FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

27604 in Beaumont

Office / nonfacility

$448.63

Base rate per service

Facility setting

$302.13

Base rate per service

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.

Orthopedic surgery

About 27604: Open drainage of lower-leg bursa

Reports operative incision and drainage of a bursa in the lower leg or ankle, such as when a bursal collection requires open treatment.

An orthopedic or foot and ankle surgeon uses an incision to drain a bursa in the lower leg or ankle. The service is appropriate when the operative target is the bursa itself, rather than a separate soft-tissue lesion or the ankle joint. Documentation should identify the bursa and site, the reason open drainage was performed, and the operative work and findings.

Report this service for the bursal drainage, not for needle aspiration alone. The CMS global period is 90 days, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 27604

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 is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU4.48 · 31%
  • Practice expense (office) RVU9.00 · 63%
  • Malpractice RVU0.82 · 6%

111

Medicare services in 2024 · #4794 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.

27604 compared with similar codes

Office rates for Beaumont, from the same CMS release.

27603

Deep drainage

Leg or ankle abscess/hematoma

$511.65

27604 is for operative drainage of a lower-leg or ankle bursa. 27603 is for drainage of a lower-leg lesion, not specifically a bursa.

20605

Joint procedure

Intermediate joint, no ultrasound

$54.01

20605 describes needle aspiration or injection of an intermediate joint or bursa. Use 27604 for open incision and drainage of a lower-leg or ankle bursa.

20610

Joint injection

Major joint or bursa, no ultrasound

$65.01

20610 describes needle aspiration or injection of a major joint or bursa, not operative incision and drainage. The open bursal procedure is 27604.

27610

Ankle arthrotomy

Exploration, drainage, or foreign body

No office rate

27610 involves exploration or treatment of the ankle joint. 27604 targets a bursa in the lower leg or ankle, not the joint space.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 27604 is $492.25—$43.62 higher than the $448.63 rate in Beaumont. Both use the same code, release and participation basis.

27604 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $448.63

  2. Austin

    $492.25

    $43.62 higher than Beaumont

  3. Brazoria

    $470.10

    $21.47 higher than Beaumont

  4. Dallas

    $473.89

    $25.26 higher than Beaumont

  5. Fort Worth

    $471.24

    $22.61 higher than Beaumont

  6. Galveston

    $472.01

    $23.38 higher than Beaumont

  7. Houston

    $487.02

    $38.39 higher than Beaumont

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 27604 ranges from $421.96 in Arkansas to $614.25 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 27604

    Office

    $459.65

    Facility

    $306.86

    $11.02 higher than Beaumont for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 27604

    Office

    $529.58

    Facility

    $339.12

    $80.95 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 27604

    Office

    $542.32

    Facility

    $352.67

    $93.69 higher than Beaumont for the office setting.

  • Miami

    Florida · 27604

    Office

    $531.84

    Facility

    $364.24

    $83.21 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 27604

    Office

    $515.65

    Facility

    $353.85

    $67.02 higher than Beaumont for the office setting.

  • Manhattan

    New York · 27604

    Office

    $551.96

    Facility

    $364.88

    $103.33 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 27604

    Office

    $559.69

    Facility

    $388.24

    $111.06 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 27604

    Office

    $428.17

    Facility

    $287.30

    $20.46 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 27604

    Office

    $421.96

    Facility

    $283.67

    $26.67 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 27604

    Office

    $464.37

    Facility

    $308.37

    $15.74 higher than Beaumont for the office setting.

  • Bakersfield

    California · 27604

    Office

    $498.63

    Facility

    $322.18

    $50.00 higher than Beaumont for the office setting.

  • Chico

    California · 27604

    Office

    $496.33

    Facility

    $319.88

    $47.70 higher than Beaumont for the office setting.

  • El Centro

    California · 27604

    Office

    $496.46

    Facility

    $320.02

    $47.83 higher than Beaumont for the office setting.

  • Fresno

    California · 27604

    Office

    $496.33

    Facility

    $319.88

    $47.70 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 27604

    Office

    $496.33

    Facility

    $319.88

    $47.70 higher than Beaumont for the office setting.

  • Madera

    California · 27604

    Office

    $496.33

    Facility

    $319.88

    $47.70 higher than Beaumont for the office setting.

  • Merced

    California · 27604

    Office

    $496.33

    Facility

    $319.88

    $47.70 higher than Beaumont for the office setting.

  • Modesto

    California · 27604

    Office

    $496.33

    Facility

    $319.88

    $47.70 higher than Beaumont for the office setting.

  • Napa

    California · 27604

    Office

    $569.18

    Facility

    $356.99

    $120.55 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 27604

    Office

    $526.21

    Facility

    $335.91

    $77.58 higher than Beaumont for the office setting.

  • Redding

    California · 27604

    Office

    $496.33

    Facility

    $319.88

    $47.70 higher than Beaumont for the office setting.

  • Rest Of California

    California · 27604

    Office

    $496.33

    Facility

    $319.88

    $47.70 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 27604

    Office

    $505.16

    Facility

    $328.71

    $56.53 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 27604

    Office

    $519.31

    Facility

    $332.08

    $70.68 higher than Beaumont for the office setting.

  • Salinas

    California · 27604

    Office

    $517.36

    Facility

    $330.77

    $68.73 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 27604

    Office

    $528.50

    Facility

    $335.95

    $79.87 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 27604

    Office

    $600.28

    Facility

    $373.28

    $151.65 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 27604

    Office

    $599.35

    Facility

    $372.35

    $150.72 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 27604

    Office

    $614.25

    Facility

    $382.10

    $165.62 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 27604

    Office

    $610.45

    Facility

    $378.30

    $161.82 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 27604

    Office

    $509.25

    Facility

    $325.88

    $60.62 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 27604

    Office

    $532.70

    Facility

    $337.09

    $84.07 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 27604

    Office

    $519.02

    Facility

    $331.30

    $70.39 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 27604

    Office

    $537.95

    Facility

    $340.25

    $89.32 higher than Beaumont for the office setting.

  • Stockton

    California · 27604

    Office

    $496.33

    Facility

    $319.88

    $47.70 higher than Beaumont for the office setting.

  • Vallejo

    California · 27604

    Office

    $567.84

    Facility

    $355.65

    $119.21 higher than Beaumont for the office setting.

  • Visalia

    California · 27604

    Office

    $496.33

    Facility

    $319.88

    $47.70 higher than Beaumont for the office setting.

  • Yuba City

    California · 27604

    Office

    $496.33

    Facility

    $319.88

    $47.70 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 27604

    Office

    $492.67

    Facility

    $321.37

    $44.04 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 27604

    Office

    $509.52

    Facility

    $336.14

    $60.89 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 27604

    Office

    $472.01

    Facility

    $312.95

    $23.38 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 27604

    Office

    $503.67

    Facility

    $340.59

    $55.04 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 27604

    Office

    $478.18

    Facility

    $324.27

    $29.55 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 27604

    Office

    $488.40

    Facility

    $324.83

    $39.77 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 27604

    Office

    $450.43

    Facility

    $306.82

    $1.80 higher than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 27604

    Office

    $507.29

    Facility

    $324.24

    $58.66 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 27604

    Office

    $435.57

    Facility

    $288.26

    $13.06 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 27604

    Office

    $439.15

    Facility

    $291.04

    $9.48 lower than Beaumont for the office setting.

  • East St. Louis

    Illinois · 27604

    Office

    $481.36

    Facility

    $333.24

    $32.73 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 27604

    Office

    $466.90

    Facility

    $319.91

    $18.27 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 27604

    Office

    $507.94

    Facility

    $342.60

    $59.31 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 27604

    Office

    $441.61

    Facility

    $292.37

    $7.02 lower than Beaumont for the office setting.

