Billing code 27252: Hip reductionMedicare rate & RVUs in Utah

Reports closed reduction of a hip dislocation when the physician performs the reduction under anesthesia, rather than without anesthesia or through open treatment.

CMS RVU26DEffective Oct 1, 20261 payment locality792 Medicare services in 2024

CMS doesn’t publish an office rate for 27252 in Utah.

—Office (non-facility)
$693.58Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 27252 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What 27252 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 27252 covers

This service is a closed reduction of a dislocated hip performed under anesthesia: the physician manipulates the joint to restore alignment without open surgical exposure. It is typically performed by an orthopedic surgeon in a hospital operating room or other setting equipped to provide anesthesia. The code distinguishes this service from reduction without anesthesia and from open treatment; it is not the code for treating a dislocated hip prosthesis.

Report 27252 when the documented closed reduction required anesthesia. The operative record should identify the affected hip, the dislocation treated, the reduction performed, and the use of anesthesia. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. 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. Assistant-at-surgery payment is restricted; 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.

27252 in Utah

27252 office and facility rates by payment locality
Payment localityOfficeFacility
UtahUnavailable$693.58

How the 27252 rate is calculated

Each of 27252’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 · 27252

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 10.75Practice expense 8.40Malpractice 2.36

21.5100 adjusted RVUs×$33.4009 conversion factor=$718.45

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 27252

27252 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27252

Hip reduction

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27252

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27252 without 50 · national facility

$718.45

Hip reduction

27252-50 · Bilateral: 150%

$1,077.68

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).

When to use modifier 50

27252 compared with similar codes

Compare codes

27252 vs 27250 vs 27253 vs 27266: national Medicare rates

Swap in your local Medicare rate.

  • 27252
    Hip reduction · 10.75 wRVU
    —
  • 27250
    Hip dislocation reduction · 3.72 wRVU
    —
  • 27253
    Hip dislocation · 13.24 wRVU
    —
  • 27266
    Hip reduction · 7.59 wRVU
    —

How to choose

27250Hip dislocation reduction
Both describe closed treatment of a hip dislocation; 27252 is for treatment requiring anesthesia, while 27250 is for treatment without anesthesia.
27253Hip dislocation
27253 describes open treatment without internal fixation. Choose 27252 when treatment is closed and requires anesthesia.
27266Hip reduction
27266 concerns closed treatment of a dislocated hip arthroplasty requiring anesthesia. Use 27252 for a native hip dislocation.

27252 billing questions

How does 27252 differ from 27250?

Use 27252 for closed reduction requiring anesthesia. Code 27250 describes closed treatment without anesthesia.

Does the code cover open reduction?

No. It describes closed treatment. Open treatment is reported with a different code, selected according to the procedure performed.

Can 27252 be used for a dislocated hip replacement?

No. Codes 27265 and 27266 address closed treatment of post-arthroplasty hip dislocation; the anesthesia circumstance distinguishes those codes.

What documentation supports reporting 27252?

Document the hip treated, the dislocation, the closed reduction performed, and that anesthesia was required for the service.

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?

CMS lists a statutory restriction on assistant-at-surgery payment. Co-surgeons and team surgery are not permitted for this code.

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
RVUs for 27252PPRRVU2026_Oct_nonQPP.csv, line 2,806 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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