No office rate
This code concerns transfer of the iliopsoas muscle. Use 27140 when the operative service relocates the greater trochanter.
On this page
CMS RVU26D · Effective 2026-10-01
27140 Trochanter transfer Medicare reimbursement rates in Delaware
Reports surgical relocation of the femur’s greater trochanter, typically to address hip deformity or restore the effectiveness of the hip abductor mechanism. Compare 27140 office and facility rates across CMS payment localities in Delaware.
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 27140 in Delaware?
Delaware 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
$819.58
1 of 1 localities have a supported rate.
Payment area: Delaware
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 27140: Greater trochanter transplantation
Reports surgical relocation of the femur’s greater trochanter, typically to address hip deformity or restore the effectiveness of the hip abductor mechanism.
An orthopedic surgeon detaches and relocates the greater trochanter, the bony prominence where important hip muscles attach. The operation is associated with reconstructive treatment of hip deformity, including selected cases of congenital hip dislocation, when repositioning the trochanter can improve the abductor mechanism. It is generally performed in an operating room rather than an office setting.
Select this code when the operative report supports transplantation of the greater trochanter, rather than a muscle transfer or a different hip-bone reconstruction. Document the indication, operative side, detachment and new position of the trochanter, and any fixation performed. The service has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. 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 27140
- 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 RVU12.46 · 50%
- Practice expense (office) RVU9.75 · 39%
- Malpractice RVU2.65 · 11%
47
Medicare services in 2024 · #5386 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.
27140 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
This code also concerns iliopsoas muscle transfer, not transplantation of a bony prominence of the femur.
No office rate
This code describes an incision or osteotomy involving hip bone; 27140 is for transplantation of the greater trochanter.
Compare 27140 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
Delaware →
Office / nonfacility
Unavailable
Facility
$819.58
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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 27140 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
2,765
- Code
- 27140
- Physician work
- 12.46
- Practice expense
- 9.75
- Malpractice
- 2.65
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.46 | × 1.005 | 12.5223 |
| Practice expense | 9.75 | × 0.988 | 9.6330 |
| Malpractice | 2.65 | × 0.899 | 2.3824 |
| Total RVUs | 24.5376 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$819.58
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.46 | 1.005 |
| Practice expense | 9.75 | 0.988 |
| Malpractice | 2.65 | 0.899 |
(12.46 × 1.005 + 9.75 × 0.988 + 2.65 × 0.899) × $33.4009 = $819.58
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.
27140 billing questions
When is this code appropriate instead of an iliopsoas transfer code?
Use this code for transplantation of the greater trochanter, a bony structure. Codes 27110 and 27111 concern transfer of the iliopsoas muscle.
What operative details support reporting this service?
Document the hip indication and side, the greater trochanter’s detachment and relocation, and the fixation or other operative steps performed.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How is bilateral surgery reported under the CMS facts?
For bilateral performance, modifier 50 is paid at 150%.
Can an assistant or co-surgeon be paid?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
What happens when this procedure is performed with another procedure in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others 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.
2,76227134,,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
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
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503