Billing code 27286: Hip fusionMedicare rate & RVUs in Nevada
Reports surgical fusion of the hip joint combined with an osteotomy below the trochanter to position the femur during the fusion procedure.
CMS doesn’t publish an office rate for 27286 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 27286 covers
An orthopedic surgeon uses this code for hip joint arthrodesis performed together with a subtrochanteric osteotomy, an intentional cut in the femur below the trochanter. The osteotomy allows the surgeon to adjust femoral position as part of creating a stable fused hip. This is a salvage operation for selected patients in whom eliminating hip motion is the treatment plan; it is not a code for an isolated femoral osteotomy or a hip replacement.
Select the code when the operative report supports both hip fusion and the subtrochanteric osteotomy. Document the treated side, the fusion procedure, and the osteotomy and its role in the operation. 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 one session, the highest-valued is paid in full and other procedures are subject to the standard 50% 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.
27286 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $1,452.03 |
How the 27286 rate is calculated
Each of 27286’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 · 27286
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 24.54Practice expense 14.57Malpractice 5.22
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27286
27286 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27286
Hip 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) | 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 · 27286
Hip 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 50 · payment effect
With and without the modifier
27286 without 50 · national facility
$1,480.66
Hip fusion
27286-50 · Bilateral: 150%
$2,220.99
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).
27286 compared with similar codes
Compare codes
27286 vs 27284 vs 27130 vs 27299: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27284Hip fusion
- Both describe hip arthrodesis, but 27286 includes a subtrochanteric osteotomy. Choose 27284 when that osteotomy is not performed.
- 27130Hip replacement
- 27286 fuses the hip and includes a subtrochanteric osteotomy; 27130 describes hip replacement with a prosthesis.
- 27299Unlisted px pelvis/hip joint
- Use 27286 when the documented service matches hip arthrodesis with subtrochanteric osteotomy. 27299 is for an unlisted pelvis or hip joint procedure without a specific code.
27286 billing questions
How does this differ from 27284?
Use 27286 when the hip fusion includes a subtrochanteric osteotomy. Code 27284 describes hip arthrodesis without that osteotomy.
Is the osteotomy separately reported?
The subtrochanteric osteotomy is part of the service described by 27286; the code represents the fusion performed with that osteotomy.
What documentation supports 27286?
The operative report should establish that the surgeon performed hip joint arthrodesis and a subtrochanteric osteotomy, including the side and the osteotomy's role in the procedure.
How is bilateral surgery reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.
How does the global period affect postoperative billing?
The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; 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 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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