CPT 27137
Global 090 ActiveRevise hip joint replacement
CPT 27137 Billing & Documentation Guide
CPT code 27137 (Revise hip joint replacement) is classified under Surgery (Musculoskeletal) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 22.13, a non-facility practice expense RVU of 12.61, and a malpractice RVU of 4.71, a total non-facility RVU of 39.45 and facility RVU of 39.45. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1328.49, though rates vary from $1181.98 to $1643.99 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 27137, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 27137 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 27137 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 27137
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 22.13 | 22.13 |
| Practice Expense RVU | 12.61 | 12.61 |
| Malpractice RVU | 4.71 | 4.71 |
| Total RVU | 39.45 | 39.45 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 27137
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $1349.34 | $1349.34 | $1297.67 - $1512.14 | 29 |
| Florida | $1467.99 | $1467.99 | $1378.26 - $1575.47 | 3 |
| Georgia | $1330.31 | $1330.31 | $1302.38 - $1358.24 | 2 |
| Illinois | $1449.35 | $1449.35 | $1369.59 - $1528.67 | 4 |
| Michigan | $1356.08 | $1356.08 | $1301.32 - $1410.84 | 2 |
| North Carolina | $1232.65 | $1232.65 | $1232.65 - $1232.65 | 1 |
| New York | $1457.96 | $1457.96 | $1249.88 - $1579.4 | 5 |
| Ohio | $1282.28 | $1282.28 | $1282.28 - $1282.28 | 1 |
| Pennsylvania | $1326.54 | $1326.54 | $1274.48 - $1378.6 | 2 |
| Texas | $1304.01 | $1304.01 | $1268.59 - $1379.78 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 27137
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 27137 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01995 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0566T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 27137
What does CPT code 27137 mean? +
CPT code 27137 represents: Revise hip joint replacement. It's in the Surgery (Musculoskeletal) category with a global period of 090.
What is the Medicare reimbursement for CPT 27137? +
The 2026 Medicare national average non-facility payment for CPT 27137 is $1328.49. Rates range from $1181.98 to $1643.99 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 27137? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 27137? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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