No office rate
27130 is for primary total hip replacement without conversion of prior hip surgery. Use 27132 when the operation converts a previously operated hip.
On this page
CMS RVU26D · Effective 2026-10-01
27132 Hip replacement Medicare reimbursement rates in Georgia
Reports conversion of a previously operated hip to total hip replacement, rather than primary replacement in a previously unoperated joint. Compare 27132 office and facility rates across CMS payment localities in Georgia.
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 27132 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1485.18–$1550.04
2 of 2 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.
Orthopedic surgery
About 27132: Conversion to total hip replacement
Reports conversion of a previously operated hip to total hip replacement, rather than primary replacement in a previously unoperated joint.
This code represents conversion of a hip altered by prior surgery to a total hip replacement. The surgeon replaces the joint’s femoral and acetabular sides; the history may include a prior partial hip replacement, hip fusion, or osteotomy. Orthopedic surgeons typically perform the operation in a hospital operating room, with the conversion work addressing the changed anatomy and any existing implant or fixation material as needed.
Select this code when the operation converts prior hip surgery to a total replacement; use the primary replacement code for a joint without that conversion history and revision codes when revising an existing total hip replacement. The operative report should identify the prior procedure and describe the conversion performed. CMS assigns a 90-day global period, including 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 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 is not permitted.
CMS billing rules for 27132
- 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 RVU25.05 · 56%
- Practice expense (office) RVU14.67 · 33%
- Malpractice RVU5.31 · 12%
8.8K
Medicare services in 2024 · #1538 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.
27132 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
27125 describes partial hip replacement. Use 27132 when prior hip surgery is converted to a total replacement.
No office rate
27134 is for revision of an existing total hip replacement involving both components. Use 27132 when converting prior hip surgery to a total replacement.
Compare 27132 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$1550.04
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$1485.18
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27132 billing questions
How does this differ from a primary total hip replacement?
Use this code when the total replacement converts a hip previously treated surgically. A primary replacement in a previously unoperated joint is reported with 27130.
Can this be reported when converting a partial hip replacement?
Yes, conversion of a prior partial replacement to a total replacement is a typical conversion scenario. Document the prior implant and the conversion performed.
When is 27134 more appropriate?
Use 27134 for revision of an existing total hip replacement involving both components. This code describes conversion of prior hip surgery to a total replacement, not revision of an existing total hip replacement.
How should bilateral conversions be reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
What global-period and assistant-surgeon rules apply?
The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. 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.
2,75827122,,Reconstruction of hip socket,A,,15.69,11.24,NA,11.24,,3.33,30.26,30.26,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75927125,,Partial hip replacement,A,,16.22,11.36,NA,11.36,,3.43,31.01,31.01,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76027130,,Total hip arthroplasty,A,,19.11,11.63,NA,11.63,,4.05,34.79,34.79,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76127132,,Total hip arthroplasty,A,,25.05,14.67,NA,14.67,,5.31,45.03,45.03,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76227134,,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