No office rate
Choose 27147 for pelvic osteotomy with open reduction when the combined femoral osteotomy is not performed. This code represents the combined reconstruction including femoral osteotomy.
On this page
CMS RVU26D · Effective 2026-10-01
27156 Hip reconstruction Medicare reimbursement rates in New Mexico
Reports combined pelvic bone realignment, open reduction of the hip, and femoral osteotomy for reconstructive treatment of hip dysplasia or dislocation. Compare 27156 office and facility rates across CMS payment localities in New Mexico.
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 27156 in New Mexico?
New Mexico 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
$1528.75
1 of 1 localities have a supported rate.
Payment area: New Mexico
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 27156: Combined pelvic and femoral hip reconstruction
Reports combined pelvic bone realignment, open reduction of the hip, and femoral osteotomy for reconstructive treatment of hip dysplasia or dislocation.
This major reconstructive operation combines realignment of a pelvic bone around the hip with open repositioning of the hip and a femoral osteotomy. It is typically performed by an orthopedic surgeon, often a pediatric hip specialist, for a hip that remains dislocated or poorly aligned, such as in developmental dysplasia. The operation addresses the pelvic socket and femur together rather than treating only one bone or performing open reduction alone.
Report the code when the documented operation includes the combined pelvic osteotomy, open hip reduction, and femoral osteotomy. The operative report should identify the bones and components treated, the hip’s dislocated or dysplastic condition, and the reconstructive steps performed. 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 the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 27156
- 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 RVU25.57 · 56%
- Practice expense (office) RVU14.89 · 32%
- Malpractice RVU5.45 · 12%
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.
27156 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
Choose 27151 for pelvic and femoral osteotomies without the open reduction component. This code also includes open reduction of the hip.
No office rate
27146 is for pelvic osteotomy without the additional open reduction and femoral osteotomy combination represented here.
No office rate
27158 describes a distinct pelvic osteotomy approach; this code is for the combined reconstruction involving open reduction and femoral osteotomy.
Compare 27156 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
New Mexico →
Office / nonfacility
Unavailable
Facility
$1528.75
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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 27156 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
2,769
- Code
- 27156
- Physician work
- 25.57
- Practice expense
- 14.89
- Malpractice
- 5.45
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.57 | × 1.000 | 25.5700 |
| Practice expense | 14.89 | × 0.917 | 13.6541 |
| Malpractice | 5.45 | × 1.201 | 6.5455 |
| Total RVUs | 45.7696 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$1528.75
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 25.57 | 1 |
| Practice expense | 14.89 | 0.917 |
| Malpractice | 5.45 | 1.201 |
(25.57 × 1 + 14.89 × 0.917 + 5.45 × 1.201) × $33.4009 = $1528.75
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.
27156 billing questions
When is this code chosen instead of 27147?
Use this code when the reconstruction includes pelvic osteotomy, open reduction of the hip, and femoral osteotomy. Code 27147 describes the pelvic osteotomy with open reduction, without the combined femoral osteotomy.
Does the code include the femoral osteotomy?
Yes. The combined service includes a femoral osteotomy along with pelvic realignment and open reduction; document each component in the operative report.
What documentation supports reporting this service?
Document the hip’s dysplasia or dislocation, the pelvic and femoral bones treated, and the open reduction and osteotomy work performed.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How is bilateral surgery reported under the CMS rule?
For a bilateral procedure, report modifier 50; CMS pays the procedure at 150% under the stated bilateral rule.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with supporting documentation, and 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 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.
2,76627146,,Incision of hip bone,A,,18.45,12.62,NA,12.62,,3.93,35.00,35.00,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76727147,,Revision of hip bone,A,,21.52,13.60,NA,13.60,,4.58,39.70,39.70,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76827151,,Incision of hip bones,A,,23.52,14.24,NA,14.24,,5.01,42.77,42.77,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76927156,,Revision of hip bones,A,,25.57,14.89,NA,14.89,,5.45,45.91,45.91,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77027158,,Revision of pelvis,A,,20.51,13.08,NA,13.08,,4.36,37.95,37.95,0,090,0.10,0.69,0.21,2,2,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77127161,,Incision of neck of femur,A,,17.44,12.25,NA,12.25,,3.71,33.40,33.40,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77227165,,Incision/fixation of femur,A,,19.78,13.72,NA,13.72,,4.21,37.71,37.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210