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CPT code 27614: Soft-tissue biopsy, deep soft tissue2026 Medicare rate & RVUs in North Carolina

Reports surgical sampling of deep soft tissue in the lower leg or ankle area when tissue is obtained for diagnostic evaluation.

CMS RVU26DEffective Oct 1, 2026One payment locality254 Medicare services in 2024

In North Carolina, Medicare pays $572.98 for 27614 in the office and $369.17 when it’s performed in a hospital or facility.

$572.98Office (non-facility)
$369.17Hospital or facility
−6.1%vs the national office rate ($610.23)

Check a contract rate as a % of Medicare · 27614 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 27614 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 27614 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 27614 covers

This service is a surgical biopsy of deep soft tissue in the lower leg or ankle area, such as tissue beneath the superficial layer. An orthopedic surgeon or other surgeon may obtain a sample to investigate a suspicious mass or an unexplained soft-tissue abnormality. The specimen is submitted for diagnostic examination; the service is sampling, not removal of the lesion as definitive treatment.

Select this code when the operative documentation supports a deep soft-tissue biopsy, rather than a superficial biopsy or excision of a tumor. Document the target, its depth and location, and that tissue was sampled for diagnosis. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. For bilateral procedures reported with modifier 50, CMS pays 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.

How North Carolina compares for 27614

Across 109 of 109 payment localities, the office rate for 27614 runs from $540.28 in Arkansas to $789.35 in San Benito County, CA. North Carolina pays $572.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

27614 in North Carolina vs other payment areas
  1. North Carolina · this page$572.98
  2. Los Angeles, CA · California$679.11+$106.13
  3. Washington, DC area · District of Columbia$693.42+$120.44
  4. Miami, FL · Florida$673.23+$100.25
  5. Chicago, IL · Illinois$653.30+$80.32
  6. Manhattan, NY · New York$703.59+$130.61
  7. Alaska · Alaska$716.34+$143.36

Other areas in North Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

27614 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$548.09$356.95
ArkansasArkansas$540.28$352.64
ArizonaArizona$593.71$382.04
Bakersfield, CACalifornia$639.30$399.88
Chico, CACalifornia$636.67$397.26
El Centro, CACalifornia$636.83$397.42
Fresno, CACalifornia$636.67$397.26
Hanford, CACalifornia$636.67$397.26

27614 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.

$540.28

$716.34

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

View every state and territory as a table
27614 office rate range by state
State / territoryOffice rate rangeLocalities
AK$716.341
AL$548.091
AR$540.281
AZ$593.711
CA$636.67–$789.3529
CO$630.761
CT$650.531
DC$693.421
DE$603.391
FL$608.51–$673.233
GA$573.97–$623.232
GU$650.791
HI$650.791
IA$558.521
ID$562.801
IL$593.57–$653.304
IN$565.941
KS$557.511
KY$564.281
LA$564.04–$591.382
MA$627.72–$690.352
MD$614.29–$693.423
ME$567.38–$595.382
MI$580.23–$617.652
MN$599.921
MO$555.55–$591.553
MS$547.941
MT$610.171
NC$572.981
ND$591.981
NE$561.061
NH$622.401
NJ$656.70–$686.712
NM$584.001
NV$605.491
NY$581.59–$722.465
OH$576.511
OK$561.601
OR$599.55–$648.732
PA$576.53–$635.582
PR$614.071
RI$623.391
SC$575.951
SD$589.831
TN$560.481
TX$572.91–$629.768
UT$583.671
VA$594.56–$693.422
VI$614.071
VT$591.151
WA$626.04–$702.702
WI$572.571
WV$572.331
WY$602.241

