No office rate
Both involve closed treatment of a traumatic hip dislocation. Choose 27250 when anesthesia is not required; choose 27252 when it is required.
On this page
CMS RVU26D · Effective 2026-10-01
27250 Hip dislocation reduction Medicare reimbursement rates in Missouri
Report this service when a clinician reduces a traumatically dislocated native hip without an incision or anesthesia. Compare 27250 office and facility rates across CMS payment localities in Missouri.
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 27250 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$171.09–$173.77
3 of 3 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.
Where 27250 pays more and less in Missouri
Orthopedic procedure
About 27250: Closed reduction of traumatic native hip dislocation without anesthesia
Report this service when a clinician reduces a traumatically dislocated native hip without an incision or anesthesia.
This service involves returning a traumatically displaced native hip joint to position using external maneuvers, without an incision or anesthesia. An orthopedic surgeon or emergency physician may perform the reduction in an emergency department or hospital after an injury. The record should identify the dislocation, the reduction performed, and the post-reduction assessment.
Select this code for closed treatment of a traumatic native-hip dislocation when anesthesia was not required. If anesthesia was required for the closed reduction, the related code is 27252; an open reduction belongs to a different code. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces payment for the others to 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 27250
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- 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 RVU3.72 · 71%
- Practice expense (office) RVU0.61 · 12%
- Malpractice RVU0.90 · 17%
2.4K
Medicare services in 2024 · #2327 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.
27250 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
Code 27250 covers external reduction without an incision. Code 27253 addresses open treatment of the traumatic dislocation.
No office rate
Use 27250 for a traumatically dislocated native hip treated closed without anesthesia. Code 27265 concerns closed treatment of a dislocated hip prosthesis.
Compare 27250 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$172.75
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$173.77
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$171.09
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27250 billing questions
When is 27250 reported instead of 27252?
Report 27250 for closed reduction of a traumatic hip dislocation without anesthesia. Use 27252 when the closed reduction requires anesthesia.
Does 27250 describe an open reduction?
No. Code 27250 describes reduction by external maneuvers; an incision to reduce the traumatic dislocation points to an open-treatment code such as 27253.
Can same-day care around the reduction be billed separately?
CMS includes same-day preoperative and postoperative care in the 0-day global period for 27250.
How is bilateral treatment reported?
CMS recognizes bilateral treatment with modifier 50 and pays it at 150%. Documentation should identify the dislocation and reduction on each side.
What happens if another procedure is performed in the same session?
The standard multiple-procedure reduction applies: CMS pays the highest-valued procedure in full and the other procedure at 50%.
Can an assistant surgeon, co-surgeons, or a surgical team be paid for 27250?
Assistant-at-surgery payment is statutorily restricted. CMS does not permit co-surgeons or team surgery for this code.
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.
2,80227245,,Treat thigh fracture,A,,17.73,12.04,NA,12.04,,3.71,33.48,33.48,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80327246,,Treat thigh fracture,A,,4.71,7.09,,5.58,,1.01,12.81,11.30,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80427248,,Treat thigh fracture,A,,10.51,7.81,NA,7.81,,2.21,20.53,20.53,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80527250,,Treat hip dislocation,A,,3.72,0.61,NA,0.61,,0.90,5.23,5.23,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80627252,,Treat hip dislocation,A,,10.75,8.40,NA,8.40,,2.36,21.51,21.51,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80727253,,Treat hip dislocation,A,,13.24,9.97,NA,9.97,,2.83,26.04,26.04,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80827254,,Treat hip dislocation,A,,18.47,12.24,NA,12.24,,3.93,34.64,34.64,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00