No office rate
Both apply to deep leg or ankle soft-tissue tumor excision; the size distinction is 5 cm, with 27634 for lesions 5 cm or greater and 27619 for smaller lesions.
On this page
CMS RVU26D · Effective 2026-10-01
27634 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$621.11
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.
Musculoskeletal surgery
About 27634: Deep leg or ankle soft-tissue tumor excision
Reports excision of a deep soft-tissue tumor in the leg or ankle area when the lesion measures 5 cm or greater.
This code describes surgical removal of a soft-tissue mass in the leg or ankle area that lies beneath the superficial fascia, such as a subfascial or intramuscular lesion, and measures at least 5 cm. An orthopedic surgeon, podiatric surgeon, or other qualified surgeon may perform the procedure in an operating room or, in selected cases, an office procedure setting. The code concerns soft tissue, not a tumor arising in the tibia, fibula, or another bone.
Choose the code based on the lesion’s location, depth, size, and the work performed. The operative report should identify the leg or ankle site, document that the mass is deep, give its size, and describe its removal. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 27634
- 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 RVU9.88 · 53%
- Practice expense (office) RVU6.86 · 37%
- Malpractice RVU1.92 · 10%
423
Medicare services in 2024 · #3685 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.
27634 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
27632 is for a subcutaneous tumor measuring 3 cm or greater. Use 27634 when the tumor is deep and measures at least 5 cm.
No office rate
27616 is in the resection series and covers a leg or ankle soft-tissue tumor 5 cm or greater. This code is for excision; the documented procedure determines which applies.
$274.03
27613 describes lower-leg soft-tissue biopsy, rather than excision of a deep tumor measuring at least 5 cm.
The same code, a different location
How does Chico compare?
27634 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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
Merced
California · 27634
Office
Unavailable
Facility
$621.11
No comparable office rate is available.
Modesto
California · 27634
Office
Unavailable
Facility
$621.11
No comparable office rate is available.
Napa
California · 27634
Office
Unavailable
Facility
$685.36
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 27634
Office
Unavailable
Facility
$650.03
No comparable office rate is available.
Redding
California · 27634
Office
Unavailable
Facility
$621.11
No comparable office rate is available.
Rest Of California
California · 27634
Office
Unavailable
Facility
$621.11
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 27634
Office
Unavailable
Facility
$641.77
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 27634
Office
Unavailable
Facility
$642.73
No comparable office rate is available.
Salinas
California · 27634
Office
Unavailable
Facility
$640.17
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 27634
Office
Unavailable
Facility
$648.70
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 27634
Office
Unavailable
Facility
$713.86
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 27634
Office
Unavailable
Facility
$711.68
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 27634
Office
Unavailable
Facility
$731.08
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 27634
Office
Unavailable
Facility
$722.17
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 27634
Office
Unavailable
Facility
$630.96
No comparable office rate is available.
Santa Cruz-Watsonville
California · 27634
Office
Unavailable
Facility
$649.70
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 27634
Office
Unavailable
Facility
$640.78
No comparable office rate is available.
Santa Rosa-Petaluma
California · 27634
Office
Unavailable
Facility
$655.65
No comparable office rate is available.
Stockton
California · 27634
Office
Unavailable
Facility
$621.11
No comparable office rate is available.
Vallejo
California · 27634
Office
Unavailable
Facility
$682.22
No comparable office rate is available.
Visalia
California · 27634
Office
Unavailable
Facility
$621.11
No comparable office rate is available.
Yuba City
California · 27634
Office
Unavailable
Facility
$621.11
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 27634
Office
Unavailable
Facility
$689.11
No comparable office rate is available.
Miami
Florida · 27634
Office
Unavailable
Facility
$730.71
No comparable office rate is available.
Chicago
Illinois · 27634
Office
Unavailable
Facility
$709.76
No comparable office rate is available.
Manhattan
New York · 27634
Office
Unavailable
Facility
$719.08
No comparable office rate is available.
Alaska*
Alaska · 27634
Office
Unavailable
Facility
$774.36
No comparable office rate is available.
Alabama
Alabama · 27634
Office
Unavailable
Facility
$566.79
No comparable office rate is available.
Arkansas
Arkansas · 27634
Office
Unavailable
Facility
$559.85
No comparable office rate is available.
Arizona
Arizona · 27634
Office
Unavailable
Facility
$606.92
No comparable office rate is available.
Colorado
Colorado · 27634
Office
Unavailable
Facility
$627.84
No comparable office rate is available.
Connecticut
Connecticut · 27634
Office
Unavailable
Facility
$660.97
No comparable office rate is available.
Delaware
Delaware · 27634
Office
Unavailable
Facility
$615.68
No comparable office rate is available.
Fort Lauderdale
Florida · 27634
Office
Unavailable
Facility
$678.06
No comparable office rate is available.
