27146 Incision of hip bone
Also known as: hip osteotomy, pelvic osteotomy, hip bone cutting
Surgical opening (osteotomy) of the hip bone with cutting and repositioning to change hip biomechanics.
In Plain Language
cutting and moving hip bone; hip bone realignment surgery
Clinical Context
Performed for hip dysplasia, coxa valga, or abnormal hip angle to improve alignment and reduce arthritic changes.
RVU Breakdown
| Work RVU | 18.45 |
| Total RVU | 18.45 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 18.45, this code ranks in the 80th percentile among Surgery codes — 2.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27146?
CPT 27146 (Incision of hip bone) is a Surgery code. Surgical opening (osteotomy) of the hip bone with cutting and repositioning to change hip biomechanics.
What is the wRVU value for CPT 27146?
The work RVU for CPT 27146 is 18.45. This code is primarily used by Orthopedic Surgery, Joint Reconstruction. It has a 90-day global period.
When is CPT 27146 used?
Performed for hip dysplasia, coxa valga, or abnormal hip angle to improve alignment and reduce arthritic changes.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.