No office rate
Choose 27355 for excision or curettage of a femoral bone cyst or benign tumor. Code 27360 describes partial femoral bone removal without that lesion-specific service.
On this page
CMS RVU26D · Effective 2026-10-01
27360 Femoral ostectomy Medicare reimbursement rates
Reports surgical removal of part of the femur when a localized portion of bone must be excised for the patient's condition. Compare 27360 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 27360?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$761.19–$1039.52
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $278.33 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 27360 pays more and less
Orthopedic surgery
About 27360: Partial femoral ostectomy
Reports surgical removal of part of the femur when a localized portion of bone must be excised for the patient's condition.
An orthopedic surgeon performs a partial ostectomy by surgically exposing the femur and removing a portion of bone. The service is appropriate when the treatment requires removal of localized femoral bone, rather than a procedure directed specifically at a bone cyst or benign tumor. These operations are typically performed in a hospital or ambulatory surgery setting; the operative report should identify the femoral site and the extent of bone removed.
Report 27360 for the partial femoral bone removal itself, supported by the diagnosis, operative findings, and description of the resection. It has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral surgery reported with modifier 50, payment is at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 27360
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.17 · 44%
- Practice expense (office) RVU12.10 · 47%
- Malpractice RVU2.38 · 9%
1.3K
Medicare services in 2024 · #2779 by national volume
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.
27360 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
27365 is for resection of a femoral or knee tumor. Use 27360 for partial femoral ostectomy when the operation is not represented by that tumor-resection service.
No office rate
Both involve partial bone excision, but 27640 applies to the tibia; 27360 applies to the femur.
See how rates vary across the country
27360 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 27360 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $771.71 |
| Alaska* | Office Unavailable | Facility $1033.85 |
| Arizona | Office Unavailable | Facility $832.76 |
| Arkansas | Office Unavailable | Facility $761.19 |
| Atlanta | Office Unavailable | Facility $880.30 |
| Austin | Office Unavailable | Facility $871.86 |
| Bakersfield | Office Unavailable | Facility $871.54 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $911.05 |
| Beaumont | Office Unavailable | Facility $814.72 |
| Brazoria | Office Unavailable | Facility $838.59 |
| Chicago | Office Unavailable | Facility $964.31 |
| Chico | Office Unavailable | Facility $864.99 |
| Colorado | Office Unavailable | Facility $869.67 |
| Connecticut | Office Unavailable | Facility $912.01 |
| Dallas | Office Unavailable | Facility $847.19 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $957.80 |
| Delaware | Office Unavailable | Facility $845.72 |
| Detroit | Office Unavailable | Facility $897.12 |
| East St. Louis | Office Unavailable | Facility $905.01 |
| El Centro | Office Unavailable | Facility $865.39 |
| Fort Lauderdale | Office Unavailable | Facility $926.22 |
| Fort Worth | Office Unavailable | Facility $844.18 |
| Fresno | Office Unavailable | Facility $864.99 |
| Galveston | Office Unavailable | Facility $843.22 |
| Hanford-Corcoran | Office Unavailable | Facility $864.99 |
| Hawaii, Guam | Office Unavailable | Facility $878.63 |
| Houston | Office Unavailable | Facility $886.78 |
| Idaho | Office Unavailable | Facility $782.51 |
| Indiana | Office Unavailable | Facility $786.37 |
| Iowa | Office Unavailable | Facility $774.45 |
| Kansas | Office Unavailable | Facility $778.51 |
| Kentucky | Office Unavailable | Facility $805.12 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $919.28 |
| Madera | Office Unavailable | Facility $864.99 |
| Manhattan | Office Unavailable | Facility $992.67 |
| Merced | Office Unavailable | Facility $864.99 |
| Metropolitan Boston | Office Unavailable | Facility $941.69 |
| Metropolitan Kansas City | Office Unavailable | Facility $830.25 |
| Metropolitan Philadelphia | Office Unavailable | Facility $895.36 |
| Metropolitan St. Louis | Office Unavailable | Facility $837.49 |
| Miami | Office Unavailable | Facility $994.85 |
| Minnesota | Office Unavailable | Facility $812.49 |
| Mississippi | Office Unavailable | Facility $779.81 |
| Modesto | Office Unavailable | Facility $864.99 |
| Montana** | Office Unavailable | Facility $856.57 |
| Napa | Office Unavailable | Facility $969.65 |
| Nebraska | Office Unavailable | Facility $776.17 |
| Nevada** | Office Unavailable | Facility $843.86 |
| New Hampshire | Office Unavailable | Facility $863.37 |
| New Mexico | Office Unavailable | Facility $839.17 |
| New Orleans | Office Unavailable | Facility $843.70 |
| North Carolina | Office Unavailable | Facility $800.96 |
| North Dakota** | Office Unavailable | Facility $809.51 |
