Billing code 27290: Hip amputationMedicare rate & RVUs in Guam
Reports removal of the lower limb at the hip for cases such as extensive malignancy, infection, or nonviable tissue requiring hip-level amputation.
CMS doesn’t publish an office rate for 27290 in Guam.
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 27290 covers
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.
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 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $1,463.15 |
How the 27290 rate is calculated
Each of 27290’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 · 27290
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 23.94Practice expense 14.88Malpractice 5.09
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27290
27290 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27290
Hip amputation
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 · 27290
Hip amputation
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 51 · payment effect
With and without the modifier
27290 without 51 · national facility
$1,466.63
Hip amputation
27290-51 · Second procedure: 50%
$733.32
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
27290 compared with similar codes
Compare codes
27290 vs 27295 vs 27590 vs 27591: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27295Hip amputation
- This code describes amputation at the hip without pelvic bone resection. Use 27295 when pelvic bone is also resected as part of the procedure.
- 27590Thigh amputation
- Use 27590 for amputation through the femur at a thigh level. This code is for removal of the limb at the hip.
- 27591Thigh amputation
- 27591 describes thigh amputation with immediate prosthesis fitting. It is not the hip-level amputation reported with this code.
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 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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