Billing code 27275: Hip manipulationMedicare rate & RVUs in Illinois
Reports physician manipulation of a stiff or restricted hip joint under general anesthesia, rather than reduction of a hip dislocation.
CMS doesn’t publish an office rate for 27275 in Illinois.
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 27275 covers
An orthopedic surgeon moves the hip through its range of motion while the patient is under general anesthesia to address restricted movement from joint stiffness or contracture. The procedure is typically performed in an operating room or other surgical facility and does not involve an incision. It is distinct from treating an acute hip dislocation by closed or open reduction.
Report the service when the documented purpose is manipulation of the hip joint and general anesthesia is required. The record should identify the affected hip, the limitation being treated, the manipulation performed, and the anesthesia context. CMS assigns a 10-day global period, so related postoperative visits during that period are included. 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 multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are 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 27275 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | Unavailable | $199.56 |
| East St. Louis | Unavailable | $187.25 |
| Rest Of Illinois | Unavailable | $179.70 |
| Suburban Chicago | Unavailable | $193.46 |
How the 27275 rate is calculated
Each of 27275’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 · 27275
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.26Practice expense 2.63Malpractice 0.46
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27275
27275 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27275
Hip manipulation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27275
Hip manipulation
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
27275 without 51 · national facility
$178.69
Hip manipulation
27275-51 · Second procedure: 50%
$89.35
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%).
27275 compared with similar codes
Compare codes
27275 vs 27250 vs 27252 vs 27253: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27250Hip dislocation reduction
- 27250 is for closed treatment of a hip dislocation without anesthesia. This code addresses manipulation of a restricted hip under general anesthesia.
- 27252Hip reduction
- 27252 treats a hip dislocation and requires anesthesia. Choose this code only when the documented service is dislocation treatment, not manipulation for stiffness.
- 27253Hip dislocation
- 27253 describes open treatment of a hip dislocation. This code describes manipulation under general anesthesia without an open dislocation procedure.
27275 billing questions
When should this be reported instead of a hip-dislocation treatment code?
Use this code for manipulation of a stiff or restricted hip under general anesthesia. Hip-dislocation treatment codes apply when the service is reduction or other treatment of a dislocation.
Are postoperative visits separately reported during the global period?
Related postoperative visits for 10 days are included in this code's global period.
Can modifier 50 be used when both hips are manipulated?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the multiple-procedure reduction affect payment?
When other procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
An assistant at surgery is not paid for this code. Co-surgeons and team surgery are not permitted.
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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