Rest Of Florida
Florida · 27634
Office
Unavailable
Facility
$645.44
No comparable office rate is available.
Atlanta
Georgia · 27634
Office
Unavailable
Facility
$640.81
No comparable office rate is available.
Rest Of Georgia
Georgia · 27634
Office
Unavailable
Facility
$610.83
No comparable office rate is available.
Hawaii, Guam
Hawaii · 27634
Office
Unavailable
Facility
$627.65
No comparable office rate is available.
Iowa
Iowa · 27634
Office
Unavailable
Facility
$565.11
No comparable office rate is available.
Idaho
Idaho · 27634
Office
Unavailable
Facility
$571.13
No comparable office rate is available.
East St. Louis
Illinois · 27634
Office
Unavailable
Facility
$669.96
No comparable office rate is available.
Rest Of Illinois
Illinois · 27634
Office
Unavailable
Facility
$639.43
No comparable office rate is available.
Suburban Chicago
Illinois · 27634
Office
Unavailable
Facility
$681.27
No comparable office rate is available.
Indiana
Indiana · 27634
Office
Unavailable
Facility
$573.57
No comparable office rate is available.
Kansas
Kansas · 27634
Office
Unavailable
Facility
$569.46
No comparable office rate is available.
Kentucky
Kentucky · 27634
Office
Unavailable
Facility
$592.38
No comparable office rate is available.
New Orleans
Louisiana · 27634
Office
Unavailable
Facility
$618.46
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 27634
Office
Unavailable
Facility
$594.22
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 27634
Office
Unavailable
Facility
$674.19
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 27634
Office
Unavailable
Facility
$627.67
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 27634
Office
Unavailable
Facility
$660.47
No comparable office rate is available.
Rest Of Maryland
Maryland · 27634
Office
Unavailable
Facility
$624.05
No comparable office rate is available.
Rest Of Maine
Maine · 27634
Office
Unavailable
Facility
$580.69
No comparable office rate is available.
Southern Maine
Maine · 27634
Office
Unavailable
Facility
$597.53
No comparable office rate is available.
Detroit
Michigan · 27634
Office
Unavailable
Facility
$659.23
No comparable office rate is available.
Rest Of Michigan
Michigan · 27634
Office
Unavailable
Facility
$611.60
No comparable office rate is available.
Minnesota
Minnesota · 27634
Office
Unavailable
Facility
$584.76
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 27634
Office
Unavailable
Facility
$607.81
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 27634
Office
Unavailable
Facility
$612.39
No comparable office rate is available.
Rest Of Missouri
Missouri · 27634
Office
Unavailable
Facility
$589.97
No comparable office rate is available.
Mississippi
Mississippi · 27634
Office
Unavailable
Facility
$574.67
No comparable office rate is available.
Montana**
Montana · 27634
Office
Unavailable
Facility
$623.13
No comparable office rate is available.
North Carolina
North Carolina · 27634
Office
Unavailable
Facility
$584.76
No comparable office rate is available.
North Dakota**
North Dakota · 27634
Office
Unavailable
Facility
$585.17
No comparable office rate is available.
Nebraska
Nebraska · 27634
Office
Unavailable
Facility
$565.73
No comparable office rate is available.
New Hampshire
New Hampshire · 27634
Office
Unavailable
Facility
$624.64
No comparable office rate is available.
Northern Nj
New Jersey · 27634
Office
Unavailable
Facility
$685.07
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 27634
Office
Unavailable
Facility
$663.76
No comparable office rate is available.
New Mexico
New Mexico · 27634
Office
Unavailable
Facility
$617.13
No comparable office rate is available.
Nevada**
Nevada · 27634
Office
Unavailable
Facility
$612.78
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 27634
Office
Unavailable
Facility
$742.65
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 27634
Office
Unavailable
Facility
$673.35
No comparable office rate is available.
Queens
New York · 27634
Office
Unavailable
Facility
$714.43
No comparable office rate is available.
Rest Of New York
New York · 27634
Office
Unavailable
Facility
$592.76
No comparable office rate is available.
Ohio
Ohio · 27634
Office
Unavailable
Facility
$603.84
No comparable office rate is available.
Oklahoma
Oklahoma · 27634
Office
Unavailable
Facility
$584.44
No comparable office rate is available.
Portland
Oregon · 27634
Office
Unavailable
Facility
$637.56
No comparable office rate is available.
Rest Of Oregon
Oregon · 27634
Office
Unavailable
Facility
$603.30
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 27634
Office
Unavailable
Facility
$650.97
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 27634
Office
Unavailable
Facility
$600.94
No comparable office rate is available.
Puerto Rico
Puerto Rico · 27634
Office
Unavailable
Facility
$624.82
No comparable office rate is available.
