Billing code 27258: Hip dislocationMedicare rate & RVUs in Florida
Reports open treatment of a hip dislocation that includes femoral shortening, typically during reconstructive surgery for a persistently displaced hip.
CMS doesn’t publish an office rate for 27258 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 27258 covers
An orthopedic surgeon uses this code for open reduction of a dislocated hip when femoral shortening is part of the operation. This approach is commonly used in pediatric hip reconstruction when the femur must be shortened to permit a stable reduction without excessive tension. The service is performed in an operating room; internal fixation may be used as part of the procedure.
Select the code from the operative report’s description of the open treatment and femoral shortening, rather than from the diagnosis alone. Documentation should identify the dislocation, the reduction approach, and the shortening performed. 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 the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
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.
Where 27258 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $1,114.41 |
| Miami | Unavailable | $1,205.73 |
| Rest Of Florida | Unavailable | $1,058.62 |
How the 27258 rate is calculated
Each of 27258’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 27258
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 15.78Practice expense 11.38Malpractice 3.35
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27258
27258 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27258
Hip dislocation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27258
Hip dislocation
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27258 without 50 · national facility
$1,019.06
Hip dislocation
27258-50 · Bilateral: 150%
$1,528.59
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
27258 compared with similar codes
Compare codes
27258 vs 27257 vs 27259 vs 27252: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27257Hip reduction
- 27258 is distinguished by femoral shortening as part of open treatment. Choose 27257 when its specified femoral osteotomy, rather than shortening, describes the operation.
- 27259Hip dislocation
- 27259 describes open treatment combining femoral shortening and pelvic osteotomy; 27258 identifies femoral shortening without that combined pelvic osteotomy distinction.
- 27252Hip reduction
- 27252 is for closed treatment requiring anesthesia. 27258 applies when the surgeon opens the hip and performs femoral shortening.
27258 billing questions
When should 27258 be selected instead of another open hip-dislocation code?
Use 27258 when the open treatment includes femoral shortening. Other codes in the open-treatment family distinguish procedures by the osteotomy or additional work performed.
Is internal fixation separately reported with 27258?
Internal fixation may be used as part of the coded procedure. The operative report should show the femoral shortening and open treatment; do not treat fixation alone as the defining service.
How does 27258 differ from closed treatment under anesthesia?
27258 describes open treatment with femoral shortening. A closed reduction performed under anesthesia is represented by a closed-treatment code, such as 27252, when its requirements are met.
What documentation supports reporting 27258?
Document the hip dislocation, the open reduction, and the femoral shortening performed. The operative report should make clear why shortening was part of the reconstruction.
How are other procedures in the same session paid?
Under the CMS multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery payment is not permitted for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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