No office rate
Choose 27146 for osteotomy of the iliac, acetabular, or innominate bone. Code 27151 identifies bilateral pelvic osteotomy.
On this page
CMS RVU26D · Effective 2026-10-01
27151 Pelvic osteotomy Medicare reimbursement rates in Arkansas
Reports bilateral pelvic osteotomy to correct hip or pelvic alignment, commonly in treatment of congenital hip dysplasia when both sides are operated on. Compare 27151 office and facility rates across CMS payment localities in Arkansas.
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 27151 in Arkansas?
Arkansas 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
$1280.33
1 of 1 localities have a supported rate.
Payment area: Arkansas
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 27151: Bilateral pelvic osteotomy
Reports bilateral pelvic osteotomy to correct hip or pelvic alignment, commonly in treatment of congenital hip dysplasia when both sides are operated on.
An orthopedic surgeon cuts and repositions pelvic bone to improve hip alignment or coverage. A bilateral pelvic osteotomy may be performed for congenital hip dysplasia or another documented pelvic deformity. The operation takes place in a surgical setting; the operative report should identify the bones treated and the correction performed on each side.
Select this code for the bilateral pelvic osteotomy described by the operative work, distinguishing it from a more localized iliac or acetabular osteotomy and from procedures that reposition the femoral head. Documentation should establish the indication, laterality, operative steps, and any separately performed procedures. 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%. The bilateral rule with modifier 50 is payment at 150%. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 27151
- 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 RVU23.52 · 55%
- Practice expense (office) RVU14.24 · 33%
- Malpractice RVU5.01 · 12%
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.
27151 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
27147 specifies femoral head repositioning with iliac, acetabular, or innominate osteotomy; 27151 describes bilateral pelvic osteotomy.
No office rate
27156 describes pelvic osteotomy with femoral head repositioning for unilateral work; 27151 is the bilateral pelvic osteotomy code.
No office rate
Both describe bilateral pelvic osteotomy, but 27158 includes femoral head repositioning. Use the code matching the documented operative work.
Compare 27151 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
Arkansas →
Office / nonfacility
Unavailable
Facility
$1280.33
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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 27151 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
2,768
- Code
- 27151
- Physician work
- 23.52
- Practice expense
- 14.24
- Malpractice
- 5.01
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.52 | × 1.000 | 23.5200 |
| Practice expense | 14.24 | × 0.859 | 12.2322 |
| Malpractice | 5.01 | × 0.515 | 2.5802 |
| Total RVUs | 38.3323 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$1280.33
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 23.52 | 1 |
| Practice expense | 14.24 | 0.859 |
| Malpractice | 5.01 | 0.515 |
(23.52 × 1 + 14.24 × 0.859 + 5.01 × 0.515) × $33.4009 = $1280.33
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.
27151 billing questions
How does 27151 differ from 27146?
27151 describes a bilateral pelvic osteotomy. Code 27146 is for an osteotomy of the iliac, acetabular, or innominate bone, so select based on the documented site and procedure.
When would 27147 be considered instead?
27147 describes an iliac, acetabular, or innominate osteotomy with femoral head repositioning. The operative report should support that repositioning and the specified bone work.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle bilateral payment?
CMS lists bilateral payment with modifier 50 at 150%. Code 27151 itself describes bilateral pelvic osteotomy, so the documentation should support the bilateral work reported.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
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 the other procedures are paid 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 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.
2,76527140,,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
2,76727147,,Revision of hip bone,A,,21.52,13.60,NA,13.60,,4.58,39.70,39.70,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76827151,,Incision of hip bones,A,,23.52,14.24,NA,14.24,,5.01,42.77,42.77,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76927156,,Revision of hip bones,A,,25.57,14.89,NA,14.89,,5.45,45.91,45.91,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77027158,,Revision of pelvis,A,,20.51,13.08,NA,13.08,,4.36,37.95,37.95,0,090,0.10,0.69,0.21,2,2,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77127161,,Incision of neck of femur,A,,17.44,12.25,NA,12.25,,3.71,33.40,33.40,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541