FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

27040 in Merced

Office / nonfacility

$359.30

Base rate per service

Facility setting

$184.68

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.

Surgical biopsy

About 27040: Superficial pelvic or hip tissue biopsy

Reports surgical sampling of superficial soft tissue in the pelvis or hip region when tissue is needed for diagnostic evaluation.

A surgeon obtains a tissue sample from superficial soft tissue in the pelvis or hip region for diagnostic evaluation. Common settings include an outpatient operating room or hospital procedure suite, with orthopedic surgeons, general surgeons, or surgical oncologists performing the procedure. The target may be a palpable abnormality in the hip or buttock soft tissues; the biopsy samples tissue rather than removing a lesion in its entirety.

Report this code when the sampled tissue is superficial in the pelvic or hip area. The operative note should identify the site, describe the tissue sampled, and support that the procedure was a biopsy rather than complete lesion removal. Deeper soft-tissue sampling is reported with 27041. CMS includes related postoperative visits during the 10-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 27040

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days 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
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU2.85 · 28%
  • Practice expense (office) RVU6.96 · 68%
  • Malpractice RVU0.43 · 4%

254

Medicare services in 2024 · #4126 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.

27040 compared with similar codes

Office rates for Merced, from the same CMS release.

27041

Soft-tissue biopsy

Deep pelvis or hip

No office rate

This code applies to superficial soft-tissue sampling in the pelvic or hip area; 27041 is for deep soft-tissue sampling.

27043

Soft-tissue excision

Subcutaneous, 3 cm or larger

No office rate

Use 27043 for excision of a subcutaneous lesion measuring 3 cm or more, not for sampling tissue alone.

27047

Soft tissue excision

Subcutaneous, under 3 cm

$552.23

Use 27047 for excision of a subcutaneous lesion smaller than 3 cm; 27040 reports a biopsy.

27052

Joint biopsy

Hip joint tissue

No office rate

This code samples soft tissue around the hip or pelvis. Code 27052 is for biopsy of the hip joint itself.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 27040 is $360.54—$1.24 higher than the $359.30 rate in Merced. Both use the same code, release and participation basis.

27040 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $359.30

  2. Bakersfield

    $360.54

    $1.24 higher than Merced

  3. Chico

    $359.30

    The same base rate than Merced

  4. El Centro

    $359.37

    $0.07 higher than Merced

  5. Fresno

    $359.30

    The same base rate than Merced

  6. Hanford-Corcoran

    $359.30

    The same base rate than Merced

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $383.64

    $24.34 higher than Merced

Other payment areas listed in California 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, 27040 ranges from $302.28 in Arkansas to $448.58 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

  • Madera

    California · 27040

    Office

    $359.30

    Facility

    $184.68

    The same base rate than Merced for the office setting.

  • Modesto

    California · 27040

    Office

    $359.30

    Facility

    $184.68

    The same base rate than Merced for the office setting.

  • Napa

    California · 27040

    Office

    $414.88

    Facility

    $204.89

    $55.58 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 27040

    Office

    $381.59

    Facility

    $193.27

    $22.29 higher than Merced for the office setting.

  • Redding

    California · 27040

    Office

    $359.30

    Facility

    $184.68

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 27040

    Office

    $359.30

    Facility

    $184.68

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 27040

    Office

    $363.94

    Facility

    $189.33

    $4.64 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 27040

    Office

    $376.68

    Facility

    $191.39

    $17.38 higher than Merced for the office setting.

  • Salinas

    California · 27040

    Office

    $375.27

    Facility

    $190.62

    $15.97 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 27040

    Office

    $383.87

    Facility

    $193.32

    $24.57 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 27040

    Office

    $438.61

    Facility

    $213.97

    $79.31 higher than Merced for the office setting.

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

    California · 27040

    Office

    $438.12

    Facility

    $213.48

    $78.82 higher than Merced for the office setting.

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

    California · 27040

    Office

    $448.58

    Facility

    $218.84

    $89.28 higher than Merced for the office setting.

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

    California · 27040

    Office

    $446.59

    Facility

    $216.84

    $87.29 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 27040

    Office

    $369.29

    Facility

    $187.82

    $9.99 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 27040

    Office

    $387.34

    Facility

    $193.76

    $28.04 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 27040

    Office

    $376.62

    Facility

    $190.85

    $17.32 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 27040

    Office

    $391.22

    Facility

    $195.57

    $31.92 higher than Merced for the office setting.

