63 |
| Northern NjNew Jersey | — | $914.69 |
| Rest Of New JerseyNew Jersey | — | $885.54 |
| New MexicoNew Mexico | — | $821.11 |
| Nevada**Nevada | — | $815.89 |
| Nyc Suburbs/Long IslandNew York | — | $994.39 |
| Poughkpsie/N Nyc SuburbsNew York | — | $898.60 |
| QueensNew York | — | $955.37 |
| Rest Of New YorkNew York | — | $787.78 |
| OhioOhio | — | $802.72 |
| OklahomaOklahoma | — | $775.76 |
| PortlandOregon | — | $850.49 |
| Rest Of OregonOregon | — | $802.76 |
| Metropolitan PhiladelphiaPennsylvania | — | $868.27 |
| Rest Of PennsylvaniaPennsylvania | — | $798.77 |
| Puerto RicoPuerto Rico | — | $832.60 |
| Rhode IslandRhode Island | — | $839.44 |
| South CarolinaSouth Carolina | — | $792.32 |
| South Dakota**South Dakota | — | $771.57 |
| TennesseeTennessee | — | $759.73 |
| AustinTexas | — | $839.98 |
| BeaumontTexas | — | $794.75 |
| BrazoriaTexas | — | $811.27 |
| DallasTexas | — | $820.22 |
| Fort WorthTexas | — | $818.11 |
| GalvestonTexas | — | $816.17 |
| HoustonTexas | — | $864.68 |
| Rest Of TexasTexas | — | $805.15 |
| UtahUtah | — | $801.78 |
| VirginiaVirginia | — | $798.79 |
| Virgin IslandsUnited States Virgin Islands | — | $832.60 |
| VermontVermont | — | $783.36 |
| Rest Of WashingtonWashington | — | $831.86 |
| Seattle (King Cnty)Washington | — | $908.88 |
| WisconsinWisconsin | — | $755.42 |
| West VirginiaWest Virginia | — | $825.83 |
| Wyoming**Wyoming | — | $807.33 |
27140 rates by state
Office rate range in each state. Select a state to see its payment localities.
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 every state and territory as a table
| State / territory | Office 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 |
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.46 | × 1.017 | 12.6718 |
| Practice expense | 9.75 | × 1.096 | 10.6860 |
| Malpractice | 2.65 | × 0.536 | 1.4204 |
| Total RVUs | 24.7782 | ||
| 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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share 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.
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).
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.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $827.61 | RVU26D |
| 2026-07-01 | Not available in this setting | $827.61 | RVU26C |
| 2026-04-01 | Not available in this setting | $827.61 | RVU26B |
| 2026-01-01 | Not available in this setting | $827.61 | RVU26A |
| 2025-10-01 | Not available in this setting | $890.89 | RVU25D |
| 2025-07-01 | Not available in this setting | $890.89 | RVU25C |
| 2025-04-01 | Not available in this setting | $890.89 | RVU25B |
| 2025-01-01 | Not available in this setting | $890.89 | RVU25A |
| 2024-10-01 | Not available in this setting | $907.72 | RVU24D |
| 2022-07-01 | Not available in this setting | $919.65 | RVU22C |
| 2021-04-01 | Not available in this setting | $922.12 | RVU21B |
| 2021-01-01 | Not available in this setting | $922.12 | RVU21A |
| 2020-10-01 | Not available in this setting | $932.44 | RVU20D |
| 2020-07-01 | Not available in this setting | $932.44 | RVU20C |
| 2020-04-01 | Not available in this setting | $932.44 | RVU20B |
| 2020-01-01 | Not available in this setting | $932.44 | RVU20A |
| 2019-10-01 | Not available in this setting | $925.02 | RVU19D |
| 2019-07-01 | Not available in this setting | $925.02 | RVU19C |
| 2019-04-01 | Not available in this setting | $925.02 | RVU19B |
| 2019-01-01 | Not available in this setting | $925.02 | RVU19A |
| 2018-10-01 | Not available in this setting | $925.77 | RVU18D |
| 2018-07-01 | Not available in this setting | $925.77 | RVU18C |
| 2018-04-01 | Not available in this setting | $925.77 | RVU18B |
| 2018-01-01 | Not available in this setting | $925.77 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $927.58 | RVU17D |
| 2017-07-01 | Not available in this setting | $927.58 | RVU17C |
| 2017-04-01 | Not available in this setting | $927.58 | RVU17B |
| 2017-01-01 | Not available in this setting | $927.58 | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not available in this setting | Rate data unavailable | RVU14D |
| 2014-07-01 | Not available in this setting | Rate data unavailable | RVU14C |
| 2014-04-01 | Not available in this setting | Rate data unavailable | RVU14B |
| 2014-01-01 | Not available in this setting | Rate data unavailable | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
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.
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
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