27284
No office rateHip fusion
Both describe hip arthrodesis, but 27286 includes a subtrochanteric osteotomy. Choose 27284 when that osteotomy is not performed.
On this page
CMS RVU26D · Effective 2026-10-01
27286 Hip fusion Medicare reimbursement rates in Vermont
Reports surgical fusion of the hip joint combined with an osteotomy below the trochanter to position the femur during the fusion procedure. Compare 27286 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 27286 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
$1389.67
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 27286: Hip joint fusion with subtrochanteric osteotomy
Reports surgical fusion of the hip joint combined with an osteotomy below the trochanter to position the femur during the fusion procedure.
An orthopedic surgeon uses this code for hip joint arthrodesis performed together with a subtrochanteric osteotomy, an intentional cut in the femur below the trochanter. The osteotomy allows the surgeon to adjust femoral position as part of creating a stable fused hip. This is a salvage operation for selected patients in whom eliminating hip motion is the treatment plan; it is not a code for an isolated femoral osteotomy or a hip replacement.
Select the code when the operative report supports both hip fusion and the subtrochanteric osteotomy. Document the treated side, the fusion procedure, and the osteotomy and its role in the operation. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27286
- 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 RVU24.54 · 55%
- Practice expense (office) RVU14.57 · 33%
- Malpractice RVU5.22 · 12%
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.
27286 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
27286 fuses the hip and includes a subtrochanteric osteotomy; 27130 describes hip replacement with a prosthesis.
27299
No office rateUnlisted px pelvis/hip joint
Use 27286 when the documented service matches hip arthrodesis with subtrochanteric osteotomy. 27299 is for an unlisted pelvis or hip joint procedure without a specific code.
Compare 27286 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
$1389.67
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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 27286 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,824
- Code
- 27286
- Physician work
- 24.54
- Practice expense
- 14.57
- Malpractice
- 5.22
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.54 | × 1.000 | 24.5400 |
| Practice expense | 14.57 | × 0.990 | 14.4243 |
| Malpractice | 5.22 | × 0.506 | 2.6413 |
| Total RVUs | 41.6056 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$1389.67
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 24.54 | 1 |
| Practice expense | 14.57 | 0.99 |
| Malpractice | 5.22 | 0.506 |
(24.54 × 1 + 14.57 × 0.99 + 5.22 × 0.506) × $33.4009 = $1389.67
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.
27286 billing questions
How does this differ from 27284?
Use 27286 when the hip fusion includes a subtrochanteric osteotomy. Code 27284 describes hip arthrodesis without that osteotomy.
Is the osteotomy separately reported?
The subtrochanteric osteotomy is part of the service described by 27286; the code represents the fusion performed with that osteotomy.
What documentation supports 27286?
The operative report should establish that the surgeon performed hip joint arthrodesis and a subtrochanteric osteotomy, including the side and the osteotomy's role in the procedure.
How is bilateral surgery reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.
How does the global period affect postoperative billing?
The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. 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 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.
2,82127280,,Arthr si jt opn b1grf instrm,A,,19.50,12.89,NA,12.89,,6.04,38.43,38.43,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82227282,,Arthrodesis symphysis pubis,A,,11.55,10.03,NA,10.03,,2.47,24.05,24.05,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82327284,,Arthrodesis hip joint,A,,24.43,13.38,NA,13.38,,5.19,43.00,43.00,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82427286,,Arthrd hip jt sbtrchc osteot,A,,24.54,14.57,NA,14.57,,5.22,44.33,44.33,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82527290,,Amputation of leg at hip,A,,23.94,14.88,NA,14.88,,5.09,43.91,43.91,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82627295,,Amputation of leg at hip,A,,19.17,10.93,NA,10.93,,4.24,34.34,34.34,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82727299,,Unlisted px pelvis/hip joint,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,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