  • Stockton

    California · 27040

    Office

    $359.30

    Facility

    $184.68

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 27040

    Office

    $414.18

    Facility

    $204.19

    $54.88 higher than Merced for the office setting.

  • Visalia

    California · 27040

    Office

    $359.30

    Facility

    $184.68

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 27040

    Office

    $359.30

    Facility

    $184.68

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 27040

    Office

    $390.17

    Facility

    $202.49

    $30.87 higher than Merced for the office setting.

  • Miami

    Florida · 27040

    Office

    $373.52

    Facility

    $207.66

    $14.22 higher than Merced for the office setting.

  • Chicago

    Illinois · 27040

    Office

    $362.45

    Facility

    $202.33

    $3.15 higher than Merced for the office setting.

  • Manhattan

    New York · 27040

    Office

    $394.19

    Facility

    $209.06

    $34.89 higher than Merced for the office setting.

  • Alaska*

    Alaska · 27040

    Office

    $398.28

    Facility

    $228.61

    $38.98 higher than Merced for the office setting.

  • Alabama

    Alabama · 27040

    Office

    $306.73

    Facility

    $167.33

    $52.57 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 27040

    Office

    $302.28

    Facility

    $165.42

    $57.02 lower than Merced for the office setting.

  • Arizona

    Arizona · 27040

    Office

    $332.75

    Facility

    $178.37

    $26.55 lower than Merced for the office setting.

  • Colorado

    Colorado · 27040

    Office

    $354.90

    Facility

    $185.38

    $4.40 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 27040

    Office

    $364.85

    Facility

    $193.26

    $5.55 higher than Merced for the office setting.

  • Delaware

    Delaware · 27040

    Office

    $338.26

    Facility

    $180.85

    $21.04 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 27040

    Office

    $356.65

    Facility

    $195.26

    $2.65 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 27040

    Office

    $339.02

    Facility

    $186.71

    $20.28 lower than Merced for the office setting.

  • Atlanta

    Georgia · 27040

    Office

    $348.92

    Facility

    $187.05

    $10.38 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 27040

    Office

    $319.68

    Facility

    $177.56

    $39.62 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 27040

    Office

    $367.83

    Facility

    $186.68

    $8.53 higher than Merced for the office setting.

  • Iowa

    Iowa · 27040

    Office

    $313.60

    Facility

    $167.82

    $45.70 lower than Merced for the office setting.

  • Idaho

    Idaho · 27040

    Office

    $315.86

    Facility

    $169.28

    $43.44 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 27040

    Office

    $337.99

    Facility

    $191.41

    $21.31 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 27040

    Office

    $329.89

    Facility

    $184.43

    $29.41 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 27040

    Office

    $360.06

    Facility

    $196.43

    $0.76 higher than Merced for the office setting.

  • Indiana

    Indiana · 27040

    Office

    $317.67

    Facility

    $169.98

    $41.63 lower than Merced for the office setting.

  • Kansas

    Kansas · 27040

    Office

    $312.58

    Facility

    $168.56

    $46.72 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 27040

    Office

    $315.00

    Facility

    $173.36

    $44.30 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 27040

    Office

    $330.26

    Facility

    $180.34

    $29.04 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 27040

    Office

    $314.69

    Facility

    $173.69

    $44.61 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 27040

    Office

    $389.45

    Facility

    $199.22

    $30.15 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 27040

    Office

    $352.95

    Facility

    $185.19

    $6.35 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 27040

    Office

    $363.92

    Facility

    $192.97

    $4.62 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 27040

    Office

    $344.59

    Facility

    $183.35

    $14.71 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 27040

    Office

    $318.00

    Facility

    $171.42

    $41.30 lower than Merced for the office setting.

  • Southern Maine

    Maine · 27040

    Office

    $334.63

    Facility

    $176.74

    $24.67 lower than Merced for the office setting.

