Billing code 27035: Hip denervationMedicare rate & RVUs in Nevada
Open hip joint denervation interrupts sensory nerve supply to the joint as a surgical treatment for selected patients with persistent hip pain.
CMS doesn’t publish an office rate for 27035 in Nevada.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 27035 covers
This open operation interrupts sensory nerve supply to the hip joint to reduce pain. It may be considered for selected patients with chronic hip pain, including pain associated with degenerative joint disease, when a surgical approach is chosen. Orthopedic surgeons typically perform it in a hospital or other operative facility. The procedure targets the joint’s sensory innervation; it is distinct from releasing a hip muscle or removing the joint lining.
Report 27035 for the open denervation service, supported by the operative note describing the hip joint treated and the denervation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 multiple procedure reduction. 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 is not permitted.
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.
27035 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $1,030.90 |
How the 27035 rate is calculated
Each of 27035’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 27035
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 16.94Practice expense 13.17Malpractice 0.89
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27035
27035 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27035
Hip denervation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27035
Hip denervation
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27035 without 50 · national facility
$1,035.43
Hip denervation
27035-50 · Bilateral: 150%
$1,553.15
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
27035 compared with similar codes
Compare codes
27035 vs 64640 vs 27005 vs 27036: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 64640Nerve treatment
- This code describes neurolytic destruction of a peripheral nerve or branch. 27035 is the open operative service for denervating the hip joint.
- 27005Hip tenotomy
- 27005 addresses hip flexor tendon release. Choose 27035 when the operation interrupts sensory nerve supply to the hip joint rather than releasing a tendon.
- 27036Hip capsule surgery
- 27036 describes work on the hip capsule. It is distinct from 27035, which denervates the joint rather than removing or releasing capsular tissue.
27035 billing questions
How is 27035 different from hip flexor or adductor tenotomy?
27035 interrupts sensory nerve supply to the hip joint. Tenotomy codes 27005 and 27006 describe release of specified hip muscles or tendons, not joint denervation.
Does the 90-day global period include related postoperative care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.
Can 27035 be reported bilaterally?
CMS identifies this as a bilateral procedure. Bilateral reporting with modifier 50 is paid at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How does the multiple procedure reduction affect 27035?
For procedures performed in the same session, CMS pays the highest-valued procedure in full and applies the standard multiple procedure reduction to the others.
What documentation supports reporting 27035?
The operative report should identify the hip joint treated and describe the open denervation performed. Documentation should distinguish the service from a muscle release or another hip operation.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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