CPT code 27634: Soft-tissue excision, deep, 5 cm or greater2026 Medicare rate & RVUs in Utah

Reports excision of a deep soft-tissue tumor in the leg or ankle area when the lesion measures 5 cm or greater.

CMS RVU26DEffective Oct 1, 2026One payment locality423 Medicare services in 2024

In Utah, Medicare pays $602.97 for 27634 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$602.97Hospital or facility

Check a contract rate as a % of Medicare · 27634 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 27634 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 27634 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 27634 covers

This code describes surgical removal of a soft-tissue mass in the leg or ankle area that lies beneath the superficial fascia, such as a subfascial or intramuscular lesion, and measures at least 5 cm. An orthopedic surgeon, podiatric surgeon, or other qualified surgeon may perform the procedure in an operating room or, in selected cases, an office procedure setting. The code concerns soft tissue, not a tumor arising in the tibia, fibula, or another bone.

Choose the code based on the lesion’s location, depth, size, and the work performed. The operative report should identify the leg or ankle site, document that the mass is deep, give its size, and describe its removal. 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 other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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 Utah compares for 27634

Across 109 of 109 payment localities, the facility rate for 27634 runs from $559.85 in Arkansas to $774.36 in Alaska. Utah pays $602.97. The RVUs are the same everywhere; the geographic indexes change the dollars.

27634 in Utah vs other payment areas
  1. Utah · this page$602.97
  2. Los Angeles, CA · California$657.17+$54.20
  3. Washington, DC area · District of Columbia$689.11+$86.14
  4. Miami, FL · Florida$730.71+$127.74
  5. Chicago, IL · Illinois$709.76+$106.79
  6. Manhattan, NY · New York$719.08+$116.11
  7. Alaska · Alaska$774.36+$171.39

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

Every other payment area

27634 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$566.79
ArkansasArkansas—$559.85
ArizonaArizona—$606.92
Bakersfield, CACalifornia—$626.45
Chico, CACalifornia—$621.11
El Centro, CACalifornia—$621.43
Fresno, CACalifornia—$621.11
Hanford, CACalifornia—$621.11

27634 rates by state

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

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.

View every state and territory as a table
27634 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 27634 in every payment locality

How the 27634 rate is calculated

Each of 27634’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 · 27634

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.88

9.88 RVUs× 1.000 GPCI

Practice expense6.86

6.86 RVUs× 1.000 GPCI

Malpractice1.92

1.92 RVUs× 1.000 GPCI

Adjusted RVUs

18.6600

Conversion factor

$33.4009

Medicare rate

$623.26

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

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,983

Code
27634
Physician work
9.88
Practice expense
6.86
Malpractice
1.92

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Facility calculation for 27634 in Utah
ComponentRVULocality factorAdjusted
Physician work9.88× 1.0009.8800
Practice expense6.86× 0.9406.4484
Malpractice1.92× 0.8981.7242
Total RVUs18.0526
Conversion factor× 33.4009

Facility rate, Utah$602.97

Facility: (9.88 × 1 + 6.86 × 0.94 + 1.92 × 0.898) × $33.4009 = $602.97

Open 27634 in the RVU calculator

Payment rules and modifiers for 27634

27634 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27634

Soft-tissue excision, deep, 5 cm or greater

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)2Paid.
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 · 27634