  • Detroit

    Michigan · 27040

    Office

    $343.74

    Facility

    $190.00

    $15.56 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 27040

    Office

    $323.65

    Facility

    $178.19

    $35.65 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 27040

    Office

    $338.66

    Facility

    $174.71

    $20.64 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 27040

    Office

    $327.51

    Facility

    $177.91

    $31.79 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 27040

    Office

    $330.90

    Facility

    $179.22

    $28.40 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 27040

    Office

    $309.57

    Facility

    $172.24

    $49.73 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 27040

    Office

    $305.96

    Facility

    $168.79

    $53.34 lower than Merced for the office setting.

  • Montana**

    Montana · 27040

    Office

    $342.00

    Facility

    $182.67

    $17.30 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 27040

    Office

    $321.26

    Facility

    $172.62

    $38.04 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 27040

    Office

    $333.49

    Facility

    $174.17

    $25.81 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 27040

    Office

    $315.19

    Facility

    $168.14

    $44.11 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 27040

    Office

    $349.76

    Facility

    $183.91

    $9.54 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 27040

    Office

    $386.19

    Facility

    $201.38

    $26.89 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 27040

    Office

    $368.61

    Facility

    $194.63

    $9.31 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 27040

    Office

    $325.62

    Facility

    $179.52

    $33.68 lower than Merced for the office setting.

  • Nevada**

    Nevada · 27040

    Office

    $339.86

    Facility

    $180.38

    $19.44 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 27040

    Office

    $404.36

    Facility

    $214.93

    $45.06 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 27040

    Office

    $371.41

    Facility

    $196.95

    $12.11 higher than Merced for the office setting.

  • Queens

    New York · 27040

    Office

    $396.78

    Facility

    $208.46

    $37.48 higher than Merced for the office setting.

  • Rest Of New York

    New York · 27040

    Office

    $326.14

    Facility

    $174.78

    $33.16 lower than Merced for the office setting.

  • Ohio

    Ohio · 27040

    Office

    $321.92

    Facility

    $176.45

    $37.38 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 27040

    Office

    $313.95

    Facility

    $171.67

    $45.35 lower than Merced for the office setting.

  • Portland

    Oregon · 27040

    Office

    $365.68

    Facility

    $188.67

    $6.38 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 27040

    Office

    $336.83

    Facility

    $178.14

    $22.47 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 27040

    Office

    $356.04

    Facility

    $190.19

    $3.26 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 27040

    Office

    $322.17

    Facility

    $175.91

    $37.13 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 27040

    Office

    $344.37

    Facility

    $183.29

    $14.93 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 27040

    Office

    $349.95

    Facility

    $185.37

    $9.35 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 27040

    Office

    $322.20

    Facility

    $174.99

    $37.10 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 27040

    Office

    $332.49

    Facility

    $173.17

    $26.81 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 27040

    Office

    $314.22

    Facility

    $169.40

    $45.08 lower than Merced for the office setting.

  • Austin

    Texas · 27040

    Office

    $354.06

    Facility

    $185.50

    $5.24 lower than Merced for the office setting.

  • Beaumont

    Texas · 27040

    Office

    $320.08

    Facility

    $175.10

    $39.22 lower than Merced for the office setting.

  • Brazoria

    Texas · 27040

    Office

    $337.53

    Facility

    $179.65

    $21.77 lower than Merced for the office setting.

  • Dallas

    Texas · 27040

    Office

    $339.91

    Facility

    $181.23

    $19.39 lower than Merced for the office setting.

  • Fort Worth

    Texas · 27040

    Office

    $337.77

    Facility

    $180.68

    $21.53 lower than Merced for the office setting.

  • Galveston

    Texas · 27040

    Office

    $338.69

    Facility

    $180.48

    $20.61 lower than Merced for the office setting.

  • Houston

    Texas · 27040

    Office

    $346.56

    Facility

    $188.35

    $12.74 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 27040

    Office

    $328.78

    Facility

    $177.58

    $30.52 lower than Merced for the office setting.

  • Utah

    Utah · 27040

    Office

    $326.61

    Facility

    $176.85

    $32.69 lower than Merced for the office setting.

  • Virginia

    Virginia · 27040

    Office

    $333.85

    Facility

    $177.24

    $25.45 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 27040

    Office

    $344.37

    Facility

    $183.29

    $14.93 lower than Merced for the office setting.

