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CMS RVU26D · Effective 2026-10-01

27323 in Redding

Office / nonfacility

$289.68

Base rate per service

Facility setting

$161.19

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 27323: Superficial thigh soft-tissue biopsy

Reports surgical sampling of superficial soft tissue in the thigh or knee area when a lesion requires tissue diagnosis rather than complete removal.

A surgeon removes a sample of superficial soft tissue from the thigh or knee area so the tissue can be examined for a suspected tumor or other abnormality. Orthopedic surgeons and surgical oncologists commonly perform the procedure in an outpatient operating room or procedure setting. The code distinguishes a superficial biopsy from sampling deeper soft tissue and from biopsy of the knee joint lining.

Report this code when the operative record supports sampling superficial tissue, rather than complete excision of the lesion. Document the biopsy site, the tissue sampled, and the operative findings; the pathology service may be reported separately when performed by another provider. This minor procedure has a 10-day global period, which includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. For bilateral reporting, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this procedure; co-surgeons and team surgery are not permitted.

CMS billing rules for 27323

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 RVU2.27 · 28%
  • Practice expense (office) RVU5.66 · 69%
  • Malpractice RVU0.30 · 4%

396

Medicare services in 2024 · #3745 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.

27323 compared with similar codes

Office rates for Redding, from the same CMS release.

27324

Thigh biopsy

Deep soft tissue

No office rate

This code is for superficial soft tissue; 27324 is for deep soft-tissue biopsy. Use the operative description of tissue depth to distinguish them.

27327

Soft-tissue excision

Under 3 cm, subcutaneous

$564.75

Use this biopsy code when tissue is sampled. Code 27327 describes excision of a superficial thigh or knee-area lesion under its applicable size criterion.

27328

Soft-tissue tumor excision

Deep, under 5 cm

No office rate

This code reports superficial tissue sampling, while 27328 describes excision of a deep thigh or knee-area tumor under its applicable size criterion.

27330

Knee biopsy

Open synovial tissue sampling

No office rate

This code samples superficial soft tissue around the thigh or knee; 27330 is for biopsy of the knee joint lining.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 27323 is $290.56—$0.88 higher than the $289.68 rate in Redding. Both use the same code, release and participation basis.

27323 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $289.68

  2. Bakersfield

    $290.56

    $0.88 higher than Redding

  3. Chico

    $289.68

    The same base rate than Redding

  4. El Centro

    $289.73

    $0.05 higher than Redding

  5. Fresno

    $289.68

    The same base rate than Redding

  6. Hanford-Corcoran

    $289.68

    The same base rate than Redding

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

    $309.23

    $19.55 higher than Redding

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, 27323 ranges from $243.37 in Arkansas to $362.14 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 · 27323

    Office

    $289.68

    Facility

    $161.19

    The same base rate than Redding for the office setting.

  • Merced

    California · 27323

    Office

    $289.68

    Facility

    $161.19

    The same base rate than Redding for the office setting.

  • Modesto

    California · 27323

    Office

    $289.68

    Facility

    $161.19

    The same base rate than Redding for the office setting.

  • Napa

    California · 27323

    Office

    $334.85

    Facility

    $180.34

    $45.17 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 27323

    Office

    $307.64

    Facility

    $169.07

    $17.96 higher than Redding for the office setting.

  • Rest Of California

    California · 27323

    Office

    $289.68

    Facility

    $161.19

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 27323

    Office

    $292.93

    Facility

    $164.44

    $3.25 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 27323

    Office

    $303.78

    Facility

    $167.44

    $14.10 higher than Redding for the office setting.

  • Salinas

    California · 27323

    Office

    $302.65

    Facility

    $166.77

    $12.97 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 27323

    Office

    $309.63

    Facility

    $169.41

    $19.95 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 27323

    Office

    $354.18

    Facility

    $188.88

    $64.50 higher than Redding for the office setting.

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

    California · 27323

    Office

    $353.84

    Facility

    $188.54

    $64.16 higher than Redding for the office setting.

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

    California · 27323

    Office

    $362.14

    Facility

    $193.08

    $72.46 higher than Redding for the office setting.

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

    California · 27323

    Office

    $360.75

    Facility

    $191.69

    $71.07 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 27323

    Office

    $297.81

    Facility

    $164.27

    $8.13 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 27323

    Office

    $312.48

    Facility

    $170.03

    $22.80 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 27323

    Office

    $303.75

    Facility

    $167.05

    $14.07 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 27323

    Office

    $315.62

    Facility

    $171.65

    $25.94 higher than Redding for the office setting.

