Billing code 27250: Hip dislocation reductionMedicare rate & RVUs in Washington
Report this service when a clinician reduces a traumatically dislocated native hip without an incision or anesthesia.
CMS doesn’t publish an office rate for 27250 in Washington.
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 27250 covers
This service involves returning a traumatically displaced native hip joint to position using external maneuvers, without an incision or anesthesia. An orthopedic surgeon or emergency physician may perform the reduction in an emergency department or hospital after an injury. The record should identify the dislocation, the reduction performed, and the post-reduction assessment.
Select this code for closed treatment of a traumatic native-hip dislocation when anesthesia was not required. If anesthesia was required for the closed reduction, the related code is 27252; an open reduction belongs to a different code. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces payment for the others to 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are 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.
Where 27250 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | Unavailable | $170.20 |
| Seattle (King Cnty) | Unavailable | $180.02 |
How the 27250 rate is calculated
Each of 27250’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 · 27250
RVUs × geographic indexes × conversion factor
Work3.72
3.72 RVUs× 1.000 GPCI
Practice expense0.61
0.61 RVUs× 1.000 GPCI
Malpractice0.90
0.90 RVUs× 1.000 GPCI
Adjusted RVUs
5.2300
Conversion factor
$33.4009
Medicare rate
$174.69
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27250
The CMS indicators that decide how 27250 is paid alongside other services.
CMS payment indicators · 27250
Hip dislocation reduction
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27250 without 50 · national facility
$174.69
Hip dislocation reduction
27250-50 · Bilateral: 150%
$262.04
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).
27250 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27252Hip reduction
- Both involve closed treatment of a traumatic hip dislocation. Choose 27250 when anesthesia is not required; choose 27252 when it is required.
- 27253Hip dislocation
- Code 27250 covers external reduction without an incision. Code 27253 addresses open treatment of the traumatic dislocation.
- 27265Hip reduction
- Use 27250 for a traumatically dislocated native hip treated closed without anesthesia. Code 27265 concerns closed treatment of a dislocated hip prosthesis.
27250 billing questions
When is 27250 reported instead of 27252?
Report 27250 for closed reduction of a traumatic hip dislocation without anesthesia. Use 27252 when the closed reduction requires anesthesia.
Does 27250 describe an open reduction?
No. Code 27250 describes reduction by external maneuvers; an incision to reduce the traumatic dislocation points to an open-treatment code such as 27253.
Can same-day care around the reduction be billed separately?
CMS includes same-day preoperative and postoperative care in the 0-day global period for 27250.
How is bilateral treatment reported?
CMS recognizes bilateral treatment with modifier 50 and pays it at 150%. Documentation should identify the dislocation and reduction on each side.
What happens if another procedure is performed in the same session?
The standard multiple-procedure reduction applies: CMS pays the highest-valued procedure in full and the other procedure at 50%.
Can an assistant surgeon, co-surgeons, or a surgical team be paid for 27250?
Assistant-at-surgery payment is statutorily restricted. CMS does not permit co-surgeons or team surgery for this 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
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