  • Vermont

    Vermont · 27040

    Office

    $332.61

    Facility

    $174.88

    $26.69 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 27040

    Office

    $352.15

    Facility

    $184.38

    $7.15 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 27040

    Office

    $396.93

    Facility

    $201.44

    $37.63 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 27040

    Office

    $322.32

    Facility

    $169.69

    $36.98 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 27040

    Office

    $317.76

    Facility

    $179.31

    $41.54 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 27040

    Office

    $338.29

    Facility

    $178.97

    $21.01 lower than Merced for the office setting.

See how rates vary across the country

27040 · 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.

$302.28

$403.94

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$398.281
AL$306.731
AR$302.281
AZ$332.751
CA$359.30–$448.5829
CO$354.901
CT$364.851
DC$390.171
DE$338.261
FL$339.02–$373.523
GA$319.68–$348.922
GU$367.831
HI$367.831
IA$313.601
ID$315.861
IL$329.89–$362.454
IN$317.671
KS$312.581
KY$315.001
LA$314.69–$330.262
MA$352.95–$389.452
MD$344.59–$390.173
ME$318.00–$334.632
MI$323.65–$343.742
MN$338.661
MO$309.57–$330.903
MS$305.961
MT$342.001
NC$321.261
ND$333.491
NE$315.191
NH$349.761
NJ$368.61–$386.192
NM$325.621
NV$339.861
NY$326.14–$404.365
OH$321.921
OK$313.951
OR$336.83–$365.682
PA$322.17–$356.042
PR$344.371
RI$349.951
SC$322.201
SD$332.491
TN$314.221
TX$320.08–$354.068
UT$326.611
VA$333.85–$390.172
VI$344.371
VT$332.611
WA$352.15–$396.932
WI$322.321
WV$317.761
WY$338.291

Explore 27040 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 27040 in Merced, the physician’s office rate is $359.30 and the facility-setting rate is $184.68: a difference of $174.62.

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 27040 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$395.23

$359.30 × 110% = $395.23

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 27040 in Merced.

PPRRVU2026_Oct_nonQPP.csv

2,720

Code
27040
Physician work
2.85
Practice expense
6.96
Malpractice
0.43

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 27040 in Merced
ComponentRVULocality factorAdjusted
Physician work2.85× 1.0172.8984
Practice expense6.96× 1.0967.6282
Malpractice0.43× 0.5360.2305
Total RVUs10.7571
Conversion factor× 33.4009

Office / nonfacility rate, Merced$359.30

Open 27040 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.851.017
Practice expense6.961.096
Malpractice0.430.536

(2.85 × 1.017 + 6.96 × 1.096 + 0.43 × 0.536) × $33.4009 = $359.30

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.851.017
Practice expense2.191.096
Malpractice0.430.536

(2.85 × 1.017 + 2.19 × 1.096 + 0.43 × 0.536) × $33.4009 = $184.68

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

27040 · Office / nonfacility

$359.30

Effective 2026-10-01

The base rate is $16.54 higher than on 2025-10-01, moving from $342.76 to $359.30 (4.8%).

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

    $342.76changed to$359.30

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.92 changed to 2.85
    • Practice expense RVU 6.74 changed to 6.96
    • Malpractice RVU 0.48 changed to 0.43
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $342.76

    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$359.30$184.68RVU26D
2026-07-01$359.30$184.68RVU26C
2026-04-01$359.30$184.68RVU26B
2026-01-01$359.30$184.68RVU26A
2025-10-01$342.76$198.51RVU25D
2025-07-01$342.76$198.51RVU25C
2025-04-01$342.76$198.51RVU25B
2025-01-01$342.76$198.51RVU25A

27040 billing questions

How does 27040 differ from 27041?

27040 is for superficial soft tissue in the pelvis or hip area. Use 27041 when the sampled soft tissue is deep.

Should this code be used when the entire lesion is removed?

No. This code represents tissue sampling. When the surgeon removes a soft-tissue lesion rather than taking a biopsy, select the applicable excision code based on site, depth, and lesion size.

Are postoperative visits separately reported during the global period?

Related postoperative visits during the 10-day global period are included in this procedure's payment.

How is bilateral reporting paid?

CMS identifies this as a bilateral procedure; when reported with modifier 50, it is paid at 150%.

Can an assistant, co-surgeon, or surgical team be paid for this procedure?

Assistant-at-surgery payment is restricted. 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 27040PPRRVU2026_Oct_nonQPP.csv, line 2,720 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet