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CPT code 27618: Soft-tissue excision, subcutaneous, under 3 cm2026 Medicare rate & RVUs in Virginia

Reports excision of a subcutaneous soft-tissue tumor under 3 cm in the leg or ankle, such as a small superficial lipoma.

CMS RVU26DEffective Oct 1, 2026One payment locality848 Medicare services in 2024

In Virginia, Medicare pays $504.54 for 27618 in the office and $288.17 when it’s performed in a hospital or facility.

$504.54Office (non-facility)
$288.17Hospital or facility
−2.7%vs the national office rate ($518.38)

Check a contract rate as a % of Medicare · 27618 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 27618 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 27618 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 27618 covers

This code describes excision of a soft-tissue tumor smaller than 3 cm that lies beneath the skin but remains subcutaneous in the leg or ankle area. An orthopedic surgeon or another surgeon may perform it in an operating room or an outpatient procedure setting. A small superficial lipoma is a typical example; the operative report should establish the mass’s location, size, and depth.

Choose this code when the surgeon removes the tumor, not when only a tissue sample is taken. Distinguish it from codes for larger subcutaneous tumors and for tumors beneath the fascia. CMS assigns a 90-day global period, including 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is 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 Virginia compares for 27618

Across 109 of 109 payment localities, the office rate for 27618 runs from $454.51 in Arkansas to $681.10 in San Benito County, CA. Virginia pays $504.54. The RVUs are the same everywhere; the geographic indexes change the dollars.

27618 in Virginia vs other payment areas
  1. Virginia · this page$504.54
  2. Los Angeles, CA · California$581.42+$76.88
  3. Washington, DC area · District of Columbia$592.97+$88.43
  4. Miami, FL · Florida$573.12+$68.58
  5. Chicago, IL · Illinois$554.84+$50.30
  6. Manhattan, NY · New York$600.77+$96.23
  7. Alaska · Alaska$594.77+$90.23

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

Every other payment area

27618 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$461.65$269.05
ArkansasArkansas$454.51$265.43
ArizonaArizona$503.36$290.08
Bakersfield, CACalifornia$545.53$304.29
Chico, CACalifornia$543.37$302.13
El Centro, CACalifornia$543.50$302.26
Fresno, CACalifornia$543.37$302.13
Hanford, CACalifornia$543.37$302.13

27618 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.

$454.51

$612.24

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

View every state and territory as a table
27618 office rate range by state
State / territoryOffice rate rangeLocalities
AK$594.771
AL$461.651
AR$454.511
AZ$503.361
CA$543.37–$681.1029
CO$537.481
CT$554.411
DC$592.971
DE$512.031
FL$515.50–$573.123
GA$484.14–$529.822
GU$557.201
HI$557.201
IA$471.781
ID$475.581
IL$501.43–$554.844
IN$478.461
KS$470.571
KY$475.831
LA$475.50–$500.482
MA$534.42–$591.302
MD$521.90–$592.973
ME$479.46–$505.502
MI$490.13–$523.542
MN$510.581
MO$467.56–$500.993
MS$461.071
MT$518.331
NC$484.631
ND$502.911
NE$474.201
NH$530.021
NJ$559.50–$586.422
NM$493.461
NV$514.391
NY$492.47–$617.645
OH$486.971
OK$473.691
OR$509.19–$554.112
PA$487.15–$540.632
PR$521.991
RI$530.011
SC$486.861
SD$501.081
TN$473.251
TX$483.83–$536.758
UT$493.921
VA$504.54–$592.972
VI$521.991
VT$501.881
WA$533.09–$602.552
WI$485.091
WV$482.011
WY$511.611

See 27618 in every payment locality

How the 27618 rate is calculated

Each of 27618’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 · 27618

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.86

3.86 RVUs× 1.000 GPCI

Practice expense10.88

10.88 RVUs× 1.000 GPCI

Malpractice0.78

0.78 RVUs× 1.000 GPCI

Adjusted RVUs

15.5200

Conversion factor

$33.4009

Medicare rate

$518.38

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

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,976

Code
27618
Physician work
3.86
Practice expense
10.88
Malpractice
0.78

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 27618 in Virginia
ComponentRVULocality factorAdjusted
Physician work3.86× 1.0003.8600
Practice expense10.88× 0.98310.6950
Malpractice0.78× 0.7060.5507
Total RVUs15.1057
Conversion factor× 33.4009

Office rate, Virginia$504.54

Office: (3.86 × 1 + 10.88 × 0.983 + 0.78 × 0.706) × $33.4009 = $504.54

Facility: (3.86 × 1 + 4.29 × 0.983 + 0.78 × 0.706) × $33.4009 = $288.17

Open 27618 in the RVU calculator

Payment rules and modifiers for 27618

27618 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27618

Soft-tissue excision, subcutaneous, under 3 cm

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 · 27618

Soft-tissue excision, subcutaneous, under 3 cm

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

27618 without 50 · national office

$518.38

Soft-tissue excision, subcutaneous, under 3 cm

27618-50 · Bilateral: 150%

$777.57

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 27618

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

Codes related to 27618
CodeHow it relatesOffice range, Virginia
Same family
27619Soft-tissue excision, deep, under 5 cmDeep soft-tissue tumor excision, with a higher size threshold.No office rate
27632Soft-tissue excision, subcutaneous, 3 cm or largerSubcutaneous leg or ankle lesion excision for lesions 3 cm or larger.No office rate
27634Soft-tissue excision, deep, 5 cm or greaterDeep leg or ankle lesion excision for lesions 5 cm or larger.No office rate
Used instead
27613Soft-tissue biopsy, superficial leg or ankleBiopsy option when tissue is sampled rather than the entire tumor excised.$254.60
27614Soft-tissue biopsy, deep soft tissueBiopsy option for a deeper soft-tissue sample rather than complete tumor removal.$594.56

How 27618 has changed in Virginia

27618 · Office / nonfacility

$504.54

Effective 2026-10-01

The base rate is $45.46 higher than on 2025-10-01, moving from $459.08 to $504.54 (9.9%).

