No office rate
Use 27134 when both components of the existing total hip replacement are revised. This code is for the femoral component alone.
On this page
CMS RVU26D · Effective 2026-10-01
27138 Hip revision Medicare reimbursement rates in Indiana
Revision of the femoral side of an existing total hip replacement, reported when the surgeon revises that component while retaining the acetabular component. Compare 27138 office and facility rates across CMS payment localities in Indiana.
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 27138 in Indiana?
Indiana has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1251.47
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
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 27138: Femoral component hip replacement revision
Revision of the femoral side of an existing total hip replacement, reported when the surgeon revises that component while retaining the acetabular component.
An orthopedic surgeon reports this service when revising the femoral component of an existing total hip replacement while leaving the acetabular component in place. The operation may address problems such as femoral component loosening or mechanical failure. It is typically performed in a hospital or other surgical facility; the revision may include use of an allograft. The key distinction is that the work revises the femoral component alone, rather than both sides of the joint or the acetabular component alone.
The operative report should identify the component revised and describe the revision performed, including any allograft use. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 27138
- 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 RVU23.11 · 56%
- Practice expense (office) RVU12.92 · 32%
- Malpractice RVU4.90 · 12%
6.3K
Medicare services in 2024 · #1723 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.
27138 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
Use 27137 when the acetabular component alone is revised; use this code when the femoral component alone is revised.
No office rate
27130 describes primary total hip replacement. This code applies when the femoral component of an existing total hip replacement is revised.
Compare 27138 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.
1 of 1 payment localities
Indiana →
Office / nonfacility
Unavailable
Facility
$1251.47
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27138 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
2,764
- Code
- 27138
- Physician work
- 23.11
- Practice expense
- 12.92
- Malpractice
- 4.90
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.11 | × 1.000 | 23.1100 |
| Practice expense | 12.92 | × 0.927 | 11.9768 |
| Malpractice | 4.90 | × 0.486 | 2.3814 |
| Total RVUs | 37.4682 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$1251.47
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 23.11 | 1 |
| Practice expense | 12.92 | 0.927 |
| Malpractice | 4.9 | 0.486 |
(23.11 × 1 + 12.92 × 0.927 + 4.9 × 0.486) × $33.4009 = $1251.47
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
27138 billing questions
How does this code differ from 27137?
This code is for revision of the femoral component alone. Code 27137 is for revision of the acetabular component alone.
When is 27134 more appropriate?
Use 27134 when the surgeon revises both the femoral and acetabular components. This code describes femoral-component-only revision.
Can an allograft be used with this service?
Yes. The code covers femoral-component revision with or without allograft; document the component revised and any graft use in the operative report.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral revision reported?
When the procedure is performed on both hips, modifier 50 identifies the bilateral service; Medicare pays it at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided.
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.
2,76127132,,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
2,76527140,,Transplant femur ridge,A,,12.46,9.75,NA,9.75,,2.65,24.86,24.86,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76627146,,Incision of hip bone,A,,18.45,12.62,NA,12.62,,3.93,35.00,35.00,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76727147,,Revision of hip bone,A,,21.52,13.60,NA,13.60,,4.58,39.70,39.70,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915