FeeBase
Log inGet started
Menu

CPT code 27613: Soft-tissue biopsy, superficial leg or ankle2026 Medicare rate & RVUs in Queens, NY

Reports operative sampling of superficial soft tissue in the leg or ankle when a clinician needs tissue for diagnosis rather than definitive lesion removal.

CMS RVU26DEffective Oct 1, 2026One payment locality891 Medicare services in 2024

In Queens, NY, Medicare pays $302.69 for 27613 in the office and $172.80 when it’s performed in a hospital or facility.

$302.69Office (non-facility)
$172.80Hospital or facility
+16.0%vs the national office rate ($260.86)

Check a contract rate as a % of Medicare · 27613 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 27613 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 27613 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 27613 covers

This code describes obtaining a diagnostic tissue sample from superficial soft tissue in the leg or ankle. It fits situations such as evaluating a palpable subcutaneous mass whose nature is uncertain. Orthopedic surgeons and other physicians who perform musculoskeletal procedures may provide the service in an office procedure room or an operating or treatment facility. The sampled tissue is sent for diagnostic evaluation; the code represents the biopsy procedure, not definitive removal of the lesion.

Choose this code when the sampled tissue is superficial, rather than deep, and document the leg or ankle site, tissue depth, biopsy purpose, and work performed. A deep soft-tissue biopsy is reported with 27614. The service has a 10-day global period, including related postoperative visits during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral performance, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; 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.

How Queens, NY compares for 27613

Across 109 of 109 payment localities, the office rate for 27613 runs from $230.46 in Arkansas to $342.22 in San Benito County, CA. Queens, NY pays $302.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

27613 in Queens, NY vs other payment areas
  1. Queens, NY · this page$302.69
  2. Manhattan, NY · New York$300.72−$1.97
  3. NYC suburbs and Long Island, NY · New York$308.51+$5.82
  4. Poughkeepsie and northern NYC suburbs, NY · New York$283.30−$19.39
  5. Rest of New York · New York$248.70−$53.99
  6. Los Angeles, CA · California$292.63−$10.06
  7. Washington, DC area · District of Columbia$297.63−$5.06

Other areas in New York first, then benchmark localities. Bars start at $0.

Every other payment area

27613 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$285.00$170.61
Chicago, ILIllinois$276.53$166.09
AlaskaAlaska$303.54$186.50
AlabamaAlabama$233.87$137.71
ArkansasArkansas$230.46$136.07
ArizonaArizona$253.77$147.28
Bakersfield, CACalifornia$274.98$154.54
Chico, CACalifornia$274.03$153.59

27613 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$230.46

$308.13

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
27613 office rate range by state
State / territoryOffice rate rangeLocalities
AK$303.541
AL$233.871
AR$230.461
AZ$253.771
CA$274.03–$342.2229
CO$270.691
CT$278.301
DC$297.631
DE$257.981
FL$258.59–$285.003
GA$243.79–$266.142
GU$280.561
HI$280.561
IA$239.111
ID$240.841
IL$251.61–$276.534
IN$242.221
KS$238.341
KY$240.201
LA$239.96–$251.882
MA$269.20–$297.082
MD$262.81–$297.633
ME$242.48–$255.192
MI$246.82–$262.202
MN$258.251
MO$236.05–$252.353
MS$233.281
MT$260.841
NC$244.981
ND$254.311
NE$240.321
NH$266.771
NJ$281.16–$294.592
NM$248.331
NV$259.201
NY$248.70–$308.515
OH$245.491
OK$239.391
OR$256.88–$278.922
PA$245.68–$271.572
PR$262.651
RI$266.911
SC$245.701
SD$253.541
TN$239.591
TX$244.09–$270.058
UT$249.081
VA$254.60–$297.632
VI$262.651
VT$253.641
WA$268.58–$302.792
WI$245.771
WV$242.331
WY$258.001

See 27613 in every payment locality

How the 27613 rate is calculated

Each of 27613’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 · 27613

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.16

2.16 RVUs× 1.000 GPCI

Practice expense5.32

5.32 RVUs× 1.000 GPCI

Malpractice0.33

0.33 RVUs× 1.000 GPCI

Adjusted RVUs

7.8100

Conversion factor

$33.4009

Medicare rate

$260.86

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,972

Code
27613
Physician work
2.16
Practice expense
5.32
Malpractice
0.33

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 27613 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work2.16× 1.0642.2982
Practice expense5.32× 1.1826.2882
Malpractice0.33× 1.4420.4759
Total RVUs9.0623
Conversion factor× 33.4009

Office rate, Queens, NY$302.69

Office: (2.16 × 1.064 + 5.32 × 1.182 + 0.33 × 1.442) × $33.4009 = $302.69

Facility: (2.16 × 1.064 + 2.03 × 1.182 + 0.33 × 1.442) × $33.4009 = $172.80

Open 27613 in the RVU calculator

Payment rules and modifiers for 27613

27613 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27613

Soft-tissue biopsy, superficial leg or ankle

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27613

Soft-tissue biopsy, superficial leg or ankle

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27613 without 50 · national office

$260.86

Soft-tissue biopsy, superficial leg or ankle

27613-50 · Bilateral: 150%

$391.29

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).