Rhode Island
Rhode Island · 27634
Office
Unavailable
Facility
$630.17
No comparable office rate is available.
South Carolina
South Carolina · 27634
Office
Unavailable
Facility
$596.23
No comparable office rate is available.
South Dakota**
South Dakota · 27634
Office
Unavailable
Facility
$580.68
No comparable office rate is available.
Tennessee
Tennessee · 27634
Office
Unavailable
Facility
$572.72
No comparable office rate is available.
Austin
Texas · 27634
Office
Unavailable
Facility
$629.90
No comparable office rate is available.
Beaumont
Texas · 27634
Office
Unavailable
Facility
$598.09
No comparable office rate is available.
Brazoria
Texas · 27634
Office
Unavailable
Facility
$609.73
No comparable office rate is available.
Dallas
Texas · 27634
Office
Unavailable
Facility
$616.21
No comparable office rate is available.
Fort Worth
Texas · 27634
Office
Unavailable
Facility
$614.75
No comparable office rate is available.
Galveston
Texas · 27634
Office
Unavailable
Facility
$613.27
No comparable office rate is available.
Houston
Texas · 27634
Office
Unavailable
Facility
$648.41
No comparable office rate is available.
Rest Of Texas
Texas · 27634
Office
Unavailable
Facility
$605.35
No comparable office rate is available.
Utah
Utah · 27634
Office
Unavailable
Facility
$602.97
No comparable office rate is available.
Virginia
Virginia · 27634
Office
Unavailable
Facility
$600.51
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 27634
Office
Unavailable
Facility
$624.82
No comparable office rate is available.
Vermont
Vermont · 27634
Office
Unavailable
Facility
$589.29
No comparable office rate is available.
Rest Of Washington
Washington · 27634
Office
Unavailable
Facility
$624.37
No comparable office rate is available.
Seattle (King Cnty)
Washington · 27634
Office
Unavailable
Facility
$680.04
No comparable office rate is available.
Wisconsin
Wisconsin · 27634
Office
Unavailable
Facility
$569.26
No comparable office rate is available.
West Virginia
West Virginia · 27634
Office
Unavailable
Facility
$620.88
No comparable office rate is available.
Wyoming**
Wyoming · 27634
Office
Unavailable
Facility
$606.59
No comparable office rate is available.
See how rates vary across the country
27634 · 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 |
Where does this rate apply?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 27634 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$683.22
$621.11 × 110% = $683.22
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.
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 27634 in Chico.
PPRRVU2026_Oct_nonQPP.csv
2,983
- Code
- 27634
- Physician work
- 9.88
- Practice expense
- 6.86
- Malpractice
- 1.92
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.88 | × 1.017 | 10.0480 |
| Practice expense | 6.86 | × 1.096 | 7.5186 |
| Malpractice | 1.92 | × 0.536 | 1.0291 |
| Total RVUs | 18.5956 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$621.11
Open 27634 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.88 | 1.017 |
| Practice expense | 6.86 | 1.096 |
| Malpractice | 1.92 | 0.536 |
(9.88 × 1.017 + 6.86 × 1.096 + 1.92 × 0.536) × $33.4009 = $621.11
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
27634 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $621.11 | RVU26D |
| 2026-07-01 | Not available in this setting | $621.11 | RVU26C |
| 2026-04-01 | Not available in this setting | $621.11 | RVU26B |
| 2026-01-01 | Not available in this setting | $621.11 | RVU26A |
| 2025-10-01 | Not available in this setting | $662.08 | RVU25D |
| 2025-07-01 | Not available in this setting | $662.08 | RVU25C |
| 2025-04-01 | Not available in this setting | $662.08 | RVU25B |
| 2025-01-01 | Not available in this setting | $662.08 | RVU25A |
27634 billing questions
How does this differ from 27619?
Both describe excision of a deep leg or ankle soft-tissue tumor. Use 27634 for a lesion 5 cm or greater; 27619 is for one smaller than 5 cm.
How does this differ from 27632?
27632 applies to a subcutaneous leg or ankle tumor measuring 3 cm or greater. This code is for a deeper, subfascial or intramuscular tumor measuring at least 5 cm.
When would 27616 be considered instead?
27616 is in the resection series for a leg or ankle soft-tissue tumor measuring 5 cm or greater. Select between it and this excision code based on the procedure actually performed and documented, not size alone.
What should the operative note document?
Document the leg or ankle site, the tumor’s deep location, its size, and the excision performed. These details support the code’s anatomic, depth, and size criteria.
Are related postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit. The global period does not include unrelated services.
Can this be reported for a bilateral procedure?
Yes. CMS identifies this as a bilateral procedure; reporting modifier 50 results in payment 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.
2,98027626,,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
2,98627638,,Remove/graft leg bone lesion,A,,10.72,8.26,NA,8.26,,1.94,20.92,20.92,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536