Soft-tissue excision, deep, 5 cm or greater

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

27634 without 50 · national facility

$623.26

Soft-tissue excision, deep, 5 cm or greater

27634-50 · Bilateral: 150%

$934.89

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

How 27634 has changed in Utah

27634 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$602.97RVU26D
2026-07-01Not available in this setting$602.97RVU26C
2026-04-01Not available in this setting$602.97RVU26B
2026-01-01Not available in this setting$602.97RVU26A
2025-10-01Not available in this setting$637.72RVU25D
2025-07-01Not available in this setting$637.72RVU25C
2025-04-01Not available in this setting$637.72RVU25B
2025-01-01Not available in this setting$637.72RVU25A
2024-10-01Not available in this setting$654.10RVU24D
2024-07-01Not available in this setting$654.10RVU24C
2024-04-01Not available in this setting$654.10RVU24B
2024-03-09Not available in this setting$654.10RVU24AR
2024-01-01Not available in this setting$643.42RVU24A
2023-10-01Not available in this setting$658.36RVU23D
2023-07-01Not available in this setting$658.36RVU23C
2023-04-01Not available in this setting$658.36RVU23B
2023-01-01Not available in this setting$658.36RVU23A
2022-10-01Not available in this setting$658.34RVU22D
2022-07-01Not available in this setting$658.34RVU22C
2022-04-01Not available in this setting$658.34RVU22B
2022-01-01Not available in this setting$658.34RVU22A
2021-10-01Not available in this setting$661.24RVU21D
2021-07-01Not available in this setting$661.24RVU21C
2021-04-01Not available in this setting$661.24RVU21B
2021-01-01Not available in this setting$661.24RVU21A
2020-10-01Not available in this setting$689.61RVU20D
2020-07-01Not available in this setting$689.61RVU20C
2020-04-01Not available in this setting$689.61RVU20B
2020-01-01Not available in this setting$689.61RVU20A
2019-10-01Not available in this setting$696.67RVU19D
2019-07-01Not available in this setting$696.67RVU19C
2019-04-01Not available in this setting$696.67RVU19B
2019-01-01Not available in this setting$696.67RVU19A
2018-10-01Not available in this setting$698.92RVU18D
2018-07-01Not available in this setting$698.92RVU18C
2018-04-01Not available in this setting$698.92RVU18B
2018-01-01Not available in this setting$698.92RVU18AR1
2017-10-01Not available in this setting$699.79RVU17D
2017-07-01Not available in this setting$699.79RVU17C
2017-04-01Not available in this setting$699.79RVU17B
2017-01-01Not available in this setting$699.79RVU17A
2016-10-01Not available in this setting$699.63RVU16D
2016-07-01Not available in this setting$699.63RVU16C
2016-04-01Not available in this setting$699.63RVU16B
2016-01-01Not available in this setting$699.63RVU16A
2015-10-01Not available in this setting$700.41RVU15D
2015-07-01Not available in this setting$700.41RVU15C
2015-04-01Not available in this setting$696.92RVU15B
2015-01-01Not available in this setting$696.92RVU15A
2014-10-01Not available in this setting$683.74RVU14D
2014-07-01Not available in this setting$683.74RVU14C
2014-04-01Not available in this setting$683.74RVU14B
2014-01-01Not available in this setting$683.74RVU14A
2013-10-01Not available in this setting$672.37RVU13D
2013-07-01Not available in this setting$672.37RVU13C
2013-04-01Not available in this setting$672.37RVU13B
2013-01-01Not available in this setting$672.37RVU13AR

Price 27634 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

27634 billing questions

How does this differ from 27619?

Both describe excision of a deep leg or ankle soft-tissue tumor. Use 27634 for a lesion 5 cm or greater; 27619 is for one smaller than 5 cm.

How does this differ from 27632?

27632 applies to a subcutaneous leg or ankle tumor measuring 3 cm or greater. This code is for a deeper, subfascial or intramuscular tumor measuring at least 5 cm.

When would 27616 be considered instead?

27616 is in the resection series for a leg or ankle soft-tissue tumor measuring 5 cm or greater. Select between it and this excision code based on the procedure actually performed and documented, not size alone.

What should the operative note document?

Document the leg or ankle site, the tumor’s deep location, its size, and the excision performed. These details support the code’s anatomic, depth, and size criteria.

Are related postoperative visits separately reported?

Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit. The global period does not include unrelated services.

Can this be reported for a bilateral procedure?

Yes. CMS identifies this as a bilateral procedure; reporting modifier 50 results in payment at 150%.

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 27634PPRRVU2026_Oct_nonQPP.csv, line 2,983 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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