  • Kansas

    Kansas · 27604

    Office

    $435.19

    Facility

    $289.65

    $13.44 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 27604

    Office

    $441.94

    Facility

    $298.82

    $6.69 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 27604

    Office

    $463.62

    Facility

    $312.13

    $14.99 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 27604

    Office

    $441.91

    Facility

    $299.43

    $6.72 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 27604

    Office

    $539.07

    Facility

    $346.85

    $90.44 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 27604

    Office

    $490.40

    Facility

    $320.87

    $41.77 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 27604

    Office

    $508.46

    Facility

    $335.72

    $59.83 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 27604

    Office

    $480.49

    Facility

    $317.57

    $31.86 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 27604

    Office

    $443.23

    Facility

    $295.12

    $5.40 lower than Beaumont for the office setting.

  • Southern Maine

    Maine · 27604

    Office

    $464.82

    Facility

    $305.28

    $16.19 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 27604

    Office

    $485.90

    Facility

    $330.54

    $37.27 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 27604

    Office

    $455.01

    Facility

    $308.03

    $6.38 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 27604

    Office

    $467.07

    Facility

    $301.41

    $18.44 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 27604

    Office

    $458.67

    Facility

    $307.49

    $10.04 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 27604

    Office

    $463.26

    Facility

    $309.99

    $14.63 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 27604

    Office

    $435.44

    Facility

    $296.66

    $13.19 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 27604

    Office

    $428.70

    Facility

    $290.09

    $19.93 lower than Beaumont for the office setting.

  • Montana**

    Montana · 27604

    Office

    $477.58

    Facility

    $316.59

    $28.95 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 27604

    Office

    $447.60

    Facility

    $297.40

    $1.03 lower than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 27604

    Office

    $461.36

    Facility

    $300.37

    $12.73 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 27604

    Office

    $437.45

    Facility

    $288.85

    $11.18 lower than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 27604

    Office

    $486.53

    Facility

    $318.94

    $37.90 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 27604

    Office

    $537.02

    Facility

    $350.27

    $88.39 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 27604

    Office

    $513.93

    Facility

    $338.13

    $65.30 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 27604

    Office

    $458.19

    Facility

    $310.56

    $9.56 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 27604

    Office

    $473.36

    Facility

    $312.21

    $24.73 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 27604

    Office

    $567.50

    Facility

    $376.08

    $118.87 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 27604

    Office

    $518.68

    Facility

    $342.39

    $70.05 higher than Beaumont for the office setting.

  • Queens

    New York · 27604

    Office

    $554.03

    Facility

    $363.73

    $105.40 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 27604

    Office

    $454.47

    Facility

    $301.53

    $5.84 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 27604

    Office

    $451.70

    Facility

    $304.71

    $3.07 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 27604

    Office

    $439.36

    Facility

    $295.59

    $9.27 lower than Beaumont for the office setting.

  • Portland

    Oregon · 27604

    Office

    $506.38

    Facility

    $327.52

    $57.75 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 27604

    Office

    $468.30

    Facility

    $307.95

    $19.67 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 27604

    Office

    $497.94

    Facility

    $330.34

    $49.31 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 27604

    Office

    $451.48

    Facility

    $303.69

    $2.85 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 27604

    Office

    $480.53

    Facility

    $317.77

    $31.90 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 27604

    Office

    $487.44

    Facility

    $321.13

    $38.81 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 27604

    Office

    $450.68

    Facility

    $301.92

    $2.05 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 27604

    Office

    $459.45

    Facility

    $298.45

    $10.82 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 27604

    Office

    $437.60

    Facility

    $291.25

    $11.03 lower than Beaumont for the office setting.

  • Utah

    Utah · 27604

    Office

    $456.80

    Facility

    $305.47

    $8.17 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 27604

    Office

    $464.47

    Facility

    $306.21

    $15.84 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 27604

    Office

    $480.53

    Facility

    $317.77

    $31.90 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 27604

    Office

    $461.10

    Facility

    $301.71

    $12.47 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 27604

    Office

    $488.96

    Facility

    $319.44

    $40.33 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 27604

    Office

    $548.34

    Facility

    $350.80

    $99.71 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 27604

    Office

    $446.05

    Facility

    $291.82

    $2.58 lower than Beaumont for the office setting.

  • West Virginia

    West Virginia · 27604

    Office

    $450.06

    Facility

    $310.16

    $1.43 higher than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 27604

    Office

    $470.51

    Facility

    $309.52

    $21.88 higher than Beaumont for the office setting.

