No office rate
Both codes have similar CMS short descriptors. Select by matching the full CPT descriptor to the operative technique and extent documented, rather than relying on the short descriptor.
On this page
CMS RVU26D · Effective 2026-10-01
27295 Hip amputation Medicare reimbursement rates in Nebraska
Reports surgical removal of a leg at the hip level, typically for severe disease, injury, or tumor when a more distal amputation is not appropriate. Compare 27295 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 27295 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
$1030.79
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 27295: Hip-level leg amputation
Reports surgical removal of a leg at the hip level, typically for severe disease, injury, or tumor when a more distal amputation is not appropriate.
This code represents removal of the leg at the hip level. The operation may be considered when severe infection, nonreconstructible limb disease, major trauma, or a tumor makes preservation of the limb impractical. An orthopedic, vascular, or oncologic surgeon may perform the procedure, depending on the underlying condition and operative plan. The operative report should make the amputation level and extent clear, particularly when distinguishing this service from a related hip-level amputation code.
Report the code for the procedure actually performed, supported by the indication and operative details. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral procedures, modifier 50 corresponds to payment at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27295
- 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 RVU19.17 · 56%
- Practice expense (office) RVU10.93 · 32%
- Malpractice RVU4.24 · 12%
142
Medicare services in 2024 · #4603 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.
27295 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
This code describes a thigh amputation through the femur. Use 27295 when the documented procedure is at the hip level.
27299
No office rateUnlisted px pelvis/hip joint
This is an unlisted pelvis or hip procedure code. Consider it only when the documented operation is not represented by a specific listed code.
Compare 27295 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
$1030.79
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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 27295 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
2,826
- Code
- 27295
- Physician work
- 19.17
- Practice expense
- 10.93
- Malpractice
- 4.24
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.17 | × 1.000 | 19.1700 |
| Practice expense | 10.93 | × 0.923 | 10.0884 |
| Malpractice | 4.24 | × 0.378 | 1.6027 |
| Total RVUs | 30.8611 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$1030.79
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.17 | 1 |
| Practice expense | 10.93 | 0.923 |
| Malpractice | 4.24 | 0.378 |
(19.17 × 1 + 10.93 × 0.923 + 4.24 × 0.378) × $33.4009 = $1030.79
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.
27295 billing questions
How should this code be distinguished from 27290?
The CMS short descriptors are similar and do not explain the operative distinction. Compare the full CPT descriptors with the documented surgical approach and extent; do not select between them from the short label alone.
Is routine postoperative care separately reported?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
How are bilateral procedures reported?
CMS identifies this as a bilateral procedure. Modifier 50 is associated with payment at 150% when the procedure is performed bilaterally.
Can an assistant surgeon or co-surgeon be paid?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What documentation supports reporting this code?
Document the clinical indication, the level and extent of the amputation, and the operative findings. Clear operative detail is especially useful when distinguishing this code from another hip-level amputation 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.
2,82327284,,Arthrodesis hip joint,A,,24.43,13.38,NA,13.38,,5.19,43.00,43.00,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82427286,,Arthrd hip jt sbtrchc osteot,A,,24.54,14.57,NA,14.57,,5.22,44.33,44.33,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82527290,,Amputation of leg at hip,A,,23.94,14.88,NA,14.88,,5.09,43.91,43.91,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82627295,,Amputation of leg at hip,A,,19.17,10.93,NA,10.93,,4.24,34.34,34.34,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82727299,,Unlisted px pelvis/hip joint,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82827301,,Drain thigh/knee lesion,A,,6.61,13.51,,6.47,,1.44,21.56,14.52,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82927303,,Drainage of bone lesion,A,,8.41,7.93,NA,7.93,,1.74,18.08,18.08,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,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