No office rate
27258 is distinguished by femoral shortening as part of open treatment. Choose 27257 when its specified femoral osteotomy, rather than shortening, describes the operation.
On this page
CMS RVU26D · Effective 2026-10-01
27258 Hip dislocation Medicare reimbursement rates in Missouri
Reports open treatment of a hip dislocation that includes femoral shortening, typically during reconstructive surgery for a persistently displaced hip. Compare 27258 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 27258 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
$963.70–$1001.04
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 27258 pays more and less in Missouri
Orthopedic surgery
About 27258: Open hip reduction with femoral shortening
Reports open treatment of a hip dislocation that includes femoral shortening, typically during reconstructive surgery for a persistently displaced hip.
An orthopedic surgeon uses this code for open reduction of a dislocated hip when femoral shortening is part of the operation. This approach is commonly used in pediatric hip reconstruction when the femur must be shortened to permit a stable reduction without excessive tension. The service is performed in an operating room; internal fixation may be used as part of the procedure.
Select the code from the operative report’s description of the open treatment and femoral shortening, rather than from the diagnosis alone. Documentation should identify the dislocation, the reduction approach, and the shortening performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. 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 payment is not permitted.
CMS billing rules for 27258
- 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 RVU15.78 · 52%
- Practice expense (office) RVU11.38 · 37%
- Malpractice RVU3.35 · 11%
46
Medicare services in 2024 · #5399 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.
27258 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
27259 describes open treatment combining femoral shortening and pelvic osteotomy; 27258 identifies femoral shortening without that combined pelvic osteotomy distinction.
No office rate
27252 is for closed treatment requiring anesthesia. 27258 applies when the surgeon opens the hip and performs femoral shortening.
Compare 27258 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
$993.30
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$1001.04
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$963.70
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27258 billing questions
When should 27258 be selected instead of another open hip-dislocation code?
Use 27258 when the open treatment includes femoral shortening. Other codes in the open-treatment family distinguish procedures by the osteotomy or additional work performed.
Is internal fixation separately reported with 27258?
Internal fixation may be used as part of the coded procedure. The operative report should show the femoral shortening and open treatment; do not treat fixation alone as the defining service.
How does 27258 differ from closed treatment under anesthesia?
27258 describes open treatment with femoral shortening. A closed reduction performed under anesthesia is represented by a closed-treatment code, such as 27252, when its requirements are met.
What documentation supports reporting 27258?
Document the hip dislocation, the open reduction, and the femoral shortening performed. The operative report should make clear why shortening was part of the reconstruction.
How are other procedures in the same session paid?
Under the CMS multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery payment is not permitted 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.
2,80827254,,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
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