Billing code 27266: Hip reductionMedicare rate & RVUs in Nevada
Report this service for closed reduction of a dislocated hip arthroplasty when the reduction requires anesthesia, such as in an operating room.
CMS doesn’t publish an office rate for 27266 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 27266 covers
Code 27266 represents closed reduction of a dislocated hip prosthesis when anesthesia is required. An orthopedic surgeon or other qualified physician typically performs the reduction in a hospital operating room or other setting equipped to provide anesthesia. The treatment restores the prosthetic femoral head to the acetabular component without open surgical exposure; a dislocated native hip is coded elsewhere in the hip-dislocation family.
Document the prior hip arthroplasty, the dislocation, the closed reduction, and the need for anesthesia. This major surgery code has 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. For bilateral reporting with modifier 50, CMS pays 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are 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.
27266 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $549.01 |
How the 27266 rate is calculated
Each of 27266’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 · 27266
RVUs × geographic indexes × conversion factor
Work7.59
7.59 RVUs× 1.000 GPCI
Practice expense7.49
7.49 RVUs× 1.000 GPCI
Malpractice1.62
1.62 RVUs× 1.000 GPCI
Adjusted RVUs
16.7000
Conversion factor
$33.4009
Medicare rate
$557.80
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27266
27266 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27266
Hip reduction
| 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 27266
Hip reduction
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
27266 without 50 · national facility
$557.80
Hip reduction
27266-50 · Bilateral: 150%
$836.70
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).
27266 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27265Hip reduction
- Use 27265 for a dislocated hip arthroplasty treated closed without anesthesia. Code 27266 is the anesthesia-required counterpart.
- 27252Hip reduction
- Code 27252 concerns closed treatment of a native hip dislocation requiring anesthesia; 27266 is for a dislocated hip arthroplasty.
- 27253Hip dislocation
- Code 27253 describes open treatment of a hip dislocation. Use 27266 when the prosthetic hip is reduced closed.
27266 billing questions
How does 27266 differ from 27265?
Both codes describe closed treatment of a dislocated hip arthroplasty. Use 27266 when anesthesia is required; 27265 describes treatment without anesthesia.
Can 27266 be used for a dislocated native hip?
No. It is for dislocation of a hip arthroplasty. Closed treatment of a native hip dislocation requiring anesthesia is represented by 27252.
Is the related postoperative care separately reported?
Related postoperative care during the 90-day global period is included. The global period also includes the day-before preoperative visit.
How is bilateral treatment reported?
Report modifier 50 for bilateral treatment; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 27266. Co-surgeons and team surgery are 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 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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