No office rate
Use 27090 for standard prosthesis removal; 27091 is the related code when the explant is documented as complicated.
On this page
CMS RVU26D · Effective 2026-10-01
27090 Hip implant removal Medicare reimbursement rates in Colorado
Reports operative removal of an implanted hip prosthesis when the service is removal rather than a complicated explant or component revision. Compare 27090 office and facility rates across CMS payment localities in Colorado.
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 27090 in Colorado?
Colorado 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
$780.33
1 of 1 localities have a supported rate.
Payment area: Colorado
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 27090: Removal of hip prosthesis
Reports operative removal of an implanted hip prosthesis when the service is removal rather than a complicated explant or component revision.
An orthopedic surgeon removes an implanted hip prosthesis during an operative procedure, commonly to address periprosthetic infection, loosening, or implant failure when the planned service is removal rather than revision or replacement. The operation is generally performed in a hospital or other surgical facility. The surgeon’s report should identify the indication, the prosthetic components removed, and the extent and complexity of the explant; those details help distinguish this service from complicated removal or revision of one or more components.
Report 27090 when the operative work is the standard removal service, not as a separate charge for removal that is part of a component revision or replacement operation. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one 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 27090
- 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 RVU11.40 · 49%
- Practice expense (office) RVU9.36 · 40%
- Malpractice RVU2.39 · 10%
215
Medicare services in 2024 · #4262 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.
27090 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
Use 27134 when both hip components are revised, rather than reporting removal alone with 27090.
No office rate
Use 27137 when the acetabular component is revised; 27090 describes removal of the prosthesis rather than that component revision.
No office rate
Use 27138 when the femoral component is revised; 27090 describes removal of the prosthesis rather than that component revision.
Compare 27090 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
Colorado →
Office / nonfacility
Unavailable
Facility
$780.33
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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 27090 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
2,746
- Code
- 27090
- Physician work
- 11.40
- Practice expense
- 9.36
- Malpractice
- 2.39
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.40 | × 1.012 | 11.5368 |
| Practice expense | 9.36 | × 1.064 | 9.9590 |
| Malpractice | 2.39 | × 0.781 | 1.8666 |
| Total RVUs | 23.3624 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$780.33
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.4 | 1.012 |
| Practice expense | 9.36 | 1.064 |
| Malpractice | 2.39 | 0.781 |
(11.4 × 1.012 + 9.36 × 1.064 + 2.39 × 0.781) × $33.4009 = $780.33
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.
27090 billing questions
How is 27090 distinguished from 27091?
27090 describes standard removal of a hip prosthesis. Use 27091 when the operative documentation supports a complicated removal.
Can 27090 be separately reported with a hip revision?
When removal is part of a same-session component revision or replacement, report the code describing the revision or replacement work rather than separately adding 27090 for that removal.
What documentation supports 27090?
The operative report should state why the prosthesis was removed, identify the components removed, and describe the work and complexity of the explant.
How does the 90-day global period affect follow-up billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is 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.
2,74327080,,Removal of tail bone,A,,6.72,6.58,NA,6.58,,1.69,14.99,14.99,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74427086,,Remove hip foreign body,A,,1.87,7.90,,2.74,,0.40,10.17,5.01,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74527087,,Remove hip foreign body,A,,8.61,7.26,NA,7.26,,1.99,17.86,17.86,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74627090,,Removal of hip prosthesis,A,,11.40,9.36,NA,9.36,,2.39,23.15,23.15,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74727091,,Removal of hip prosthesis,A,,23.74,14.26,NA,14.26,,5.03,43.03,43.03,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74827093,,Injection for hip x-ray,A,,1.27,5.54,,0.31,,0.15,6.96,1.73,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74927095,,Injection for hip x-ray,A,,1.46,8.07,,0.41,,0.22,9.75,2.09,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899