$249.11–$263.07
This code describes neurolytic destruction of a peripheral nerve or branch. 27035 is the open operative service for denervating the hip joint.
On this page
CMS RVU26D · Effective 2026-10-01
27035 Hip denervation Medicare reimbursement rates in Maine
Open hip joint denervation interrupts sensory nerve supply to the joint as a surgical treatment for selected patients with persistent hip pain. Compare 27035 office and facility rates across CMS payment localities in Maine.
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 27035 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$989.00–$1020.50
2 of 2 localities have a supported rate.
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.
Hip surgery
About 27035: Open hip joint denervation
Open hip joint denervation interrupts sensory nerve supply to the joint as a surgical treatment for selected patients with persistent hip pain.
This open operation interrupts sensory nerve supply to the hip joint to reduce pain. It may be considered for selected patients with chronic hip pain, including pain associated with degenerative joint disease, when a surgical approach is chosen. Orthopedic surgeons typically perform it in a hospital or other operative facility. The procedure targets the joint’s sensory innervation; it is distinct from releasing a hip muscle or removing the joint lining.
Report 27035 for the open denervation service, supported by the operative note describing the hip joint treated and the denervation performed. 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 multiple procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27035
- 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 RVU16.94 · 55%
- Practice expense (office) RVU13.17 · 42%
- Malpractice RVU0.89 · 3%
22
Medicare services in 2024 · #5858 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.
27035 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
27005 addresses hip flexor tendon release. Choose 27035 when the operation interrupts sensory nerve supply to the hip joint rather than releasing a tendon.
No office rate
27036 describes work on the hip capsule. It is distinct from 27035, which denervates the joint rather than removing or releasing capsular tissue.
Compare 27035 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$989.00
Southern Maine →
Office / nonfacility
Unavailable
Facility
$1020.50
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27035 billing questions
How is 27035 different from hip flexor or adductor tenotomy?
27035 interrupts sensory nerve supply to the hip joint. Tenotomy codes 27005 and 27006 describe release of specified hip muscles or tendons, not joint denervation.
Does the 90-day global period include related postoperative care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.
Can 27035 be reported bilaterally?
CMS identifies this as a bilateral procedure. Bilateral reporting with modifier 50 is paid at 150%.
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 does the multiple procedure reduction affect 27035?
For procedures performed in the same session, CMS pays the highest-valued procedure in full and applies the standard multiple procedure reduction to the others.
What documentation supports reporting 27035?
The operative report should identify the hip joint treated and describe the open denervation performed. Documentation should distinguish the service from a muscle release or another hip operation.
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.
2,71527027,,Dcmprn fasct pel compartment,A,,12.71,8.90,NA,8.90,,2.63,24.24,24.24,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71627030,,Arthrotomy hip w/drainage,A,,13.31,9.64,NA,9.64,,2.82,25.77,25.77,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71727033,,Arthrt hip expl/rmv loose/fb,A,,13.76,10.08,NA,10.08,,2.91,26.75,26.75,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71827035,,Denervation of hip joint,A,,16.94,13.17,NA,13.17,,0.89,31.00,31.00,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71927036,,Capsulectomy/capsulotomy hip,A,,14.02,11.24,NA,11.24,,2.97,28.23,28.23,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72027040,,Biopsy of soft tissues,A,,2.85,6.96,,2.19,,0.43,10.24,5.47,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72127041,,Biopsy of soft tissues,A,,9.93,7.67,NA,7.67,,2.01,19.61,19.61,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00