  • Stockton

    California · 27323

    Office

    $289.68

    Facility

    $161.19

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 27323

    Office

    $334.36

    Facility

    $179.84

    $44.68 higher than Redding for the office setting.

  • Visalia

    California · 27323

    Office

    $289.68

    Facility

    $161.19

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 27323

    Office

    $289.68

    Facility

    $161.19

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 27323

    Office

    $313.77

    Facility

    $175.66

    $24.09 higher than Redding for the office setting.

  • Miami

    Florida · 27323

    Office

    $297.96

    Facility

    $175.92

    $8.28 higher than Redding for the office setting.

  • Chicago

    Illinois · 27323

    Office

    $289.34

    Facility

    $171.52

    $0.34 lower than Redding for the office setting.

  • Manhattan

    New York · 27323

    Office

    $316.24

    Facility

    $180.01

    $26.56 higher than Redding for the office setting.

  • Alaska*

    Alaska · 27323

    Office

    $320.59

    Facility

    $195.73

    $30.91 higher than Redding for the office setting.

  • Alabama

    Alabama · 27323

    Office

    $246.91

    Facility

    $144.33

    $42.77 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 27323

    Office

    $243.37

    Facility

    $142.67

    $46.31 lower than Redding for the office setting.

  • Arizona

    Arizona · 27323

    Office

    $267.59

    Facility

    $153.98

    $22.09 lower than Redding for the office setting.

  • Colorado

    Colorado · 27323

    Office

    $285.70

    Facility

    $160.96

    $3.98 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 27323

    Office

    $293.07

    Facility

    $166.80

    $3.39 higher than Redding for the office setting.

  • Delaware

    Delaware · 27323

    Office

    $271.99

    Facility

    $156.16

    $17.69 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 27323

    Office

    $285.44

    Facility

    $166.68

    $4.24 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 27323

    Office

    $271.61

    Facility

    $159.53

    $18.07 lower than Redding for the office setting.

  • Atlanta

    Georgia · 27323

    Office

    $280.16

    Facility

    $161.04

    $9.52 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 27323

    Office

    $256.40

    Facility

    $151.82

    $33.28 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 27323

    Office

    $296.57

    Facility

    $163.27

    $6.89 higher than Redding for the office setting.

  • Iowa

    Iowa · 27323

    Office

    $252.78

    Facility

    $145.51

    $36.90 lower than Redding for the office setting.

  • Idaho

    Idaho · 27323

    Office

    $254.48

    Facility

    $146.63

    $35.20 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 27323

    Office

    $269.93

    Facility

    $162.07

    $19.75 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 27323

    Office

    $264.08

    Facility

    $157.05

    $25.60 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 27323

    Office

    $288.26

    Facility

    $167.86

    $1.42 lower than Redding for the office setting.

  • Indiana

    Indiana · 27323

    Office

    $255.94

    Facility

    $147.26

    $33.74 lower than Redding for the office setting.

  • Kansas

    Kansas · 27323

    Office

    $251.77

    Facility

    $145.79

    $37.91 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 27323

    Office

    $253.05

    Facility

    $148.83

    $36.63 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 27323

    Office

    $265.10

    Facility

    $154.78

    $24.58 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 27323

    Office

    $252.73

    Facility

    $148.97

    $36.95 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 27323

    Office

    $313.57

    Facility

    $173.59

    $23.89 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 27323

    Office

    $284.09

    Facility

    $160.64

    $5.59 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 27323

    Office

    $292.28

    Facility

    $166.48

    $2.60 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 27323

    Office

    $277.09

    Facility

    $158.45

    $12.59 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 27323

    Office

    $255.98

    Facility

    $148.12

    $33.70 lower than Redding for the office setting.

  • Southern Maine

    Maine · 27323

    Office

    $269.49

    Facility

    $153.31

    $20.19 lower than Redding for the office setting.

  • Detroit

    Michigan · 27323

    Office

    $275.15

    Facility

    $162.01

    $14.53 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 27323

    Office

    $259.73

    Facility

    $152.70

    $29.95 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 27323

    Office

    $273.32

    Facility

    $152.68

    $16.36 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 27323

    Office

    $263.13

    Facility

    $153.04

    $26.55 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 27323

    Office

    $265.84

    Facility

    $154.23

    $23.84 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 27323

    Office

    $248.54

    Facility

    $147.48

    $41.14 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 27323

    Office

    $246.00

    Facility

    $145.06

    $43.68 lower than Redding for the office setting.

  • Montana**

    Montana · 27323

    Office

    $274.87

    Facility

    $157.63

    $14.81 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 27323

    Office

    $258.61

    Facility

    $149.22

    $31.07 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 27323

    Office

    $268.94

    Facility

    $151.70

    $20.74 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 27323

    Office

    $254.10

    Facility

    $145.89

    $35.58 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 27323

    Office

    $281.39

    Facility

    $159.34

    $8.29 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 27323

    Office

    $310.60

    Facility

    $174.60

    $20.92 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 27323

    Office

    $296.29

    Facility

    $168.26

    $6.61 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 27323

    Office

    $261.21

    Facility

    $153.71

    $28.47 lower than Redding for the office setting.

  • Nevada**

    Nevada · 27323

    Office

    $273.41

    Facility

    $156.05

    $16.27 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 27323

    Office

    $324.06

    Facility

    $184.66

    $34.38 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 27323

    Office

    $298.37

    Facility

    $169.99

    $8.69 higher than Redding for the office setting.

  • Queens

    New York · 27323

    Office

    $318.58

    Facility

    $180.00

    $28.90 higher than Redding for the office setting.

  • Rest Of New York

    New York · 27323

    Office

    $262.46

    Facility

    $151.09

    $27.22 lower than Redding for the office setting.

  • Ohio

    Ohio · 27323

    Office

    $258.52

    Facility

    $151.48

    $31.16 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 27323

    Office

    $252.43

    Facility

    $147.73

    $37.25 lower than Redding for the office setting.

  • Portland

    Oregon · 27323

    Office

    $294.52

    Facility

    $164.27

    $4.84 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 27323

    Office

    $271.16

    Facility

    $154.39

    $18.52 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 27323

    Office

    $285.94

    Facility

    $163.90

    $3.74 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 27323

    Office

    $258.84

    Facility

    $151.21

    $30.84 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 27323

    Office

    $276.82

    Facility

    $158.29

    $12.86 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 27323

    Office

    $281.49

    Facility

    $160.38

    $8.19 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 27323

    Office

    $259.02

    Facility

    $150.69

    $30.66 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 27323

    Office

    $268.24

    Facility

    $151.00

    $21.44 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 27323

    Office

    $253.05

    Facility

    $146.48

    $36.63 lower than Redding for the office setting.

  • Austin

    Texas · 27323

    Office

    $284.86

    Facility

    $160.83

    $4.82 lower than Redding for the office setting.

  • Beaumont

    Texas · 27323

    Office

    $257.16

    Facility

    $150.48

    $32.52 lower than Redding for the office setting.

  • Brazoria

    Texas · 27323

    Office

    $271.59

    Facility

    $155.41

    $18.09 lower than Redding for the office setting.

  • Dallas

    Texas · 27323

    Office

    $273.39

    Facility

    $156.62

    $16.29 lower than Redding for the office setting.

  • Fort Worth

    Texas · 27323

    Office

    $271.63

    Facility

    $156.04

    $18.05 lower than Redding for the office setting.

  • Galveston

    Texas · 27323

    Office

    $272.45

    Facility

    $156.03

    $17.23 lower than Redding for the office setting.

  • Houston

    Texas · 27323

    Office

    $277.94

    Facility

    $161.52

    $11.74 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 27323

    Office

    $264.28

    Facility

    $153.02

    $25.40 lower than Redding for the office setting.

  • Utah

    Utah · 27323

    Office

    $262.52

    Facility

    $152.32

    $27.16 lower than Redding for the office setting.

  • Virginia

    Virginia · 27323

    Office

    $268.73

    Facility

    $153.49

    $20.95 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 27323

    Office

    $276.82

    Facility

    $158.29

    $12.86 lower than Redding for the office setting.

  • Vermont

    Vermont · 27323

    Office

    $268.05

    Facility

    $151.98

    $21.63 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 27323

    Office

    $283.50

    Facility

    $160.05

    $6.18 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 27323

    Office

    $319.76

    Facility

    $175.91

    $30.08 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 27323

    Office

    $260.02

    Facility

    $147.70

    $29.66 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 27323

    Office

    $254.44

    Facility

    $152.56

    $35.24 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 27323

    Office

    $272.28

    Facility

    $155.05

    $17.40 lower than Redding for the office setting.

See how rates vary across the country

27323 · 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.

$243.37

$325.91

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$320.591
AL$246.911
AR$243.371
AZ$267.591
CA$289.68–$362.1429
CO$285.701
CT$293.071
DC$313.771
DE$271.991
FL$271.61–$297.963
GA$256.40–$280.162
GU$296.571
HI$296.571
IA$252.781
ID$254.481
IL$264.08–$289.344
IN$255.941
KS$251.771
KY$253.051
LA$252.73–$265.102
MA$284.09–$313.572
MD$277.09–$313.773
ME$255.98–$269.492
MI$259.73–$275.152
MN$273.321
MO$248.54–$265.843
MS$246.001
MT$274.871
NC$258.611
ND$268.941
NE$254.101
NH$281.391
NJ$296.29–$310.602
NM$261.211
NV$273.411
NY$262.46–$324.065
OH$258.521
OK$252.431
OR$271.16–$294.522
PA$258.84–$285.942
PR$276.821
RI$281.491
SC$259.021
SD$268.241
TN$253.051
TX$257.16–$284.868
UT$262.521
VA$268.73–$313.772
VI$276.821
VT$268.051
WA$283.50–$319.762
WI$260.021
WV$254.441
WY$272.281

Explore 27323 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 27323 in Redding, the physician’s office rate is $289.68 and the facility-setting rate is $161.19: a difference of $128.49.

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 27323 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$318.65

$289.68 × 110% = $318.65

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 27323 in Redding.

PPRRVU2026_Oct_nonQPP.csv

2,834

Code
27323
Physician work
2.27
Practice expense
5.66
Malpractice
0.30

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 27323 in Redding
ComponentRVULocality factorAdjusted
Physician work2.27× 1.0172.3086
Practice expense5.66× 1.0966.2034
Malpractice0.30× 0.5360.1608
Total RVUs8.6728
Conversion factor× 33.4009

Office / nonfacility rate, Redding$289.68

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

Open 27323 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.271.017
Practice expense5.661.096
Malpractice0.30.536

(2.27 × 1.017 + 5.66 × 1.096 + 0.3 × 0.536) × $33.4009 = $289.68

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.271.017
Practice expense2.151.096
Malpractice0.30.536

(2.27 × 1.017 + 2.15 × 1.096 + 0.3 × 0.536) × $33.4009 = $161.19

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

27323 · Office / nonfacility

$289.68

Effective 2026-10-01

The base rate is $11.59 higher than on 2025-10-01, moving from $278.09 to $289.68 (4.2%).

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

    $278.09changed to$289.68

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.33 changed to 2.27
    • Practice expense RVU 5.53 changed to 5.66
    • Malpractice RVU 0.34 changed to 0.30
    • 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: $278.09

    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$289.68$161.19RVU26D
2026-07-01$289.68$161.19RVU26C
2026-04-01$289.68$161.19RVU26B
2026-01-01$289.68$161.19RVU26A
2025-10-01$278.09$176.98RVU25D
2025-07-01$278.09$176.98RVU25C
2025-04-01$278.09$176.98RVU25B
2025-01-01$278.09$176.98RVU25A

27323 billing questions

How do I distinguish this code from 27324?

Use 27323 for sampling superficial soft tissue in the thigh or knee area. Use 27324 when the biopsy is of deep soft tissue; the operative documentation should support the depth.

When is an excision code more appropriate?

This code describes sampling tissue, not removing the entire lesion. When the surgeon excises a superficial lesion or a deep tumor, consider the applicable excision code, such as 27327 or 27328, based on the documented procedure and lesion.

Can pathology be billed separately?

The surgeon's biopsy service and a pathologist's examination of the specimen are distinct services when each is performed and otherwise reportable. The operative record should identify the submitted tissue and the pathology report should document the examination.

What supports reporting the superficial level?

Document the thigh or knee-area site, the tissue sampled, and operative details that establish the biopsy was superficial rather than deep. A diagnosis of a mass alone does not establish the depth.

How does the 10-day global period affect follow-up?

Related postoperative visits during the 10 days after the biopsy are included in the global period. If other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the multiple-procedure reduction.

How is a bilateral biopsy reported?

For a bilateral procedure, report modifier 50; CMS pays the bilateral service at 150%. An assistant at surgery is not paid, and 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 27323PPRRVU2026_Oct_nonQPP.csv, line 2,834 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet