No office rate
Choose 27033 for hip-joint exploration or loose-body or foreign-material removal. Choose 27030 when the arthrotomy is performed for drainage.
On this page
CMS RVU26D · Effective 2026-10-01
27033 Hip arthrotomy Medicare reimbursement rates in Vermont
Reports open hip-joint surgery to inspect the joint or remove an intra-articular loose body or foreign material. Compare 27033 office and facility rates across CMS payment localities in Vermont.
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 27033 in Vermont?
Vermont 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
$842.09
1 of 1 localities have a supported rate.
Payment area: Vermont
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 27033: Hip joint exploration and body removal
Reports open hip-joint surgery to inspect the joint or remove an intra-articular loose body or foreign material.
An orthopedic surgeon opens the hip joint to examine its interior or remove a loose body or foreign material. The service may be performed in a hospital or another surgical setting when a joint problem requires direct operative access; it is distinct from opening the joint to drain it or taking a specimen for diagnosis alone. The operative report should identify the reason for surgery, the joint findings, and whether exploration or removal was performed.
Report this code when the documented work includes hip-joint exploration or removal of a loose or foreign body. The arthrotomy access and that work are represented together, rather than as separate services for the same operative work. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 27033
- 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 RVU13.76 · 51%
- Practice expense (office) RVU10.08 · 38%
- Malpractice RVU2.91 · 11%
356
Medicare services in 2024 · #3833 by national volume
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.
27033 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
27052 is for biopsy of the hip joint. Exploration or removal of a loose or foreign body supports 27033 instead.
No office rate
27054 addresses removal of the hip-joint lining. 27033 addresses joint exploration or loose-body or foreign-material removal.
Compare 27033 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
Vermont →
Office / nonfacility
Unavailable
Facility
$842.09
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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 27033 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,717
- Code
- 27033
- Physician work
- 13.76
- Practice expense
- 10.08
- Malpractice
- 2.91
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.76 | × 1.000 | 13.7600 |
| Practice expense | 10.08 | × 0.990 | 9.9792 |
| Malpractice | 2.91 | × 0.506 | 1.4725 |
| Total RVUs | 25.2117 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$842.09
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.76 | 1 |
| Practice expense | 10.08 | 0.99 |
| Malpractice | 2.91 | 0.506 |
(13.76 × 1 + 10.08 × 0.99 + 2.91 × 0.506) × $33.4009 = $842.09
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.
27033 billing questions
When should this be reported instead of hip arthrotomy for drainage?
Use this code for hip-joint exploration or removal of a loose or foreign body. Report 27030 when the operative service is arthrotomy with drainage.
Is the joint opening separately billable from the exploration or removal?
The arthrotomy access and the exploration or qualifying body removal are represented together. Do not separately report the access work for the same procedure.
What documentation supports this code?
The operative report should describe the indication, the hip-joint findings, and the exploration or loose-body or foreign-material removal performed.
How does Medicare handle bilateral reporting?
When the procedure is performed bilaterally and reported with modifier 50, Medicare pays it at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
2,71427025,,Fasciotomy hip/thigh any typ,A,,12.57,11.10,NA,11.10,,2.65,26.32,26.32,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71527027,,Dcmprn fasct pel compartment,A,,12.71,8.90,NA,8.90,,2.63,24.24,24.24,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71627030,,Arthrotomy hip w/drainage,A,,13.31,9.64,NA,9.64,,2.82,25.77,25.77,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71727033,,Arthrt hip expl/rmv loose/fb,A,,13.76,10.08,NA,10.08,,2.91,26.75,26.75,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71827035,,Denervation of hip joint,A,,16.94,13.17,NA,13.17,,0.89,31.00,31.00,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71927036,,Capsulectomy/capsulotomy hip,A,,14.02,11.24,NA,11.24,,2.97,28.23,28.23,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72027040,,Biopsy of soft tissues,A,,2.85,6.96,,2.19,,0.43,10.24,5.47,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817