Billing code 27253: Hip dislocationMedicare rate & RVUs in Utah
Reports open reduction of a traumatic native hip dislocation when direct surgical treatment is performed without internal fixation.
CMS doesn’t publish an office rate for 27253 in Utah.
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 27253 covers
An orthopedic surgeon uses an open surgical approach to reduce a traumatic dislocation of the native hip without internal fixation. The procedure is typically performed in an operating room when direct exposure is needed to restore the femoral head to the joint. These injuries often follow high-energy trauma, such as a motor-vehicle collision.
Report this code when the operative record supports an open reduction and confirms that internal fixation was not used. Closed treatment under anesthesia is reported with a different code; open treatment with internal fixation is also distinct. The CMS global period includes 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 other procedures are subject to a 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. 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.
27253 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $840.14 |
How the 27253 rate is calculated
Each of 27253’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 · 27253
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 13.24Practice expense 9.97Malpractice 2.83
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27253
27253 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27253
Hip dislocation
| 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 · 27253
Hip dislocation
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
27253 without 50 · national facility
$869.76
Hip dislocation
27253-50 · Bilateral: 150%
$1,304.64
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).
27253 compared with similar codes
Compare codes
27253 vs 27250 vs 27252 vs 27254: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27250Hip dislocation reduction
- 27250 is for closed treatment without anesthesia. Report 27253 when the surgeon opens the joint to reduce the dislocation and uses no internal fixation.
- 27252Hip reduction
- 27252 describes closed treatment requiring anesthesia. An open surgical approach without internal fixation points to 27253.
- 27254Hip dislocation repair
- Both codes involve open treatment, but 27254 includes internal fixation. Use 27253 when no internal fixation is placed.
27253 billing questions
How does this differ from closed treatment of a hip dislocation?
This code is for an open surgical reduction without internal fixation. Codes 27250 and 27252 describe closed treatment, with the distinction between them based on whether anesthesia is required.
When should 27254 be reported instead?
Use 27254 when open treatment includes internal fixation. The operative report should make clear whether fixation was placed.
Can closed treatment also be reported for the same dislocation?
Do not separately report closed treatment as a second treatment of the same dislocation during the same operative episode. Report the definitive open procedure performed.
What documentation supports reporting this code?
The operative report should identify the hip dislocation, describe the open approach and reduction, and establish that internal fixation was not used.
How are bilateral procedures and assistants handled?
CMS pays bilateral reporting with modifier 50 at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation.
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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