| Northern Nj | Office Unavailable | Facility $950.31 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1025.12 |
| Ohio | Office Unavailable | Facility $822.21 |
| Oklahoma | Office Unavailable | Facility $795.76 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $910.77 |
| Portland | Office Unavailable | Facility $887.21 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $928.61 |
| Puerto Rico | Office Unavailable | Facility $859.99 |
| Queens | Office Unavailable | Facility $989.30 |
| Redding | Office Unavailable | Facility $864.99 |
| Rest Of California | Office Unavailable | Facility $864.99 |
| Rest Of Florida | Office Unavailable | Facility $878.94 |
| Rest Of Georgia | Office Unavailable | Facility $828.35 |
| Rest Of Illinois | Office Unavailable | Facility $866.33 |
| Rest Of Louisiana | Office Unavailable | Facility $806.92 |
| Rest Of Maine | Office Unavailable | Facility $794.35 |
| Rest Of Maryland | Office Unavailable | Facility $858.80 |
| Rest Of Massachusetts | Office Unavailable | Facility $867.99 |
| Rest Of Michigan | Office Unavailable | Facility $831.83 |
| Rest Of Missouri | Office Unavailable | Facility $798.89 |
| Rest Of New Jersey | Office Unavailable | Facility $916.55 |
| Rest Of New York | Office Unavailable | Facility $812.92 |
| Rest Of Oregon | Office Unavailable | Facility $831.51 |
| Rest Of Pennsylvania | Office Unavailable | Facility $819.22 |
| Rest Of Texas | Office Unavailable | Facility $828.41 |
| Rest Of Washington | Office Unavailable | Facility $864.00 |
| Rhode Island | Office Unavailable | Facility $868.57 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $890.56 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $899.16 |
| Salinas | Office Unavailable | Facility $895.67 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $910.73 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1014.87 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1012.17 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1039.52 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1028.47 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $882.37 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $914.58 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $897.38 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $923.19 |
| Seattle (King Cnty) | Office Unavailable | Facility $952.58 |
| South Carolina | Office Unavailable | Facility $814.09 |
| South Dakota** | Office Unavailable | Facility $803.95 |
| Southern Maine | Office Unavailable | Facility $823.76 |
| Stockton | Office Unavailable | Facility $864.99 |
| Suburban Chicago | Office Unavailable | Facility $931.63 |
| Tennessee | Office Unavailable | Facility $783.15 |
| Utah | Office Unavailable | Facility $824.38 |
| Vallejo | Office Unavailable | Facility $965.75 |
| Vermont | Office Unavailable | Facility $813.42 |
| Virgin Islands | Office Unavailable | Facility $859.99 |
| Virginia | Office Unavailable | Facility $826.49 |
| Visalia | Office Unavailable | Facility $864.99 |
| West Virginia | Office Unavailable | Facility $838.05 |
| Wisconsin | Office Unavailable | Facility $784.75 |
| Wyoming** | Office Unavailable | Facility $836.06 |
| Yuba City | Office Unavailable | Facility $864.99 |
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27360 billing questions
How is 27360 different from 27355?
27360 describes partial removal of the femur. Use 27355 when the operation is specifically excision or curettage of a femoral bone cyst or benign tumor.
Can 27360 be reported with a femoral tumor procedure?
Do not separately report the same bone removal as 27360 when a lesion-specific procedure describes the work performed. The operative report should support the code that represents the actual treatment.
What documentation supports 27360?
Document the femoral site, the condition prompting surgery, and the portion of bone removed. The operative report should distinguish partial ostectomy from a lesion-specific excision or a more extensive tumor resection.
How does the global period affect postoperative care?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral 27360 paid?
When the procedure is bilateral and reported with modifier 50, CMS pays 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,85427356,,Remove femur lesion/graft,A,,9.84,8.93,NA,8.93,,2.09,20.86,20.86,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85527357,,Remove femur lesion/graft,A,,10.88,9.76,NA,9.76,,2.31,22.95,22.95,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85627358,,Remove femur lesion/fixation,A,,4.61,1.47,NA,1.47,,1.00,7.08,7.08,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85727360,,Partial removal leg bone(s),A,,11.17,12.10,NA,12.10,,2.38,25.65,25.65,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85827364,,Resect thigh/knee tum 5 cm/>,A,,23.88,13.61,NA,13.61,,5.34,42.83,42.83,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85927365,,Resect femur/knee tumor,A,,31.40,16.89,NA,16.89,,6.71,55.00,55.00,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,86027369,,Njx cntrst kne arthg/ct/mri,A,,0.75,4.61,,0.19,,0.08,5.44,1.02,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00