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

    $459.08changed to$504.54

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.96 changed to 3.86
    • Practice expense RVU 9.80 changed to 10.88
    • Malpractice RVU 0.77 changed to 0.78
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $477.75changed to$459.08

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 9.97 changed to 9.80
    • Malpractice RVU 0.76 changed to 0.77

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $469.95changed to$477.75

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $490.39changed to$469.95

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.00 changed to 9.97
    • Malpractice RVU 0.74 changed to 0.76
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $506.31changed to$490.39

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.03 changed to 10.00
    • Malpractice RVU 0.77 changed to 0.74
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $500.89changed to$506.31

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.78 changed to 10.03
    • Malpractice RVU 0.74 changed to 0.77

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $483.49changed to$500.89

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.83 changed to 9.78
    • Malpractice RVU 0.76 changed to 0.74
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $470.34changed to$483.49

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.52 changed to 8.83
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $458.82changed to$470.34

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.21 changed to 8.52

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $454.16changed to$458.82

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.15 changed to 8.21
    • Malpractice RVU 0.77 changed to 0.76
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $449.88changed to$454.16

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.10 changed to 8.15
    • Malpractice RVU 0.78 changed to 0.77
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $452.86changed to$449.88

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.13 changed to 8.10
    • Malpractice RVU 0.79 changed to 0.78

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $450.61changed to$452.86

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $441.52changed to$450.61

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.98 changed to 8.13
    • Malpractice RVU 0.70 changed to 0.79
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $446.07changed to$441.52

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.82 changed to 7.98
    • Malpractice RVU 0.73 changed to 0.70
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $446.07

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$504.54$288.17RVU26D
2026-07-01$504.54$288.17RVU26C
2026-04-01$504.54$288.17RVU26B
2026-01-01$504.54$288.17RVU26A
2025-10-01$459.08$295.16RVU25D
2025-07-01$459.08$295.16RVU25C
2025-04-01$459.08$295.16RVU25B
2025-01-01$459.08$295.16RVU25A
2024-10-01$477.75$301.86RVU24D
2024-07-01$477.75$301.86RVU24C
2024-04-01$477.75$301.86RVU24B
2024-03-09$477.75$301.86RVU24AR
2024-01-01$469.95$296.93RVU24A
2023-10-01$490.39$306.21RVU23D
2023-07-01$490.39$306.21RVU23C
2023-04-01$490.39$306.21RVU23B
2023-01-01$490.39$306.21RVU23A
2022-10-01$506.31$311.42RVU22D
2022-07-01$506.31$311.42RVU22C
2022-04-01$506.31$311.42RVU22B
2022-01-01$506.31$311.42RVU22A
2021-10-01$500.89$309.59RVU21D
2021-07-01$500.89$309.59RVU21C
2021-04-01$500.89$309.59RVU21B
2021-01-01$500.89$309.59RVU21A
2020-10-01$483.49$312.89RVU20D
2020-07-01$483.49$312.89RVU20C
2020-04-01$483.49$312.89RVU20B
2020-01-01$483.49$312.89RVU20A
2019-10-01$470.34$313.63RVU19D
2019-07-01$470.34$313.63RVU19C
2019-04-01$470.34$313.63RVU19B
2019-01-01$470.34$313.63RVU19A
2018-10-01$458.82$315.42RVU18D
2018-07-01$458.82$315.42RVU18C
2018-04-01$458.82$315.42RVU18B
2018-01-01$458.82$315.42RVU18AR1
2017-10-01$454.16$312.40RVU17D
2017-07-01$454.16$312.40RVU17C
2017-04-01$454.16$312.40RVU17B
2017-01-01$454.16$312.40RVU17A
2016-10-01$449.88$308.75RVU16D
2016-07-01$449.88$308.75RVU16C
2016-04-01$449.88$308.75RVU16B
2016-01-01$449.88$308.75RVU16A
2015-10-01$452.86$309.80RVU15D
2015-07-01$452.86$309.80RVU15C
2015-04-01$450.61$308.26RVU15B
2015-01-01$450.61$308.26RVU15A
2014-10-01$441.52$303.20RVU14D
2014-07-01$441.52$303.20RVU14C
2014-04-01$441.52$303.20RVU14B
2014-01-01$441.52$303.20RVU14A
2013-10-01$446.07$300.14RVU13D
2013-07-01$446.07$300.14RVU13C
2013-04-01$446.07$300.14RVU13B
2013-01-01$446.07$300.14RVU13AR

Price 27618 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

27618 billing questions

How does 27618 differ from 27619?

27618 is for a subcutaneous tumor under 3 cm. 27619 is for a deep soft-tissue tumor under 5 cm.

Is 27618 appropriate when the surgeon takes only a biopsy?

No. This code describes excision of the tumor, rather than sampling only part of it. Consider the applicable soft-tissue biopsy code when the surgeon obtains tissue for diagnosis without removing the entire mass.

What documentation supports 27618?

The operative report should identify the leg or ankle site, document that the tumor is subcutaneous, and record its size as under 3 cm. It should also describe removal of the tumor.

How is bilateral reporting handled?

CMS pays bilateral reporting with modifier 50 at 150%. The record should support a qualifying procedure on both sides.

Can an assistant surgeon or co-surgeon be reported?

CMS restricts assistant-at-surgery payment 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 27618PPRRVU2026_Oct_nonQPP.csv, line 2,976 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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