Billing code 27065: Bone lesion removalMedicare rate & RVUs

Medicare pays $508.36 for 27065 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 27065 covers

An orthopedic surgeon uses this service to remove or curette a superficial cyst or benign tumor arising in bone of the pelvis or hip. The operative work treats the bone lesion itself, rather than a mass limited to nearby soft tissue. It is generally performed in an operating room, with the removed material available for pathologic examination. The code is distinguished from its deep-lesion counterpart by the documented depth and surgical approach, not by lesion diameter.

Select this code when the operative report supports treatment of a superficial bone lesion and does not describe the grafting service represented by a different code. Document the bone involved, lesion depth, operative approach, and whether the surgeon excised or curetted the lesion. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is 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 27065 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

27065 rates by state

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

How the 27065 rate is calculated

Each of 27065’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 27065

27065 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

27065 compared with similar codes

How to choose

27066Bone lesion excision

This code is for a superficial lesion; 27066 is the corresponding service when the pelvic or hip bone lesion is deep.

27067Bone lesion curettage

Choose 27067 when treatment includes bone grafting. This code describes superficial lesion treatment without that grafting service.

27070Hip bone excision

27070 describes partial removal of superficial hip or pelvic bone. This code is focused on curettage or excision of a bone cyst or benign tumor.

27047Soft tissue excision

27047 concerns an excision of a superficial soft-tissue lesion in the hip or pelvis region; this code treats a lesion arising in bone.

Codes related to 27065

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