$454.51–$681.10
This code applies to a subcutaneous leg or ankle mass measuring at least 3 cm. Code 27618 is the corresponding size level for a smaller mass.
On this page
CMS RVU26D · Effective 2026-10-01
27632 Soft-tissue excision Medicare reimbursement rates
Removal of a subcutaneous soft-tissue mass in the leg or ankle measuring at least 3 cm, selected by the lesion’s size and tissue depth. Compare 27632 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 27632?
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
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 27632 pays more and less
Orthopedic surgery
About 27632: Subcutaneous leg or ankle mass excision
Removal of a subcutaneous soft-tissue mass in the leg or ankle measuring at least 3 cm, selected by the lesion’s size and tissue depth.
This code describes operative removal of a soft-tissue mass beneath the skin in the leg or ankle, with the mass measuring at least 3 cm. A surgeon, often an orthopedic surgeon, may perform it for a localized mass such as a lipoma. The operative approach exposes and removes the mass from the subcutaneous tissue; a lesion arising within or below fascia is coded differently. The service may be performed in a hospital or ambulatory surgery setting.
Choose this code when the operative report supports both the subcutaneous location and the size threshold. Document the mass dimensions, its relationship to the fascia, and the extent of removal; pathology can support the diagnosis but does not replace the operative findings. CMS assigns a 90-day global period, including 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 others at 50%. For bilateral procedures reported with modifier 50, CMS pays at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 27632
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.76 · 49%
- Practice expense (office) RVU4.79 · 41%
- Malpractice RVU1.22 · 10%
1K
Medicare services in 2024 · #2936 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.
27632 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
Code 27619 describes a subfascial mass smaller than 5 cm. Choose by the mass’s depth and size, not simply by incision length.
No office rate
Code 27634 is for a subfascial mass measuring 5 cm or larger; this code is for a subcutaneous mass measuring at least 3 cm.
See how rates vary across the country
27632 · 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 27632 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 $355.44 |
| Alaska* | Office Unavailable | Facility $481.43 |
| Arizona | Office Unavailable | Facility $382.30 |
| Arkansas | Office Unavailable | Facility $350.81 |
| Atlanta | Office Unavailable | Facility $404.46 |
| Austin | Office Unavailable | Facility $398.15 |
| Bakersfield | Office Unavailable | Facility $396.21 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $417.54 |
| Beaumont | Office Unavailable | Facility $375.84 |
| Brazoria | Office Unavailable | Facility $384.26 |
| Chicago | Office Unavailable | Facility $448.05 |
| Chico | Office Unavailable | Facility $392.85 |
| Colorado | Office Unavailable | Facility $396.75 |
| Connecticut | Office Unavailable | Facility $417.85 |
| Dallas | Office Unavailable | Facility $388.43 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $436.60 |
| Delaware | Office Unavailable | Facility $388.05 |
| Detroit | Office Unavailable | Facility $415.48 |
| East St. Louis | Office Unavailable | Facility $421.65 |
| El Centro | Office Unavailable | Facility $393.05 |
| Fort Lauderdale | Office Unavailable | Facility $428.13 |
| Fort Worth | Office Unavailable | Facility $387.36 |
| Fresno | Office Unavailable | Facility $392.85 |
| Galveston | Office Unavailable | Facility $386.54 |
| Hanford-Corcoran | Office Unavailable | Facility $392.85 |
| Hawaii, Guam | Office Unavailable | Facility $397.89 |
| Houston | Office Unavailable | Facility $408.87 |
| Idaho | Office Unavailable | Facility $358.85 |
| Indiana | Office Unavailable | Facility $360.50 |
| Iowa | Office Unavailable | Facility $354.96 |
| Kansas | Office Unavailable | Facility $357.56 |
| Kentucky | Office Unavailable | Facility $371.91 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $416.60 |
| Madera | Office Unavailable | Facility $392.85 |
| Manhattan | Office Unavailable | Facility $455.24 |
| Merced | Office Unavailable | Facility $392.85 |
| Metropolitan Boston | Office Unavailable | Facility $427.57 |
| Metropolitan Kansas City | Office Unavailable | Facility $382.43 |
| Metropolitan Philadelphia | Office Unavailable | Facility $411.02 |
| Metropolitan St. Louis | Office Unavailable | Facility $385.53 |
| Miami | Office Unavailable | Facility $461.99 |
| Minnesota | Office Unavailable | Facility $369.08 |
| Mississippi | Office Unavailable | Facility $360.25 |
| Modesto | Office Unavailable | Facility $392.85 |
| Montana** | Office Unavailable | Facility $393.05 |
| Napa | Office Unavailable | Facility $436.08 |
| Nebraska | Office Unavailable | Facility $355.46 |
| Nevada** | Office Unavailable | Facility $386.48 |
| New Hampshire | Office Unavailable | Facility $394.59 |
| New Mexico | Office Unavailable | Facility $388.04 |
| New Orleans | Office Unavailable | Facility $389.23 |
| North Carolina | Office Unavailable | Facility $367.70 |
| North Dakota** | Office Unavailable | Facility $368.92 |
| Northern Nj | Office Unavailable | Facility $433.62 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $470.60 |
| Ohio | Office Unavailable | Facility $379.54 |
| Oklahoma | Office Unavailable | Facility $366.92 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $412.27 |
| Portland | Office Unavailable | Facility $403.53 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $425.54 |
| Puerto Rico | Office Unavailable | Facility $394.28 |
| Queens | Office Unavailable | Facility $452.57 |
| Redding | Office Unavailable | Facility $392.85 |
| Rest Of California | Office Unavailable | Facility $392.85 |
| Rest Of Florida | Office Unavailable | Facility $406.59 |
| Rest Of Georgia | Office Unavailable | Facility $383.67 |
| Rest Of Illinois | Office Unavailable | Facility $402.15 |
| Rest Of Louisiana | Office Unavailable | Facility $373.02 |
| Rest Of Maine | Office Unavailable | Facility $364.93 |
| Rest Of Maryland | Office Unavailable | Facility $393.63 |
| Rest Of Massachusetts | Office Unavailable | Facility $396.41 |
| Rest Of Michigan | Office Unavailable | Facility $384.47 |
| Rest Of Missouri | Office Unavailable | Facility $369.99 |
| Rest Of New Jersey | Office Unavailable | Facility $419.50 |
| Rest Of New York | Office Unavailable | Facility $373.03 |
| Rest Of Oregon | Office Unavailable | Facility $380.39 |
| Rest Of Pennsylvania | Office Unavailable | Facility $377.77 |
| Rest Of Texas | Office Unavailable | Facility $381.02 |
| Rest Of Washington | Office Unavailable | Facility $394.37 |
| Rhode Island | Office Unavailable | Facility $397.66 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $405.96 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $407.23 |
| Salinas | Office Unavailable | Facility $405.62 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $411.60 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $454.96 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $453.57 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $466.10 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $460.44 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $399.73 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $412.66 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $406.17 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $416.47 |
| Seattle (King Cnty) | Office Unavailable | Facility $431.61 |
| South Carolina | Office Unavailable | Facility $374.86 |
| South Dakota** | Office Unavailable | Facility $366.07 |
| Southern Maine | Office Unavailable | Facility $376.65 |
| Stockton | Office Unavailable | Facility $392.85 |
| Suburban Chicago | Office Unavailable | Facility $430.25 |
| Tennessee | Office Unavailable | Facility $359.70 |
| Utah | Office Unavailable | Facility $379.37 |
| Vallejo | Office Unavailable | Facility $434.08 |
| Vermont | Office Unavailable | Facility $371.40 |
| Virgin Islands | Office Unavailable | Facility $394.28 |
| Virginia | Office Unavailable | Facility $378.43 |
| Visalia | Office Unavailable | Facility $392.85 |
| West Virginia | Office Unavailable | Facility $389.73 |
| Wisconsin | Office Unavailable | Facility $358.21 |
| Wyoming** | Office Unavailable | Facility $382.53 |
| Yuba City | Office Unavailable | Facility $392.85 |
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27632 billing questions
How does this differ from code 27618?
Both describe a subcutaneous mass in the leg or ankle. Use 27632 when the mass is 3 cm or larger; 27618 is for a smaller mass.
What if the mass is below the fascia?
Use the subfascial code family instead. The operative report should establish the mass’s depth, not just the depth of the incision.
Can the pathology examination be billed separately?
The surgeon’s excision and a pathologist’s examination of the submitted specimen are distinct services when each is performed and documented.
What does the 90-day global period include?
CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.
How is a bilateral excision handled?
CMS pays a bilateral procedure reported with modifier 50 at 150%. Document the treated sites and the work performed on each side.
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.
2,97927625,,Remove ankle joint lining,A,,8.28,6.79,NA,6.79,,1.34,16.41,16.41,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,98027626,,Remove ankle joint lining,A,,8.87,6.69,NA,6.69,,1.33,16.89,16.89,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,98127630,,Removal of tendon lesion,A,,4.82,11.44,,4.84,,0.72,16.98,10.38,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,98227632,,Exc leg/ankle les sc 3 cm/>,A,,5.76,4.79,NA,4.79,,1.22,11.77,11.77,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,98327634,,Exc leg/ankle tum dep 5 cm/>,A,,9.88,6.86,NA,6.86,,1.92,18.66,18.66,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,98427635,,Remove lower leg bone lesion,A,,7.83,7.12,NA,7.12,,1.39,16.34,16.34,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,98527637,,Remove/graft leg bone lesion,A,,10.05,9.14,NA,9.14,,2.00,21.19,21.19,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00