No office rate
Choose 27134 when both the acetabular and femoral components are revised. This code applies when the revision is limited to the acetabular component.
On this page
CMS RVU26D · Effective 2026-10-01
27137 Hip revision Medicare reimbursement rates in Alabama
Reports revision of the acetabular side of an existing total hip replacement when the femoral component is retained, with or without bone grafting. Compare 27137 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 27137 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
$1196.74
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 27137: Acetabular component hip revision
Reports revision of the acetabular side of an existing total hip replacement when the femoral component is retained, with or without bone grafting.
An orthopedic surgeon revises the socket-side component of an existing total hip replacement while retaining the femoral component. The operation may address problems such as loosening, wear, bone loss, or instability. Autograft or allograft may be used as part of the acetabular revision. These procedures are generally performed in a hospital or other surgical facility.
Select this code when the acetabular component is revised and the femoral component is not; the operative report should identify which prosthetic components were removed, revised, or retained and describe any grafting. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27137
- 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 RVU22.13 · 56%
- Practice expense (office) RVU12.61 · 32%
- Malpractice RVU4.71 · 12%
4K
Medicare services in 2024 · #1996 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.
27137 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
27138 describes revision of the femoral component only; this code describes revision of the acetabular component only.
No office rate
27130 is for primary total hip replacement. Use this code for revision of the acetabular component of an existing total hip replacement.
No office rate
27132 describes conversion to total hip replacement after prior hip surgery. This code is for revising the acetabular component of an existing total hip replacement.
Compare 27137 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
$1196.74
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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 27137 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
2,763
- Code
- 27137
- Physician work
- 22.13
- Practice expense
- 12.61
- Malpractice
- 4.71
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.13 | × 1.000 | 22.1300 |
| Practice expense | 12.61 | × 0.875 | 11.0337 |
| Malpractice | 4.71 | × 0.566 | 2.6659 |
| Total RVUs | 35.8296 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$1196.74
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.13 | 1 |
| Practice expense | 12.61 | 0.875 |
| Malpractice | 4.71 | 0.566 |
(22.13 × 1 + 12.61 × 0.875 + 4.71 × 0.566) × $33.4009 = $1196.74
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.
27137 billing questions
How do I distinguish this from 27134?
Use this code when the acetabular component is revised and the femoral component is retained. Code 27134 is for revision involving both components.
How does this differ from 27138?
This code identifies revision of the acetabular side; 27138 identifies revision of the femoral component only.
Does the global period include postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is modifier 50 handled for bilateral procedures?
CMS pays a bilateral procedure reported with modifier 50 at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. 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.
2,76027130,,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
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
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