Billing code 27282: Pubic fusionMedicare rate & RVUs in Nevada
Reports operative fusion of the pubic symphysis, typically for painful instability or nonunion requiring definitive stabilization.
CMS doesn’t publish an office rate for 27282 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 27282 covers
An orthopedic surgeon prepares the opposing surfaces of the pubic symphysis and stabilizes the joint to promote fusion. The operation is generally performed in an operating room for persistent painful instability, symphyseal disruption, or nonunion when fusion is selected as treatment. Bone graft or fixation may be used as part of the operative technique.
Report this code for arthrodesis of the pubic symphysis, not for treatment limited to reduction or fixation without fusion. The operative report should identify the symphyseal condition, the decision to fuse, and the work performed to prepare and stabilize the joint. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. 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.
27282 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $789.85 |
How the 27282 rate is calculated
Each of 27282’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 · 27282
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 11.55Practice expense 10.03Malpractice 2.47
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27282
27282 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27282
Pubic fusion
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 · 27282
Pubic fusion
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 51 · payment effect
With and without the modifier
27282 without 51 · national facility
$803.29
Pubic fusion
27282-51 · Second procedure: 50%
$401.65
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
27282 compared with similar codes
Compare codes
27282 vs 27280 vs 27284 vs 27299: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27280SI joint fusion
- 27280 is for sacroiliac joint arthrodesis; 27282 is for fusion of the pubic symphysis. Identify the joint treated in the operative report.
- 27284Hip fusion
- 27284 describes hip joint arthrodesis, not pubic symphysis fusion. The anatomical joint fused determines which code applies.
- 27299Unlisted px pelvis/hip joint
- Use 27282 when the service is pubic symphysis arthrodesis. Consider 27299 only when the performed pelvis or hip procedure lacks a specific code.
27282 billing questions
How is this different from pubic symphysis fixation without fusion?
Use 27282 when the surgeon performs arthrodesis of the symphysis. A procedure limited to reduction or stabilization without an intended fusion is not described by this code.
When would 27280 be reported instead?
27280 describes arthrodesis of the sacroiliac joint. This code is for fusion of the pubic symphysis; the operative site determines the choice.
Can modifier 50 be used for bilateral treatment?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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 are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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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