Billing code 27254: Hip dislocation repairMedicare rate & RVUs in Texas
Report this code for operative open treatment of a hip dislocation associated with an acetabular fracture, including internal fixation when performed.
CMS doesn’t publish an office rate for 27254 in Texas.
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 27254 covers
An orthopedic surgeon typically performs this operation in a hospital operating room for a hip dislocation associated with an acetabular fracture. The surgeon exposes the joint to reduce the dislocation and treats the associated fracture; internal fixation may be part of the repair. This is distinct from closed reduction and from open treatment of a hip dislocation without an acetabular fracture.
Select the code when the operative report supports open treatment of the dislocation in the setting of the associated acetabular fracture. Documentation should describe the injury, the open approach, the reduction, and fracture treatment, including fixation details when used. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure case, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is paid at 150% for bilateral reporting. An assistant at surgery may be paid; 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.
Where 27254 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $1,166.99 |
| Beaumont | Unavailable | $1,110.89 |
| Brazoria | Unavailable | $1,129.38 |
| Dallas | Unavailable | $1,142.28 |
| Fort Worth | Unavailable | $1,139.90 |
| Galveston | Unavailable | $1,136.50 |
| Houston | Unavailable | $1,208.44 |
| Rest Of Texas | Unavailable | $1,123.42 |
How the 27254 rate is calculated
Each of 27254’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 · 27254
RVUs × geographic indexes × conversion factor
Work18.47
18.47 RVUs× 1.000 GPCI
Practice expense12.24
12.24 RVUs× 1.000 GPCI
Malpractice3.93
3.93 RVUs× 1.000 GPCI
Adjusted RVUs
34.6400
Conversion factor
$33.4009
Medicare rate
$1,157.01
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27254
27254 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27254
Hip dislocation repair
| 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 · 27254
Hip dislocation repair
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
27254 without 50 · national facility
$1,157.01
Hip dislocation repair
27254-50 · Bilateral: 150%
$1,735.52
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).
27254 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27253Hip dislocation
- This code is for open treatment when an acetabular fracture is associated with the dislocation. Code 27253 applies to open treatment of the dislocation without that fracture circumstance.
- 27252Hip reduction
- Code 27252 is a closed-treatment option for a hip dislocation. Choose 27254 when the surgeon performs open treatment for the dislocation with an associated acetabular fracture.
- 27250Hip dislocation reduction
- Code 27250 describes closed treatment of a hip dislocation in a different treatment circumstance. It does not represent open treatment with an associated acetabular fracture.
27254 billing questions
How is this code different from 27253?
Use 27254 for open treatment of a hip dislocation associated with an acetabular fracture. Code 27253 describes open treatment of a hip dislocation without that associated fracture.
Can this code be used for a closed reduction?
No. This code represents open operative treatment. Closed treatment belongs to the applicable closed-treatment code, selected according to the documented circumstances.
What documentation supports reporting 27254?
The operative report should establish the hip dislocation, associated acetabular fracture, open treatment, reduction, and fracture treatment. Include the fixation performed, if any.
Does the code include related postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle bilateral reporting and multiple procedures?
Modifier 50 is paid at 150% for bilateral reporting. For multiple procedures in the same session, the highest-valued procedure is paid in full and others are subject to the standard reduction.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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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