No office rate
Use 27265 for a dislocated hip arthroplasty treated closed without anesthesia. Code 27266 is the anesthesia-required counterpart.
On this page
CMS RVU26D · Effective 2026-10-01
27266 Hip reduction Medicare reimbursement rates in Alaska
Report this service for closed reduction of a dislocated hip arthroplasty when the reduction requires anesthesia, such as in an operating room. Compare 27266 office and facility rates across CMS payment localities in Alaska.
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 27266 in Alaska?
Alaska 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
$676.52
1 of 1 localities have a supported rate.
Payment area: Alaska*
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 27266: Closed reduction of prosthetic hip dislocation with anesthesia
Report this service for closed reduction of a dislocated hip arthroplasty when the reduction requires anesthesia, such as in an operating room.
Code 27266 represents closed reduction of a dislocated hip prosthesis when anesthesia is required. An orthopedic surgeon or other qualified physician typically performs the reduction in a hospital operating room or other setting equipped to provide anesthesia. The treatment restores the prosthetic femoral head to the acetabular component without open surgical exposure; a dislocated native hip is coded elsewhere in the hip-dislocation family.
Document the prior hip arthroplasty, the dislocation, the closed reduction, and the need for anesthesia. This major surgery code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral reporting with modifier 50, CMS pays 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 27266
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.59 · 45%
- Practice expense (office) RVU7.49 · 45%
- Malpractice RVU1.62 · 10%
3.7K
Medicare services in 2024 · #2041 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.
27266 compared with similar codes
Office rates for Alaska, from the same CMS release.
No office rate
Code 27252 concerns closed treatment of a native hip dislocation requiring anesthesia; 27266 is for a dislocated hip arthroplasty.
No office rate
Code 27253 describes open treatment of a hip dislocation. Use 27266 when the prosthetic hip is reduced closed.
Compare 27266 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
Alaska* →
Office / nonfacility
Unavailable
Facility
$676.52
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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 27266 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
2,814
- Code
- 27266
- Physician work
- 7.59
- Practice expense
- 7.49
- Malpractice
- 1.62
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.59 | × 1.500 | 11.3850 |
| Practice expense | 7.49 | × 1.065 | 7.9768 |
| Malpractice | 1.62 | × 0.551 | 0.8926 |
| Total RVUs | 20.2545 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$676.52
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.59 | 1.5 |
| Practice expense | 7.49 | 1.065 |
| Malpractice | 1.62 | 0.551 |
(7.59 × 1.5 + 7.49 × 1.065 + 1.62 × 0.551) × $33.4009 = $676.52
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.
27266 billing questions
How does 27266 differ from 27265?
Both codes describe closed treatment of a dislocated hip arthroplasty. Use 27266 when anesthesia is required; 27265 describes treatment without anesthesia.
Can 27266 be used for a dislocated native hip?
No. It is for dislocation of a hip arthroplasty. Closed treatment of a native hip dislocation requiring anesthesia is represented by 27252.
Is the related postoperative care separately reported?
Related postoperative care during the 90-day global period is included. The global period also includes the day-before preoperative visit.
How is bilateral treatment reported?
Report modifier 50 for bilateral treatment; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 27266. Co-surgeons and team surgery are not permitted.
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.
2,81127258,,Treat hip dislocation,A,,15.78,11.38,NA,11.38,,3.35,30.51,30.51,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81227259,,Treat hip dislocation,A,,22.68,14.42,NA,14.42,,4.83,41.93,41.93,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81327265,,Treat hip dislocation,A,,5.11,8.43,NA,8.43,,1.23,14.77,14.77,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81427266,,Treat hip dislocation,A,,7.59,7.49,NA,7.49,,1.62,16.70,16.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81527267,,Cltx thigh fx,A,,5.36,6.43,NA,6.43,,1.12,12.91,12.91,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81627268,,Cltx thigh fx w/mnpj,A,,6.94,7.05,NA,7.05,,1.47,15.46,15.46,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81727269,,Optx thigh fx,A,,18.42,11.26,NA,11.26,,3.89,33.57,33.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,,,,,,
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
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609