See how rates vary across the country

27604 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$421.96

$559.69

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$559.691
AL$428.171
AR$421.961
AZ$464.371
CA$496.33–$614.2529
CO$492.671
CT$509.521
DC$542.321
DE$472.011
FL$478.18–$531.843
GA$450.43–$488.402
GU$507.291
HI$507.291
IA$435.571
ID$439.151
IL$466.90–$515.654
IN$441.611
KS$435.191
KY$441.941
LA$441.91–$463.622
MA$490.40–$539.072
MD$480.49–$542.323
ME$443.23–$464.822
MI$455.01–$485.902
MN$467.071
MO$435.44–$463.263
MS$428.701
MT$477.581
NC$447.601
ND$461.361
NE$437.451
NH$486.531
NJ$513.93–$537.022
NM$458.191
NV$473.361
NY$454.47–$567.505
OH$451.701
OK$439.361
OR$468.30–$506.382
PA$451.48–$497.942
PR$480.531
RI$487.441
SC$450.681
SD$459.451
TN$437.601
TX$448.63–$492.258
UT$456.801
VA$464.47–$542.322
VI$480.531
VT$461.101
WA$488.96–$548.342
WI$446.051
WV$450.061
WY$470.511

Explore 27604 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 27604 in Beaumont, the physician’s office rate is $448.63 and the facility-setting rate is $302.13: a difference of $146.50.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 27604 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$493.49

$448.63 × 110% = $493.49

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27604 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

2,966

Code
27604
Physician work
4.48
Practice expense
9.00
Malpractice
0.82

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 27604 in Beaumont
ComponentRVULocality factorAdjusted
Physician work4.48× 1.0004.4800
Practice expense9.00× 0.9108.1900
Malpractice0.82× 0.9290.7618
Total RVUs13.4318
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$448.63

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 27604 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.481
Practice expense90.91
Malpractice0.820.929

(4.48 × 1 + 9 × 0.91 + 0.82 × 0.929) × $33.4009 = $448.63

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.481
Practice expense4.180.91
Malpractice0.820.929

(4.48 × 1 + 4.18 × 0.91 + 0.82 × 0.929) × $33.4009 = $302.13

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

27604 · Office / nonfacility

$448.63

Effective 2026-10-01

The base rate is $26.78 higher than on 2025-10-01, moving from $421.85 to $448.63 (6.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $421.85changed to$448.63

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.59 changed to 4.48
    • Practice expense RVU 8.51 changed to 9.00
    • Malpractice RVU 0.81 changed to 0.82
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $421.85

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$448.63$302.13RVU26D
2026-07-01$448.63$302.13RVU26C
2026-04-01$448.63$302.13RVU26B
2026-01-01$448.63$302.13RVU26A
2025-10-01$421.85$312.32RVU25D
2025-07-01$421.85$312.32RVU25C
2025-04-01$421.85$312.32RVU25B
2025-01-01$421.85$312.32RVU25A

27604 billing questions

How is this different from 27603?

Choose 27604 when the operative target is a bursa in the lower leg or ankle. Code 27603 describes drainage of a lower-leg lesion rather than a bursa.

Can needle aspiration of a bursa be reported as 27604?

No. 27604 describes operative incision and drainage; needle aspiration is a different service. Codes 20605 or 20610 may be relevant for aspiration or injection, depending on the bursa and site.

What should the operative note support?

Document the bursa and anatomic site, the indication for open drainage, and the incision, drainage, and operative findings. The record should make clear that the bursa, rather than an adjacent lesion or joint, was treated.

How does modifier 50 affect payment?

CMS identifies this as a bilateral procedure; reporting modifier 50 results in payment at 150% under the stated rule.

What are the assistant and global-surgery rules?

Assistant-at-surgery payment is allowed only when medical necessity is documented. The 90-day global period includes the day-before preoperative visit and related postoperative care; 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 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.

RVUs for 27604PPRRVU2026_Oct_nonQPP.csv, line 2,966 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet