CPT code 27616: Tumor resection, leg or ankle, 5 cm or larger2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $1,111.27 for 27616 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27616 nationwide

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

What 27616 covers

This code describes radical resection of a soft-tissue tumor in the leg or ankle area measuring at least 5 cm. It is used for definitive removal, such as oncologic surgery for a suspected or confirmed soft-tissue malignancy, rather than a diagnostic sample or a routine limited excision. Orthopedic oncologists and other surgeons may perform the operation in a hospital or outpatient surgical setting, depending on the patient and procedure.

Choose the code based on the tumor’s size and the radical extent of the operation; document the site, tumor dimensions, and operative approach. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity, and co-surgeon payment requires supporting documentation; team surgery is 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 Virginia compares for 27616

Across 109 of 109 payment localities, the facility rate for 27616 runs from $1,037.53 in Arkansas to $1,440.49 in Alaska. Virginia pays $1,111.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27616 rates by state

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

See 27616 in every payment locality

How the 27616 rate is calculated

Each of 27616’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.

Payment rules and modifiers for 27616

27616 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 27616

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

How 27616 has changed in Virginia

Price 27616 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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

Open CMS sourceHow we calculate rates