CPT code 27619: Soft-tissue excision, deep, under 5 cm2026 Medicare rate & RVUs in Missouri
Reports excision of a deep soft-tissue tumor in the leg or ankle, such as an intramuscular mass, when it measures less than 5 cm.
CMS doesn’t publish an office rate for 27619 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $424.77 |
| Metropolitan St. Louis, MO | Unavailable | $427.97 |
| Rest of Missouri | Unavailable | $411.31 |
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.
How the rate is built · 27619
RVUs × geographic indexes × conversion factor
Work6.74
6.74 RVUs× 1.000 GPCI
Practice expense5.19
5.19 RVUs× 1.000 GPCI
Malpractice1.13
1.13 RVUs× 1.000 GPCI
Adjusted RVUs
13.0600
Conversion factor
$33.4009
Medicare rate
$436.22
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27619
27619 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27619
Soft-tissue excision, deep, under 5 cm
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27619
Soft-tissue excision, deep, under 5 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27619 without 50 · national facility
$436.22
Soft-tissue excision, deep, under 5 cm
27619-50 · Bilateral: 150%
$654.33
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).
27619 compared with similar codes
Compare codes · National
5 codes, side by side
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.
27619 billing questions
How is this distinguished from code 27618?
This code is for a tumor beneath the fascia, such as an intramuscular mass, under 5 cm. Code 27618 is for a subcutaneous tumor under 3 cm.
When is code 27634 the better choice?
Use 27634 for a deep leg or ankle tumor measuring 5 cm or more. This code is for the same general depth but a tumor under 5 cm.
Can this code be used when the surgeon only takes a sample?
No. It represents excision of the tumor; a procedure limited to obtaining a diagnostic tissue sample is a biopsy service.
What documentation supports reporting this code?
Document the leg or ankle location, the tumor’s relationship to the fascia or muscle, its measured size, and that it was excised.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care for 90 days are included in the global period.
What happens when both legs are treated in the same session?
For bilateral reporting with modifier 50, CMS pays this procedure at 150%. Multiple procedures in the same session are subject to the standard multiple-procedure reduction.
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
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