See 27614 in every payment locality

How the 27614 rate is calculated

Each of 27614’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 · 27614

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.66

5.66 RVUs× 1.000 GPCI

Practice expense11.69

11.69 RVUs× 1.000 GPCI

Malpractice0.92

0.92 RVUs× 1.000 GPCI

Adjusted RVUs

18.2700

Conversion factor

$33.4009

Medicare rate

$610.23

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

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,973

Code
27614
Physician work
5.66
Practice expense
11.69
Malpractice
0.92

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 27614 in North Carolina
ComponentRVULocality factorAdjusted
Physician work5.66× 1.0005.6600
Practice expense11.69× 0.93310.9068
Malpractice0.92× 0.6390.5879
Total RVUs17.1546
Conversion factor× 33.4009

Office rate, North Carolina$572.98

Office: (5.66 × 1 + 11.69 × 0.933 + 0.92 × 0.639) × $33.4009 = $572.98

Facility: (5.66 × 1 + 5.15 × 0.933 + 0.92 × 0.639) × $33.4009 = $369.17

Open 27614 in the RVU calculator

Payment rules and modifiers for 27614

27614 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27614

Soft-tissue biopsy, deep soft tissue

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27614

Soft-tissue biopsy, deep soft tissue

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27614 without 50 · national office

$610.23

Soft-tissue biopsy, deep soft tissue

27614-50 · Bilateral: 150%

$915.35

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 27614

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

Codes related to 27614
CodeHow it relatesOffice range, North Carolina
Same family
27613Soft-tissue biopsy, superficial leg or ankleBiopsy of superficial rather than deep soft tissue in the leg or ankle area.$244.98
Used instead
27615Tumor resection, small tumor, under 5 cmTumor resection is used when the procedure is resection rather than diagnostic biopsy.No office rate
27619Soft-tissue excision, deep, under 5 cmDeep tumor excision is a removal service, not a biopsy.No office rate

How 27614 has changed in North Carolina

27614 · Office / nonfacility

$572.98

Effective 2026-10-01

The base rate is $40.81 higher than on 2025-10-01, moving from $532.17 to $572.98 (7.7%).

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

    $532.17changed to$572.98

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.80 changed to 5.66
    • Practice expense RVU 10.85 changed to 11.69
    • Malpractice RVU 0.91 changed to 0.92
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $555.01changed to$532.17

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 11.06 changed to 10.85
    • Malpractice RVU 0.95 changed to 0.91

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $545.95changed to$555.01

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $564.91changed to$545.95

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.95 changed to 11.06
    • Malpractice RVU 0.97 changed to 0.95
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665

  5. January 1, 2023

    RVU23A

    $569.76changed to$564.91

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.60 changed to 10.95
    • Malpractice RVU 1.01 changed to 0.97
    • Practice expense GPCI 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $575.07changed to$569.76

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.68 changed to 10.60
    • Malpractice RVU 0.94 changed to 1.01

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $567.46changed to$575.07

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.93 changed to 10.68
    • Malpractice RVU 0.91 changed to 0.94
    • Practice expense GPCI 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $561.55changed to$567.46

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.82 changed to 9.93
    • Malpractice RVU 0.92 changed to 0.91
    • Practice expense GPCI 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $565.46changed to$561.55

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.94 changed to 9.82
    • Malpractice RVU 0.94 changed to 0.92

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $561.63changed to$565.46

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.84 changed to 9.94
    • Malpractice GPCI 0.732 changed to 0.695

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $560.56changed to$561.63

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.83 changed to 9.84
    • Malpractice RVU 0.93 changed to 0.94
    • Practice expense GPCI 0.930 changed to 0.931
    • Malpractice GPCI 0.768 changed to 0.732

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $556.96changed to$560.56

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.67 changed to 9.83
    • Malpractice RVU 0.92 changed to 0.93

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $554.19changed to$556.96

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $555.21changed to$554.19

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.66 changed to 9.67
    • Malpractice RVU 0.99 changed to 0.92
    • Practice expense GPCI 0.929 changed to 0.930
    • Malpractice GPCI 0.732 changed to 0.768

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $563.89changed to$555.21

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 10.85 changed to 9.66
    • Malpractice RVU 1.03 changed to 0.99
    • Practice expense GPCI 0.927 changed to 0.929
    • Malpractice GPCI 0.695 changed to 0.732