When to use modifier 50

Codes related to 27613

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 27613
CodeHow it relatesOffice range, Queens, NY
Same family
27614Soft-tissue biopsy, deep soft tissueBiopsy of deep rather than superficial soft tissue in the leg or ankle.$706.98
Used instead
27618Soft-tissue excision, subcutaneous, under 3 cmExcision of a small subcutaneous leg or ankle tumor when the lesion is removed.$604.29
27615Tumor resection, small tumor, under 5 cmResection of a leg or ankle soft-tissue tumor rather than diagnostic sampling.No office rate

How 27613 has changed in Queens, NY

27613 · Office / nonfacility

$302.69

Effective 2026-10-01

The base rate is $15.79 higher than on 2025-10-01, moving from $286.90 to $302.69 (5.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $286.90changed to$302.69

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.22 changed to 2.16
    • Practice expense RVU 5.04 changed to 5.32
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $297.94changed to$286.90

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.12 changed to 5.04
    • Malpractice RVU 0.32 changed to 0.33

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $293.08changed to$297.94

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $307.77changed to$293.08

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.04 changed to 5.12
    • Malpractice RVU 0.30 changed to 0.32
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $322.02changed to$307.77

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.29 changed to 0.30
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $323.76changed to$322.02

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.28 changed to 0.29

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $315.40changed to$323.76

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.72 changed to 5.04
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $309.06changed to$315.40

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.67 changed to 4.72
    • Malpractice RVU 0.30 changed to 0.28
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $311.85changed to$309.06

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.76 changed to 4.67
    • Malpractice RVU 0.29 changed to 0.30

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $308.96changed to$311.85

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.69 changed to 4.76
    • Malpractice RVU 0.30 changed to 0.29
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $307.95changed to$308.96

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.68 changed to 4.69
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $306.48changed to$307.95

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.62 changed to 4.68

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $304.96changed to$306.48

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $301.90changed to$304.96

    • Conversion factor 35.8228 changed to 35.7547
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $308.17changed to$301.90

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.22 changed to 4.62
    • Malpractice RVU 0.31 changed to 0.30
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $308.17

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$302.69$172.80RVU26D
2026-07-01$302.69$172.80RVU26C
2026-04-01$302.69$172.80RVU26B
2026-01-01$302.69$172.80RVU26A
2025-10-01$286.90$183.69RVU25D
2025-07-01$286.90$183.69RVU25C
2025-04-01$286.90$183.69RVU25B
2025-01-01$286.90$183.69RVU25A
2024-10-01$297.94$187.75RVU24D
2024-07-01$297.94$187.75RVU24C
2024-04-01$297.94$187.75RVU24B
2024-03-09$297.94$187.75RVU24AR
2024-01-01$293.08$184.69RVU24A
2023-10-01$307.77$194.41RVU23D
2023-07-01$307.77$194.41RVU23C
2023-04-01$307.77$194.41RVU23B
2023-01-01$307.77$194.41RVU23A
2022-10-01$322.02$202.18RVU22D
2022-07-01$322.02$202.18RVU22C
2022-04-01$322.02$202.18RVU22B
2022-01-01$322.02$202.18RVU22A
2021-10-01$323.76$200.78RVU21D
2021-07-01$323.76$200.78RVU21C
2021-04-01$323.76$200.78RVU21B
2021-01-01$323.76$200.78RVU21A
2020-10-01$315.40$200.61RVU20D
2020-07-01$315.40$200.61RVU20C
2020-04-01$315.40$200.61RVU20B
2020-01-01$315.40$200.61RVU20A
2019-10-01$309.06$197.92RVU19D
2019-07-01$309.06$197.92RVU19C
2019-04-01$309.06$197.92RVU19B
2019-01-01$309.06$197.92RVU19A
2018-10-01$311.85$199.96RVU18D
2018-07-01$311.85$199.96RVU18C
2018-04-01$311.85$199.96RVU18B
2018-01-01$311.85$199.96RVU18AR1
2017-10-01$308.96$200.00RVU17D
2017-07-01$308.96$200.00RVU17C
2017-04-01$308.96$200.00RVU17B
2017-01-01$308.96$200.00RVU17A
2016-10-01$307.95$199.34RVU16D
2016-07-01$307.95$199.34RVU16C
2016-04-01$307.95$199.34RVU16B
2016-01-01$307.95$199.34RVU16A
2015-10-01$306.48$199.20RVU15D
2015-07-01$306.48$199.20RVU15C
2015-04-01$304.96$198.21RVU15B
2015-01-01$304.96$198.21RVU15A
2014-10-01$301.90$195.13RVU14D
2014-07-01$301.90$195.13RVU14C
2014-04-01$301.90$195.13RVU14B
2014-01-01$301.90$195.13RVU14A
2013-10-01$308.17$193.52RVU13D
2013-07-01$308.17$193.52RVU13C
2013-04-01$308.17$193.52RVU13B
2013-01-01$308.17$193.52RVU13AR

Price 27613 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

27613 billing questions

How do I distinguish 27613 from 27614?

Use 27613 for a superficial soft-tissue biopsy in the leg or ankle and 27614 when the biopsy is deep. The operative note should support the depth of the sampled tissue.

Can I report this code when the entire mass is removed?

This code is for diagnostic sampling. When the procedure removes a lesion rather than taking a sample, select the applicable excision or resection code based on the procedure and lesion characteristics.

Are related postoperative visits separately reported?

Related postoperative visits during the 10-day global period are included in the procedure.

How is bilateral performance reported?

Report bilateral performance with modifier 50; CMS pays the bilateral procedure at 150%.

How does the multiple procedure reduction affect this code?

When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are 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 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
RVUs for 27613PPRRVU2026_Oct_nonQPP.csv, line 2,972 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 27613 pays in Queens, NY?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 27613 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist