Billing code 27295: Hip amputationMedicare rate & RVUs in Utah
Reports surgical removal of a leg at the hip level, typically for severe disease, injury, or tumor when a more distal amputation is not appropriate.
CMS doesn’t publish an office rate for 27295 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 27295 covers
This code represents removal of the leg at the hip level. The operation may be considered when severe infection, nonreconstructible limb disease, major trauma, or a tumor makes preservation of the limb impractical. An orthopedic, vascular, or oncologic surgeon may perform the procedure, depending on the underlying condition and operative plan. The operative report should make the amputation level and extent clear, particularly when distinguishing this service from a related hip-level amputation code.
Report the code for the procedure actually performed, supported by the indication and operative details. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral procedures, modifier 50 corresponds to payment at 150%. Assistant-at-surgery services 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.
27295 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $1,110.64 |
How the 27295 rate is calculated
Each of 27295’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 · 27295
RVUs × geographic indexes × conversion factor
Work19.17
19.17 RVUs× 1.000 GPCI
Practice expense10.93
10.93 RVUs× 1.000 GPCI
Malpractice4.24
4.24 RVUs× 1.000 GPCI
Adjusted RVUs
34.3400
Conversion factor
$33.4009
Medicare rate
$1,146.99
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27295
27295 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27295
Hip amputation
| 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 · 27295
Hip amputation
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
27295 without 50 · national facility
$1,146.99
Hip amputation
27295-50 · Bilateral: 150%
$1,720.49
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).
27295 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27290Hip amputation
- Both codes have similar CMS short descriptors. Select by matching the full billing code descriptor to the operative technique and extent documented, rather than relying on the short descriptor.
- 27590Thigh amputation
- This code describes a thigh amputation through the femur. Use 27295 when the documented procedure is at the hip level.
- 27299Unlisted px pelvis/hip joint
- This is an unlisted pelvis or hip procedure code. Consider it only when the documented operation is not represented by a specific listed code.
27295 billing questions
How should this code be distinguished from 27290?
The CMS short descriptors are similar and do not explain the operative distinction. Compare the full billing code descriptors with the documented surgical approach and extent; do not select between them from the short label alone.
Is routine postoperative care separately reported?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
How are bilateral procedures reported?
CMS identifies this as a bilateral procedure. Modifier 50 is associated with payment at 150% when the procedure is performed bilaterally.
Can an assistant surgeon or co-surgeon be paid?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What documentation supports reporting this code?
Document the clinical indication, the level and extent of the amputation, and the operative findings. Clear operative detail is especially useful when distinguishing this code from another hip-level amputation 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
Fee sheets
Put 27295 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →