Billing code 27067: Bone lesion curettageMedicare rate & RVUs in Alaska

Reports removal or curettage of a benign bone lesion in the pelvis or hip when the resulting defect is filled with the patient's own bone.

CMS RVU26DEffective Oct 1, 20261 payment locality

CMS doesn’t publish an office rate for 27067 in Alaska.

—Office (non-facility)
$1,175.63Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 27067 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Alaska
  2. What 27067 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 27067 covers

An orthopedic surgeon removes or curettes a bone cyst or benign tumor in the pelvis or hip and uses the patient's own bone to fill the resulting defect. The service is generally performed in an operating room when a lesion requires operative treatment; the code identifies grafting as part of the lesion procedure, rather than simple removal alone.

Select this code when the operative report supports both treatment of the pelvic or hip bone lesion and autograft placement. Document the anatomic site, lesion and extent of removal, and use of the patient's bone graft. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For other procedures performed in the same session, the highest-valued procedure is paid in full and additional 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.

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.

27067 in Alaska*

27067 office and facility rates by payment locality
Payment localityOfficeFacility
Alaska*Unavailable$1,175.63

How the 27067 rate is calculated

Each of 27067’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 27067

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 14.35Practice expense 11.26Malpractice 3.05

28.6600 adjusted RVUs×$33.4009 conversion factor=$957.27

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 27067

27067 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27067

Bone lesion curettage

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27067

Bone lesion curettage

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27067 without 50 · national facility

$957.27

Bone lesion curettage

27067-50 · Bilateral: 150%

$1,435.91

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

27067 compared with similar codes

Compare codes

27067 vs 27065 vs 27066 vs 27075: national Medicare rates

Swap in your local Medicare rate.

  • 27067
    Bone lesion curettage · 14.35 wRVU
    —
  • 27065
    Bone lesion removal · 6.39 wRVU
    —
  • 27066
    Bone lesion excision · 10.92 wRVU
    —
  • 27075
    Tumor resection · 31.89 wRVU
    —

How to choose

27065Bone lesion removal
27065 describes superficial lesion removal. Choose 27067 when the lesion procedure includes autograft placement.
27066Bone lesion excision
27066 describes deep lesion removal. The defining distinction for 27067 is autograft placement with the lesion procedure.
27075Tumor resection
27075 represents hip tumor resection, a more extensive resection approach; 27067 is for lesion removal or curettage with autograft.

27067 billing questions

How does this differ from 27065 or 27066?

Those codes distinguish superficial and deep lesion removal. Report 27067 when the pelvic or hip lesion procedure includes autograft placement.

What documentation supports 27067?

The operative report should identify the pelvic or hip bone site, describe lesion removal or curettage, and document placement of the patient's own bone graft.

How is bilateral treatment reported?

For a bilateral procedure, modifier 50 applies; CMS pays the bilateral procedure at 150%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant surgeon be paid for this procedure?

Assistant-at-surgery payment may be made. CMS does not permit co-surgeons or team surgery for this code.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 27067PPRRVU2026_Oct_nonQPP.csv, line 2,736 (RVU26D)
Geographic factors for Alaska*GPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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