No office rate
Both describe closed treatment of a hip dislocation; 27252 is for treatment requiring anesthesia, while 27250 is for treatment without anesthesia.
On this page
CMS RVU26D · Effective 2026-10-01
27252 Hip reduction Medicare reimbursement rates in Wyoming
Reports closed reduction of a hip dislocation when the physician performs the reduction under anesthesia, rather than without anesthesia or through open treatment. Compare 27252 office and facility rates across CMS payment localities in Wyoming.
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 27252 in Wyoming?
Wyoming 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
$697.96
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 27252: Closed reduction of hip dislocation under anesthesia
Reports closed reduction of a hip dislocation when the physician performs the reduction under anesthesia, rather than without anesthesia or through open treatment.
This service is a closed reduction of a dislocated hip performed under anesthesia: the physician manipulates the joint to restore alignment without open surgical exposure. It is typically performed by an orthopedic surgeon in a hospital operating room or other setting equipped to provide anesthesia. The code distinguishes this service from reduction without anesthesia and from open treatment; it is not the code for treating a dislocated hip prosthesis.
Report 27252 when the documented closed reduction required anesthesia. The operative record should identify the affected hip, the dislocation treated, the reduction performed, and the use of anesthesia. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 27252
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.75 · 50%
- Practice expense (office) RVU8.40 · 39%
- Malpractice RVU2.36 · 11%
792
Medicare services in 2024 · #3155 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.
27252 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
27253 describes open treatment without internal fixation. Choose 27252 when treatment is closed and requires anesthesia.
No office rate
27266 concerns closed treatment of a dislocated hip arthroplasty requiring anesthesia. Use 27252 for a native hip dislocation.
Compare 27252 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$697.96
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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 27252 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,806
- Code
- 27252
- Physician work
- 10.75
- Practice expense
- 8.40
- Malpractice
- 2.36
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.75 | × 1.000 | 10.7500 |
| Practice expense | 8.40 | × 1.000 | 8.4000 |
| Malpractice | 2.36 | × 0.740 | 1.7464 |
| Total RVUs | 20.8964 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$697.96
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.75 | 1 |
| Practice expense | 8.4 | 1 |
| Malpractice | 2.36 | 0.74 |
(10.75 × 1 + 8.4 × 1 + 2.36 × 0.74) × $33.4009 = $697.96
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.
27252 billing questions
How does 27252 differ from 27250?
Use 27252 for closed reduction requiring anesthesia. Code 27250 describes closed treatment without anesthesia.
Does the code cover open reduction?
No. It describes closed treatment. Open treatment is reported with a different code, selected according to the procedure performed.
Can 27252 be used for a dislocated hip replacement?
No. Codes 27265 and 27266 address closed treatment of post-arthroplasty hip dislocation; the anesthesia circumstance distinguishes those codes.
What documentation supports reporting 27252?
Document the hip treated, the dislocation, the closed reduction performed, and that anesthesia was required for the service.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS lists a statutory restriction on assistant-at-surgery payment. Co-surgeons and team surgery are not permitted 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 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.
2,80327246,,Treat thigh fracture,A,,4.71,7.09,,5.58,,1.01,12.81,11.30,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80427248,,Treat thigh fracture,A,,10.51,7.81,NA,7.81,,2.21,20.53,20.53,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80527250,,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,