No office rate
This code is for open treatment when an acetabular fracture is associated with the dislocation. Code 27253 applies to open treatment of the dislocation without that fracture circumstance.
On this page
CMS RVU26D · Effective 2026-10-01
27254 Hip dislocation repair Medicare reimbursement rates in Virginia
Report this code for operative open treatment of a hip dislocation associated with an acetabular fracture, including internal fixation when performed. Compare 27254 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 27254 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
$1111.47–$1277.92
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 27254: Open treatment of hip dislocation with acetabular fracture
Report this code for operative open treatment of a hip dislocation associated with an acetabular fracture, including internal fixation when performed.
An orthopedic surgeon typically performs this operation in a hospital operating room for a hip dislocation associated with an acetabular fracture. The surgeon exposes the joint to reduce the dislocation and treats the associated fracture; internal fixation may be part of the repair. This is distinct from closed reduction and from open treatment of a hip dislocation without an acetabular fracture.
Select the code when the operative report supports open treatment of the dislocation in the setting of the associated acetabular fracture. Documentation should describe the injury, the open approach, the reduction, and fracture treatment, including fixation details when used. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure case, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is paid at 150% for bilateral reporting. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27254
- 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 RVU18.47 · 53%
- Practice expense (office) RVU12.24 · 35%
- Malpractice RVU3.93 · 11%
70
Medicare services in 2024 · #5142 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.
27254 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
Code 27252 is a closed-treatment option for a hip dislocation. Choose 27254 when the surgeon performs open treatment for the dislocation with an associated acetabular fracture.
No office rate
Code 27250 describes closed treatment of a hip dislocation in a different treatment circumstance. It does not represent open treatment with an associated acetabular fracture.
Compare 27254 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
$1277.92
Virginia →
Office / nonfacility
Unavailable
Facility
$1111.47
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27254 billing questions
How is this code different from 27253?
Use 27254 for open treatment of a hip dislocation associated with an acetabular fracture. Code 27253 describes open treatment of a hip dislocation without that associated fracture.
Can this code be used for a closed reduction?
No. This code represents open operative treatment. Closed treatment belongs to the applicable closed-treatment code, selected according to the documented circumstances.
What documentation supports reporting 27254?
The operative report should establish the hip dislocation, associated acetabular fracture, open treatment, reduction, and fracture treatment. Include the fixation performed, if any.
Does the code include related postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle bilateral reporting and multiple procedures?
Modifier 50 is paid at 150% for bilateral reporting. For multiple procedures in the same session, the highest-valued procedure is paid in full and others are subject to the standard reduction.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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.
2,80527250,,Treat hip dislocation,A,,3.72,0.61,NA,0.61,,0.90,5.23,5.23,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80627252,,Treat hip dislocation,A,,10.75,8.40,NA,8.40,,2.36,21.51,21.51,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80727253,,Treat hip dislocation,A,,13.24,9.97,NA,9.97,,2.83,26.04,26.04,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80827254,,Treat hip dislocation,A,,18.47,12.24,NA,12.24,,3.93,34.64,34.64,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80927256,,Treat hip dislocation,A,,4.17,6.87,,2.62,,1.05,12.09,7.84,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81027257,,Treat hip dislocation,A,,5.25,3.50,NA,3.50,,1.12,9.87,9.87,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81127258,,Treat hip dislocation,A,,15.78,11.38,NA,11.38,,3.35,30.51,30.51,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00