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CMS RVU26D · Effective 2026-10-01

27259 Hip dislocation Medicare reimbursement rates in Kansas

Open surgery reduces a traumatic hip dislocation with an associated acetabular wall or femoral head fracture, including fixation when performed. Compare 27259 office and facility rates across CMS payment localities in Kansas.

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 27259 in Kansas?

Kansas 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

$1274.24

1 of 1 localities have a supported rate.

Payment area: Kansas

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.

Find 27259 in your payment locality →

Orthopedic surgery

About 27259: Open treatment of fractured hip dislocation

Open surgery reduces a traumatic hip dislocation with an associated acetabular wall or femoral head fracture, including fixation when performed.

This code describes operative reduction of a hip dislocation when an associated fracture involves the acetabular wall, femoral head, or both. The surgeon may also stabilize the fracture with internal fixation when needed. Orthopedic trauma surgeons typically perform the procedure in an operating room for traumatic injuries requiring open management rather than closed reduction alone.

Report the code when the operative record supports both the dislocation and the associated fracture, and documents the open treatment and any fixation performed. It has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 27259

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 not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU22.68 · 54%
  • Practice expense (office) RVU14.42 · 34%
  • Malpractice RVU4.83 · 12%

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.

27259 compared with similar codes

Office rates for Kansas, from the same CMS release.

27253

Hip dislocation

Open reduction, no fixation

No office rate

Use 27253 for open treatment of a hip dislocation without the associated acetabular wall or femoral head fracture covered here.

27254

Hip dislocation repair

Open treatment with acetabular fracture

No office rate

Use 27254 for open treatment with internal fixation when the dislocation does not involve the associated fracture specified for 27259.

27265

Hip reduction

Prosthetic hip, without anesthesia

No office rate

Use 27265 for closed treatment of a dislocated hip prosthesis without anesthesia; 27259 concerns open treatment with an associated fracture.

27266

Hip reduction

Prosthetic hip, with anesthesia

No office rate

Use 27266 for closed treatment of a dislocated hip prosthesis requiring anesthesia, not for open treatment of a dislocation with an associated fracture.

Compare 27259 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

Office and facility base rates · shared scale starting at $0

  • Kansas →

    Office / nonfacility

    Unavailable

    Facility

    $1274.24

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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 27259 in Kansas.

PPRRVU2026_Oct_nonQPP.csv

2,812

Code
27259
Physician work
22.68
Practice expense
14.42
Malpractice
4.83

GPCI2026.csv

54

Locality
Kansas
Physician work
1.000
Practice expense
0.904
Malpractice
0.504
Facility calculation for 27259 in Kansas
ComponentRVULocality factorAdjusted
Physician work22.68× 1.00022.6800
Practice expense14.42× 0.90413.0357
Malpractice4.83× 0.5042.4343
Total RVUs38.1500
Conversion factor× 33.4009

Facility rate, Kansas$1274.24

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work22.681
Practice expense14.420.904
Malpractice4.830.504

(22.68 × 1 + 14.42 × 0.904 + 4.83 × 0.504) × $33.4009 = $1274.24

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.

27259 billing questions

When is this code appropriate instead of an open treatment code for hip dislocation alone?

Use this code when the hip dislocation is accompanied by an acetabular wall or femoral head fracture treated during the open procedure. Open treatment of a dislocation without that associated fracture is described by a different code.

Does the code include fracture fixation?

It includes internal fixation when performed as part of the open treatment. The operative report should identify the associated fracture and describe whether and how it was stabilized.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period. The global period applies to care related to this operation.

Can modifier 50 be reported for bilateral treatment?

Yes. CMS treats this as a bilateral procedure when reported with modifier 50 and pays it at 150%.

Can an assistant-at-surgery be reported?

Assistant-at-surgery services may be paid. Co-surgeon and team-surgery reporting are not permitted for this code under the CMS rules 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.

RVUs for 27259PPRRVU2026_Oct_nonQPP.csv, line 2,812 (RVU26D)
Geographic factors for KansasGPCI2026.csv, line 54 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet