No office rate
Use 27120 for acetabular shelf reconstruction without femoral head resection. 27122 describes acetabuloplasty that includes femoral head resection.
On this page
CMS RVU26D · Effective 2026-10-01
27120 Hip socket reconstruction Medicare reimbursement rates in Nebraska
Reports acetabular shelf reconstruction to improve femoral head coverage, commonly for hip dysplasia when the surgeon performs joint-preserving socket augmentation. Compare 27120 office and facility rates across CMS payment localities in Nebraska.
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 27120 in Nebraska?
Nebraska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1067.30
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
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 27120: Acetabular shelf reconstruction
Reports acetabular shelf reconstruction to improve femoral head coverage, commonly for hip dysplasia when the surgeon performs joint-preserving socket augmentation.
An orthopedic surgeon reshapes or augments the acetabular rim to improve coverage of the femoral head while preserving the native joint. A shelf procedure, often involving bone grafting, is a typical example for acetabular deficiency associated with hip dysplasia. This is an open reconstructive hip procedure generally performed in a hospital or other surgical facility, rather than an office-based service.
Report 27120 when the operative work is acetabular shelf reconstruction; distinguish it from procedures that resect the femoral head or replace the joint. The operative report should identify the acetabular deficiency, the reconstructive technique and the treated side. 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 other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27120
- 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 RVU18.77 · 53%
- Practice expense (office) RVU12.65 · 36%
- Malpractice RVU3.99 · 11%
59
Medicare services in 2024 · #5251 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.
27120 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
27125 reports partial hip replacement. Choose 27120 for acetabular reconstruction that preserves the native joint, not femoral component replacement.
No office rate
27130 is total hip arthroplasty. It applies when the surgeon replaces the joint rather than performing a joint-preserving acetabular shelf reconstruction.
Compare 27120 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.
1 of 1 payment localities
Nebraska →
Office / nonfacility
Unavailable
Facility
$1067.30
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27120 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
2,757
- Code
- 27120
- Physician work
- 18.77
- Practice expense
- 12.65
- Malpractice
- 3.99
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.77 | × 1.000 | 18.7700 |
| Practice expense | 12.65 | × 0.923 | 11.6760 |
| Malpractice | 3.99 | × 0.378 | 1.5082 |
| Total RVUs | 31.9542 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$1067.30
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.77 | 1 |
| Practice expense | 12.65 | 0.923 |
| Malpractice | 3.99 | 0.378 |
(18.77 × 1 + 12.65 × 0.923 + 3.99 × 0.378) × $33.4009 = $1067.30
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
27120 billing questions
How is 27120 distinguished from 27122?
27120 describes acetabular shelf reconstruction, such as augmenting coverage for dysplasia. 27122 involves acetabuloplasty with femoral head resection, so the operative report should support that additional resection.
Is 27120 used for a hip replacement?
No. It describes reconstructive work on the acetabulum that preserves the native joint; hip replacement procedures are reported with the applicable arthroplasty code.
What documentation supports reporting 27120?
Document the acetabular deficiency, the side treated, and the specific shelf or other acetabular reconstruction performed. The operative note should make clear that the service was not femoral head resection or joint replacement.
How does the 90-day global period affect follow-up billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. CMS applies the multiple-procedure reduction when other procedures are performed in the same session.
Can 27120 be reported bilaterally?
CMS identifies it as a bilateral procedure; reporting modifier 50 is paid at 150%. The documentation should support treatment of both hips.
May an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while 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.
2,75427105,,Transfer of spinal muscle,A,,11.74,10.09,NA,10.09,,2.50,24.33,24.33,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75527110,,Transfer of iliopsoas muscle,A,,13.43,10.63,NA,10.63,,2.86,26.92,26.92,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75627111,,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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068