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $563.89

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$572.98$369.17RVU26D
2026-07-01$572.98$369.17RVU26C
2026-04-01$572.98$369.17RVU26B
2026-01-01$572.98$369.17RVU26A
2025-10-01$532.17$383.91RVU25D
2025-07-01$532.17$383.91RVU25C
2025-04-01$532.17$383.91RVU25B
2025-01-01$532.17$383.91RVU25A
2024-10-01$555.01$395.34RVU24D
2024-07-01$555.01$395.34RVU24C
2024-04-01$555.01$395.34RVU24B
2024-03-09$555.01$395.34RVU24AR
2024-01-01$545.95$388.89RVU24A
2023-10-01$564.91$401.25RVU23D
2023-07-01$564.91$401.25RVU23C
2023-04-01$564.91$401.25RVU23B
2023-01-01$564.91$401.25RVU23A
2022-10-01$569.76$403.72RVU22D
2022-07-01$569.76$403.72RVU22C
2022-04-01$569.76$403.72RVU22B
2022-01-01$569.76$403.72RVU22A
2021-10-01$575.07$401.18RVU21D
2021-07-01$575.07$401.18RVU21C
2021-04-01$575.07$401.18RVU21B
2021-01-01$575.07$401.18RVU21A
2020-10-01$567.46$401.66RVU20D
2020-07-01$567.46$401.66RVU20C
2020-04-01$567.46$401.66RVU20B
2020-01-01$567.46$401.66RVU20A
2019-10-01$561.55$397.15RVU19D
2019-07-01$561.55$397.15RVU19C
2019-04-01$561.55$397.15RVU19B
2019-01-01$561.55$397.15RVU19A
2018-10-01$565.46$399.22RVU18D
2018-07-01$565.46$399.22RVU18C
2018-04-01$565.46$399.22RVU18B
2018-01-01$565.46$399.22RVU18AR1
2017-10-01$561.63$397.57RVU17D
2017-07-01$561.63$397.57RVU17C
2017-04-01$561.63$397.57RVU17B
2017-01-01$561.63$397.57RVU17A
2016-10-01$560.56$396.73RVU16D
2016-07-01$560.56$396.73RVU16C
2016-04-01$560.56$396.73RVU16B
2016-01-01$560.56$396.73RVU16A
2015-10-01$556.96$394.88RVU15D
2015-07-01$556.96$394.88RVU15C
2015-04-01$554.19$392.91RVU15B
2015-01-01$554.19$392.91RVU15A
2014-10-01$555.21$394.80RVU14D
2014-07-01$555.21$394.80RVU14C
2014-04-01$555.21$394.80RVU14B
2014-01-01$555.21$394.80RVU14A
2013-10-01$563.89$391.37RVU13D
2013-07-01$563.89$391.37RVU13C
2013-04-01$563.89$391.37RVU13B
2013-01-01$563.89$391.37RVU13AR

Price 27614 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

27614 billing questions

How does this differ from 27613?

27614 is for biopsy of deep soft tissue in the lower leg or ankle area. Use 27613 when the biopsied tissue is superficial.

Can this be reported when the lesion is removed?

This code describes diagnostic tissue sampling. When the surgeon excises or resects the lesion rather than taking a biopsy, select the code that describes the removal performed.

What documentation supports the deep-biopsy selection?

Document the lower-leg or ankle target, its depth, and the tissue sampled for diagnostic evaluation. The operative note should make clear that the procedure was a biopsy rather than lesion excision.

What is included in the global period?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How does Medicare handle bilateral reporting?

For a bilateral procedure reported with modifier 50, CMS pays at 150%. Same-session procedures are also subject to the standard multiple procedure reduction.

Can an assistant or co-surgeon be reported?

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
RVUs for 27614PPRRVU2026_Oct_nonQPP.csv, line 2,973 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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