No office rate
27250 is for closed treatment without anesthesia. Report 27253 when the surgeon opens the joint to reduce the dislocation and uses no internal fixation.
On this page
CMS RVU26D · Effective 2026-10-01
27253 Hip dislocation Medicare reimbursement rates in California
Reports open reduction of a traumatic native hip dislocation when direct surgical treatment is performed without internal fixation. Compare 27253 office and facility rates across CMS payment localities in California.
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 27253 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$865.39–$1021.73
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $156.34 per service.
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.
Where 27253 pays more and less in California
Orthopedic surgery
About 27253: Open hip dislocation reduction without fixation
Reports open reduction of a traumatic native hip dislocation when direct surgical treatment is performed without internal fixation.
An orthopedic surgeon uses an open surgical approach to reduce a traumatic dislocation of the native hip without internal fixation. The procedure is typically performed in an operating room when direct exposure is needed to restore the femoral head to the joint. These injuries often follow high-energy trauma, such as a motor-vehicle collision.
Report this code when the operative record supports an open reduction and confirms that internal fixation was not used. Closed treatment under anesthesia is reported with a different code; open treatment with internal fixation is also distinct. The CMS global period includes 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 a 50% reduction. 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.
CMS billing rules for 27253
- 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 RVU13.24 · 51%
- Practice expense (office) RVU9.97 · 38%
- Malpractice RVU2.83 · 11%
236
Medicare services in 2024 · #4180 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.
27253 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
27252 describes closed treatment requiring anesthesia. An open surgical approach without internal fixation points to 27253.
No office rate
Both codes involve open treatment, but 27254 includes internal fixation. Use 27253 when no internal fixation is placed.
Compare 27253 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office Unavailable | Facility $873.17 |
| Chico | Office Unavailable | Facility $865.39 |
| El Centro | Office Unavailable | Facility $865.86 |
| Fresno | Office Unavailable | Facility $865.39 |
| Hanford-Corcoran | Office Unavailable | Facility $865.39 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $917.07 |
| Madera | Office Unavailable | Facility $865.39 |
| Merced | Office Unavailable | Facility $865.39 |
| Modesto | Office Unavailable | Facility $865.39 |
| Napa | Office Unavailable | Facility $957.01 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $907.11 |
| Redding | Office Unavailable | Facility $865.39 |
| Rest Of California | Office Unavailable | Facility $865.39 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $895.79 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $896.10 |
| Salinas | Office Unavailable | Facility $892.56 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $905.00 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $997.17 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $993.95 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1021.73 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1008.60 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $879.71 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $906.78 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $893.56 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $915.09 |
| Stockton | Office Unavailable | Facility $865.39 |
| Vallejo | Office Unavailable | Facility $952.38 |
| Visalia | Office Unavailable | Facility $865.39 |
| Yuba City | Office Unavailable | Facility $865.39 |
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27253 billing questions
How does this differ from closed treatment of a hip dislocation?
This code is for an open surgical reduction without internal fixation. Codes 27250 and 27252 describe closed treatment, with the distinction between them based on whether anesthesia is required.
When should 27254 be reported instead?
Use 27254 when open treatment includes internal fixation. The operative report should make clear whether fixation was placed.
Can closed treatment also be reported for the same dislocation?
Do not separately report closed treatment as a second treatment of the same dislocation during the same operative episode. Report the definitive open procedure performed.
What documentation supports reporting this code?
The operative report should identify the hip dislocation, describe the open approach and reduction, and establish that internal fixation was not used.
How are bilateral procedures and assistants handled?
CMS pays bilateral reporting with modifier 50 at 150%. Assistant-at-surgery payment may be made; 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.
2,80427248,,Treat thigh fracture,A,,10.51,7.81,NA,7.81,,2.21,20.53,20.53,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80527250,,Treat hip dislocation,A,,3.72,0.61,NA,0.61,,0.90,5.23,5.23,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80627252,,Treat hip dislocation,A,,10.75,8.40,NA,8.40,,2.36,21.51,21.51,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80727253,,Treat hip dislocation,A,,13.24,9.97,NA,9.97,,2.83,26.04,26.04,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80827254,,Treat hip dislocation,A,,18.47,12.24,NA,12.24,,3.93,34.64,34.64,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80927256,,Treat hip dislocation,A,,4.17,6.87,,2.62,,1.05,12.09,7.84,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81027257,,Treat hip dislocation,A,,5.25,3.50,NA,3.50,,1.12,9.87,9.87,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00