No office rate
This code reports reconstruction of the hip socket. Code 27120 describes an acetabular procedure involving femoral-head resection, so the operative objective and work determine the choice.
On this page
CMS RVU26D · Effective 2026-10-01
27122 Hip socket reconstruction Medicare reimbursement rates in Alabama
Reports operative reconstruction of the hip socket when the acetabulum requires surgical rebuilding rather than partial or total hip replacement. Compare 27122 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 27122 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$915.51
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Orthopedic surgery
About 27122: Operative reconstruction of hip socket
Reports operative reconstruction of the hip socket when the acetabulum requires surgical rebuilding rather than partial or total hip replacement.
An orthopedic surgeon performs this major procedure to reconstruct the acetabulum, the socket portion of the hip joint. It is generally performed in a hospital or other surgical facility when the socket’s structure requires operative reconstruction. The operative report should identify the acetabular problem and describe the reconstructive work performed; the code is not selected simply because a hip operation involved the socket.
Report the code for the documented socket reconstruction, distinguishing it from procedures whose principal work is removing the femoral head or replacing part or all of the hip joint. 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 multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27122
- 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 RVU15.69 · 52%
- Practice expense (office) RVU11.24 · 37%
- Malpractice RVU3.33 · 11%
840
Medicare services in 2024 · #3103 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.
27122 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
Code 27125 is for partial hip replacement. Choose this code when the documented service is socket reconstruction rather than replacement of part of the hip joint.
No office rate
Code 27130 reports total hip arthroplasty. This code applies to hip-socket reconstruction when the service is not a total joint replacement.
Compare 27122 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$915.51
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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 27122 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
2,758
- Code
- 27122
- Physician work
- 15.69
- Practice expense
- 11.24
- Malpractice
- 3.33
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.69 | × 1.000 | 15.6900 |
| Practice expense | 11.24 | × 0.875 | 9.8350 |
| Malpractice | 3.33 | × 0.566 | 1.8848 |
| Total RVUs | 27.4098 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$915.51
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.69 | 1 |
| Practice expense | 11.24 | 0.875 |
| Malpractice | 3.33 | 0.566 |
(15.69 × 1 + 11.24 × 0.875 + 3.33 × 0.566) × $33.4009 = $915.51
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.
27122 billing questions
How is this code distinguished from 27120?
Use this code when the documented principal service is reconstruction of the hip socket. Code 27120 describes a different acetabular procedure involving resection of the femoral head; follow the operative work rather than the general label of hip reconstruction.
When would 27125 or 27130 be reported instead?
Those codes describe partial or total hip arthroplasty, respectively. This code is for reconstructing the socket, not for reporting a partial or total joint replacement.
Does the 90-day global period include related follow-up care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.
How is bilateral performance reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team surgery is not permitted under the CMS facts for this code.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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.
2,75527110,,Transfer of iliopsoas muscle,A,,13.43,10.63,NA,10.63,,2.86,26.92,26.92,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75627111,,Transfer of iliopsoas muscle,A,,12.29,10.27,NA,10.27,,2.61,25.17,25.17,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75727120,,Reconstruction of hip socket,A,,18.77,12.65,NA,12.65,,3.99,35.41,35.41,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75827122,,Reconstruction of hip socket,A,,15.69,11.24,NA,11.24,,3.33,30.26,30.26,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75927125,,Partial hip replacement,A,,16.22,11.36,NA,11.36,,3.43,31.01,31.01,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76027130,,Total hip arthroplasty,A,,19.11,11.63,NA,11.63,,4.05,34.79,34.79,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76127132,,Total hip arthroplasty,A,,25.05,14.67,NA,14.67,,5.31,45.03,45.03,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515