CPT code 27619: Soft-tissue excision, deep, under 5 cm2026 Medicare rate & RVUs

Medicare pays $436.22 for 27619 nationally in a facility.

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

What 27619 covers

This service removes a soft-tissue tumor beneath the fascia in the leg or ankle, including a mass located within muscle, with a size under 5 cm. An orthopedic surgeon or another surgeon treating a lower-extremity mass may perform it in an operating room or an appropriately equipped outpatient setting. The work is excision of the tumor, not merely a sample for diagnosis or a radical resection of a larger tumor.

Choose the code based on the tumor’s depth and size, and document its location, relationship to fascia or muscle, and measured dimensions. The 90-day global period includes the day-before preoperative visit and related postoperative care during that period. 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 50% multiple-procedure reduction. For bilateral reporting 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.

Where 27619 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

27619 rates by state

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

How the 27619 rate is calculated

Each of 27619’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 27619

27619 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

27619 compared with similar codes

How to choose

27618Soft-tissue excisionSubcutaneous, under 3 cm

27618 describes a subcutaneous tumor under 3 cm. Choose 27619 for a tumor beneath the fascia, including an intramuscular tumor, under 5 cm.

27634Soft-tissue excisionDeep, 5 cm or greater

Both address deep soft-tissue tumors of the leg or ankle; the size threshold is the distinction. Use 27634 at 5 cm or larger.

27613Soft-tissue biopsySuperficial leg or ankle

27613 is for biopsy of superficial soft tissue. Choose 27619 when the surgeon excises a deep tumor rather than taking a diagnostic sample.

27615Tumor resectionSmall tumor, under 5 cm

27615 represents radical resection of a soft-tissue tumor. This code describes excision of a deep tumor under 5 cm, not that radical approach.

Codes related to 27619

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

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