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Billing code 27041: Soft-tissue biopsyMedicare rate & RVUs

Reports an operative biopsy of deep soft tissue in the pelvis or hip area when a tissue sample is needed for diagnosis rather than lesion removal.

CMS RVU26DEffective Oct 1, 2026109 payment localities347 Medicare services in 2024

Medicare pays $654.99 for 27041 nationally in a facility.

Medicare rate · 27041

Soft-tissue biopsy

Swap in your local Medicare rate.

Work RVUs
9.93
Total RVUs
19.61
Global days
090

National rate · 2026

$654.99

Facility setting, before claim adjustments.

See every locality for 27041 → · Billed by an NP, PA or therapist? →

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

On this page 10 sections
  1. Medicare rate
  2. What 27041 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 27041 covers

A surgeon obtains a tissue sample from a deep soft-tissue abnormality in the pelvis or hip area, typically to investigate a suspected tumor or another disorder requiring tissue diagnosis. The procedure involves surgical exposure of the target and sampling of the deep tissue; it is commonly performed in an operating room, often by an orthopedic or other surgeon managing a pelvic or hip-region lesion. It is distinct from sampling a joint or bone and from removing the lesion as treatment.

Select this code when the operative report supports a deep soft-tissue biopsy in the specified area. Document the site, depth, target, and that the procedure sampled tissue rather than excising the lesion. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. When performed bilaterally with modifier 50, payment is 150%. Medicare does not pay an assistant at surgery; 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 27041 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

27041 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$593.83
Alaska*Unavailable$807.34
ArizonaUnavailable$637.38
ArkansasUnavailable$586.31
AtlantaUnavailable$673.58
AustinUnavailable$662.86
BakersfieldUnavailable$659.64
Baltimore/Surr. CntysUnavailable$694.91
BeaumontUnavailable$627.17
BrazoriaUnavailable$640.57

27041 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.

View every state and territory as a table
27041 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

How the 27041 rate is calculated

Each of 27041’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 · 27041

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 9.93Practice expense 7.67Malpractice 2.01

19.6100 adjusted RVUs×$33.4009 conversion factor=$654.99

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 27041

27041 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27041

Soft-tissue biopsy

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 · 27041

Soft-tissue biopsy

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

27041 without 50 · national facility

$654.99

Soft-tissue biopsy

27041-50 · Bilateral: 150%

$982.49

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

27041 compared with similar codes

Compare codes

27041 vs 27040 vs 27043 vs 27045 vs 27052: national Medicare rates

Swap in your local Medicare rate.

  • 27041
    Soft-tissue biopsy · 9.93 wRVU
    —
  • 27040
    Soft-tissue biopsy · 2.85 wRVU
    $342.03
  • 27043
    Soft-tissue excision · 6.71 wRVU
    —
  • 27045
    Tumor excision · 10.85 wRVU
    —
  • 27052
    Joint biopsy · 7.23 wRVU
    —

How to choose

27040Soft-tissue biopsy
Choose 27041 for deep pelvic or hip-area soft tissue and 27040 for superficial soft tissue in that area.
27043Soft-tissue excision
27043 describes excision of a qualifying subcutaneous hip or pelvic lesion; 27041 describes sampling deep soft tissue for diagnosis.
27045Tumor excision
27045 is for excision of a qualifying deep hip or pelvic tumor. Use 27041 when the procedure is a biopsy rather than tumor removal.
27052Joint biopsy
27052 is a hip-joint biopsy. Use 27041 for a deep soft-tissue target outside the joint.

Codes related to 27041

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

Codes related to 27041
CodeHow it relatesNational office range
Same family
27040Soft-tissue biopsyCorresponding biopsy code for superficial soft tissue in the pelvis or hip area.$302.28–$448.58
Used instead
27043Soft-tissue excisionConsider when a subcutaneous hip or pelvic lesion is excised rather than sampled and meets the code's size criterion.No office rate
27045Tumor excisionFor excision of a deep hip or pelvic tumor when removal, rather than biopsy, is performed.No office rate
27050Joint biopsyFor biopsy of the sacroiliac joint, rather than adjacent deep soft tissue.No office rate
27052Joint biopsyFor biopsy of the hip joint, rather than adjacent deep soft tissue.No office rate

27041 billing questions

How does this differ from 27040?

27041 is for deep soft tissue in the pelvis or hip area. 27040 is the corresponding code for a superficial biopsy.

Can the surgeon report this when the lesion is removed?

Use a biopsy code when tissue is sampled for diagnosis. When the lesion is excised, consider the applicable excision code instead, based on site, depth, and size.

Does this code cover a hip-joint or bone biopsy?

No. It describes deep soft tissue in the pelvis or hip area; a hip-joint biopsy or bone biopsy is a different service.

What should the operative report establish?

Document the pelvic or hip-area location, the deep soft-tissue target, the sampling performed, and whether the lesion was biopsied or excised.

How does the 90-day global period affect postoperative reporting?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code, and 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 27041PPRRVU2026_Oct_nonQPP.csv, line 2,721 (RVU26D)

Open CMS sourceHow we calculate rates

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