No office rate
Use 27253 for open treatment of a hip dislocation without the associated acetabular wall or femoral head fracture covered here.
On this page
CMS RVU26D · Effective 2026-10-01
27259 Hip dislocation Medicare reimbursement rates in Michigan
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 Michigan.
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 Michigan?
Michigan 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
$1379.41–$1494.31
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 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 Michigan, from the same CMS release.
No office rate
Use 27254 for open treatment with internal fixation when the dislocation does not involve the associated fracture specified for 27259.
No office rate
Use 27265 for closed treatment of a dislocated hip prosthesis without anesthesia; 27259 concerns open treatment with an associated fracture.
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.
2 of 2 payment localities
Detroit →
Office / nonfacility
Unavailable
Facility
$1494.31
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$1379.41
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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.
2,80927256,,Treat hip dislocation,A,,4.17,6.87,,2.62,,1.05,12.09,7.84,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81027257,,Treat hip dislocation,A,,5.25,3.50,NA,3.50,,1.12,9.87,9.87,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81127258,,Treat hip dislocation,A,,15.78,11.38,NA,11.38,,3.35,30.51,30.51,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81227259,,Treat hip dislocation,A,,22.68,14.42,NA,14.42,,4.83,41.93,41.93,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81327265,,Treat hip dislocation,A,,5.11,8.43,NA,8.43,,1.23,14.77,14.77,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81427266,,Treat hip dislocation,A,,7.59,7.49,NA,7.49,,1.62,16.70,16.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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