No office rate
Use 27137 when the revision work is limited to the acetabular component; 27134 requires revision of both components.
On this page
CMS RVU26D · Effective 2026-10-01
27134 Hip revision Medicare reimbursement rates in Virginia
Reports revision of a total hip replacement when the surgeon revises both the acetabular and femoral prosthetic components. Compare 27134 office and facility rates across CMS payment localities in Virginia.
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 27134 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1625.27–$1861.32
2 of 2 localities have a supported rate.
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 27134: Revision of both hip prosthesis components
Reports revision of a total hip replacement when the surgeon revises both the acetabular and femoral prosthetic components.
This code describes revision surgery on both sides of a total hip prosthesis: the socket-side acetabular component and the femoral component. An orthopedic surgeon typically performs the operation in a hospital operating room when an existing replacement requires revision, such as for loosening, wear, instability, or another documented prosthesis problem. Bone graft use does not change the selection when both components are revised.
Choose this code based on the operative work, not simply the diagnosis or the fact that a prior hip replacement exists. The operative report should identify the existing prosthesis, explain the reason for revision, and document work on both components. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 27134
- 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 RVU29.52 · 58%
- Practice expense (office) RVU14.96 · 29%
- Malpractice RVU6.28 · 12%
14.6K
Medicare services in 2024 · #1265 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.
27134 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
Use 27138 when the revision work is limited to the femoral component; 27134 requires revision of both components.
No office rate
27132 describes conversion to a total hip replacement after prior hip surgery. Use 27134 when revising an existing total hip prosthesis and both components are revised.
No office rate
27130 describes a primary total hip replacement, not revision of an existing replacement. For revision, select the code according to which prosthetic components are revised.
Compare 27134 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$1861.32
Virginia →
Office / nonfacility
Unavailable
Facility
$1625.27
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27134 billing questions
When is 27134 appropriate instead of 27137 or 27138?
Use 27134 when the surgeon revises both the acetabular and femoral components. Codes 27137 and 27138 distinguish revision limited to the acetabular or femoral component, respectively.
Does bone graft use change the code selection?
No. The code covers revision of both components whether or not bone graft is used.
What documentation supports reporting 27134?
The operative report should identify the existing hip replacement, the reason for revision, and the work performed on both the acetabular and femoral components.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral reporting handled?
For bilateral procedures, modifier 50 is paid at 150% under the CMS rule for this code.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with 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.
2,75927125,,Partial hip replacement,A,,16.22,11.36,NA,11.36,,3.43,31.01,31.01,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76027130,,Total hip arthroplasty,A,,19.11,11.63,NA,11.63,,4.05,34.79,34.79,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76127132,,Total hip arthroplasty,A,,25.05,14.67,NA,14.67,,5.31,45.03,45.03,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76227134,,Revise hip joint replacement,A,,29.52,14.96,NA,14.96,,6.28,50.76,50.76,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76327137,,Revise hip joint replacement,A,,22.13,12.61,NA,12.61,,4.71,39.45,39.45,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76427138,,Revise hip joint replacement,A,,23.11,12.92,NA,12.92,,4.90,40.93,40.93,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,76527140,,Transplant femur ridge,A,,12.46,9.75,NA,9.75,,2.65,24.86,24.86,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00