No office rate
27250 is for closed treatment of a hip dislocation without anesthesia. This code addresses manipulation of a restricted hip under general anesthesia.
On this page
CMS RVU26D · Effective 2026-10-01
27275 Hip manipulation Medicare reimbursement rates in Iowa
Reports physician manipulation of a stiff or restricted hip joint under general anesthesia, rather than reduction of a hip dislocation. Compare 27275 office and facility rates across CMS payment localities in Iowa.
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 27275 in Iowa?
Iowa 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
$161.96
1 of 1 localities have a supported rate.
Payment area: Iowa
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 procedures
About 27275: Hip joint manipulation under anesthesia
Reports physician manipulation of a stiff or restricted hip joint under general anesthesia, rather than reduction of a hip dislocation.
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.
CMS billing rules for 27275
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.26 · 42%
- Practice expense (office) RVU2.63 · 49%
- Malpractice RVU0.46 · 9%
246
Medicare services in 2024 · #4151 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.
27275 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
27252 treats a hip dislocation and requires anesthesia. Choose this code only when the documented service is dislocation treatment, not manipulation for stiffness.
No office rate
27253 describes open treatment of a hip dislocation. This code describes manipulation under general anesthesia without an open dislocation procedure.
Compare 27275 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
Iowa →
Office / nonfacility
Unavailable
Facility
$161.96
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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 27275 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
2,818
- Code
- 27275
- Physician work
- 2.26
- Practice expense
- 2.63
- Malpractice
- 0.46
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.26 | × 1.000 | 2.2600 |
| Practice expense | 2.63 | × 0.915 | 2.4064 |
| Malpractice | 0.46 | × 0.397 | 0.1826 |
| Total RVUs | 4.8491 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$161.96
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.26 | 1 |
| Practice expense | 2.63 | 0.915 |
| Malpractice | 0.46 | 0.397 |
(2.26 × 1 + 2.63 × 0.915 + 0.46 × 0.397) × $33.4009 = $161.96
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.
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 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.
2,81527267,,Cltx thigh fx,A,,5.36,6.43,NA,6.43,,1.12,12.91,12.91,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81627268,,Cltx thigh fx w/mnpj,A,,6.94,7.05,NA,7.05,,1.47,15.46,15.46,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81727269,,Optx thigh fx,A,,18.42,11.26,NA,11.26,,3.89,33.57,33.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81827275,,Manipulation of hip joint,A,,2.26,2.63,NA,2.63,,0.46,5.35,5.35,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81927278,,Arthrd si jt plmt iartic dev,A,,7.66,403.30,,4.64,,0.85,411.81,13.15,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82027279,,Arthrd si jt plmt tartclr dv,A,,11.83,8.26,NA,8.26,,2.62,22.71,22.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82127280,,Arthr si jt opn b1grf instrm,A,,19.50,12.89,NA,12.89,,6.04,38.43,38.43,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136