No office rate
Choose 27125 when the femoral side is replaced and the acetabulum is retained. Choose 27130 when the acetabular surface is also replaced.
On this page
CMS RVU26D · Effective 2026-10-01
27125 Hip replacement Medicare reimbursement rates in Massachusetts
Reports partial hip arthroplasty replacing the femoral head while retaining the natural acetabulum, commonly for selected hip conditions requiring prosthetic replacement. Compare 27125 office and facility rates across CMS payment localities in Massachusetts.
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 27125 in Massachusetts?
Massachusetts 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
$1041.28–$1118.98
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.
Orthopedic surgery
About 27125: Partial hip arthroplasty
Reports partial hip arthroplasty replacing the femoral head while retaining the natural acetabulum, commonly for selected hip conditions requiring prosthetic replacement.
The surgeon replaces the femoral head with a prosthesis while leaving the patient’s acetabulum in place. This partial arthroplasty, also called hemiarthroplasty, is commonly performed by an orthopedic surgeon in a hospital or other surgical facility. The operative report should make clear that the acetabulum was retained and describe the implanted femoral prosthesis and the condition prompting surgery.
Report this code when the procedure is a partial replacement, rather than a total hip arthroplasty that also replaces the acetabular surface. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral surgery reported with modifier 50, payment is 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27125
- 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 RVU16.22 · 52%
- Practice expense (office) RVU11.36 · 37%
- Malpractice RVU3.43 · 11%
4.8K
Medicare services in 2024 · #1900 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.
27125 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
27132 describes conversion of previous hip surgery to total hip arthroplasty; 27125 describes a partial replacement, not conversion to a total replacement.
No office rate
For open treatment of a proximal femoral-neck fracture with fixation or prosthetic replacement, compare the fracture-treatment code with 27125 and select based on the procedure performed and applicable CPT guidance.
Compare 27125 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
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$1118.98
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$1041.28
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27125 billing questions
How does this differ from total hip arthroplasty?
This procedure replaces the femoral head and retains the natural acetabulum. Total hip arthroplasty replaces the acetabular surface as well.
What operative details support reporting this code?
The operative report should document partial replacement of the hip, identify the femoral prosthesis, and clarify that the acetabulum was retained.
What is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery paid?
When both hips are treated in the same session and the service is reported with modifier 50, CMS payment is 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is 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.
2,75627111,,Transfer of iliopsoas muscle,A,,12.29,10.27,NA,10.27,,2.61,25.17,25.17,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75727120,,Reconstruction of hip socket,A,,18.77,12.65,NA,12.65,,3.99,35.41,35.41,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75827122,,Reconstruction of hip socket,A,,15.69,11.24,NA,11.24,,3.33,30.26,30.26,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75927125,,Partial hip replacement,A,,16.22,11.36,NA,11.36,,3.43,31.01,31.01,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76027130,,Total hip arthroplasty,A,,19.11,11.63,NA,11.63,,4.05,34.79,34.79,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76127132,,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