No office rate
This code describes amputation at the hip without pelvic bone resection. Use 27295 when pelvic bone is also resected as part of the procedure.
On this page
CMS RVU26D · Effective 2026-10-01
27290 Hip amputation Medicare reimbursement rates in Florida
Reports removal of the lower limb at the hip for cases such as extensive malignancy, infection, or nonviable tissue requiring hip-level amputation. Compare 27290 office and facility rates across CMS payment localities in Florida.
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 27290 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1530.28–$1746.96
3 of 3 localities have a supported rate.
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 27290 pays more and less in Florida
Orthopedic surgery
About 27290: Hip-level lower-limb amputation
Reports removal of the lower limb at the hip for cases such as extensive malignancy, infection, or nonviable tissue requiring hip-level amputation.
This service involves removing the lower limb at the hip joint, rather than leaving a femoral segment below the hip. It may be performed when extensive tumor, severe infection, major trauma, or nonviable tissue makes preservation of the limb or a more distal amputation unsuitable. An orthopedic, orthopedic oncology, or other surgeon experienced in major limb amputation typically performs the operation in a hospital operating room.
Report the code when the operative record supports amputation at the hip; distinguish it from a thigh amputation that leaves part of the femur or a procedure that also resects pelvic bone. 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 other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27290
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU23.94 · 55%
- Practice expense (office) RVU14.88 · 34%
- Malpractice RVU5.09 · 12%
21
Medicare services in 2024 · #5890 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.
27290 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
Use 27590 for amputation through the femur at a thigh level. This code is for removal of the limb at the hip.
No office rate
27591 describes thigh amputation with immediate prosthesis fitting. It is not the hip-level amputation reported with this code.
Compare 27290 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$1610.46
Miami →
Office / nonfacility
Unavailable
Facility
$1746.96
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$1530.28
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27290 billing questions
How is this different from a thigh amputation?
This code is for amputation at the hip. A thigh amputation leaves a portion of the femur below the hip.
When would 27295 be considered instead?
Consider 27295 when the operation includes resection of pelvic bone as part of the hip-level amputation. The operative report should establish the extent of bone removal.
Should modifier 50 be appended for bilateral procedures?
No. CMS identifies bilateral adjustment as inappropriate for this code. The descriptor and anatomy do not support modifier 50.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction when performed in the same session.
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.
2,82227282,,Arthrodesis symphysis pubis,A,,11.55,10.03,NA,10.03,,2.47,24.05,24.05,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82327284,,Arthrodesis hip joint,A,,24.43,13.38,NA,13.38,,5.19,43.00,43.00,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82427286,,Arthrd hip jt sbtrchc osteot,A,,24.54,14.57,NA,14.57,,5.22,44.33,44.33,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82527290,,Amputation of leg at hip,A,,23.94,14.88,NA,14.88,,5.09,43.91,43.91,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82627295,,Amputation of leg at hip,A,,19.17,10.93,NA,10.93,,4.24,34.34,34.34,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82727299,,Unlisted px pelvis/hip joint,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82827301,,Drain thigh/knee lesion,A,,6.61,13.51,,6.47,,1.44,21.56,14.52,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00