No office rate
Both apply to subcutaneous soft-tissue lesions of the hip or pelvis. Use 27047 below 3 cm and 27043 at 3 cm or greater.
On this page
CMS RVU26D · Effective 2026-10-01
27047 Soft tissue excision Medicare reimbursement rates in Colorado
Reports removal of a subcutaneous soft-tissue lesion in the hip or pelvic area when the lesion measures less than 3 cm. Compare 27047 office and facility rates across CMS payment localities in Colorado.
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.
What does Medicare pay for 27047 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$549.92
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
Facility setting
$355.17
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Soft tissue surgery
About 27047: Excision of small superficial hip lesion
Reports removal of a subcutaneous soft-tissue lesion in the hip or pelvic area when the lesion measures less than 3 cm.
This procedure removes a small soft-tissue lesion located in the subcutaneous layer of the hip or pelvic area, such as a superficial lipoma over the lateral hip. A surgeon, including an orthopedic surgeon, typically performs the excision in an office procedure room, ambulatory surgery center, or hospital. The code is for removal of the lesion, not a limited sample taken for biopsy or a mass located in deeper tissue.
Select the code when the documented site is the hip or pelvis, the lesion is subcutaneous, and its size is less than 3 cm. The operative note should identify the location, size, tissue depth, and excision performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 27047
- 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
- 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 RVU4.82 · 30%
- Practice expense (office) RVU10.06 · 63%
- Malpractice RVU1.13 · 7%
623
Medicare services in 2024 · #3358 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.
27047 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
27048 is for a deep soft-tissue tumor under 5 cm. This code is for a subcutaneous lesion under 3 cm.
$354.90
27040 reports superficial soft-tissue biopsy, not removal of the lesion. Choose this code when the subcutaneous lesion is excised and is under 3 cm.
No office rate
27041 reports deep soft-tissue biopsy. This code describes excision of a subcutaneous hip or pelvic lesion under 3 cm.
Compare 27047 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
$549.92
Facility
$355.17
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 27047 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
2,724
- Code
- 27047
- Physician work
- 4.82
- Practice expense
- 10.06
- Malpractice
- 1.13
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.82 | × 1.012 | 4.8778 |
| Practice expense | 10.06 | × 1.064 | 10.7038 |
| Malpractice | 1.13 | × 0.781 | 0.8825 |
| Total RVUs | 16.4642 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$549.92
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.82 | 1.012 |
| Practice expense | 10.06 | 1.064 |
| Malpractice | 1.13 | 0.781 |
(4.82 × 1.012 + 10.06 × 1.064 + 1.13 × 0.781) × $33.4009 = $549.92
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.82 | 1.012 |
| Practice expense | 4.58 | 1.064 |
| Malpractice | 1.13 | 0.781 |
(4.82 × 1.012 + 4.58 × 1.064 + 1.13 × 0.781) × $33.4009 = $355.17
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.
27047 billing questions
How is this code distinguished from 27043?
Both describe excision of a subcutaneous soft-tissue lesion in the hip or pelvic area. This code is for a lesion under 3 cm; 27043 is for one measuring 3 cm or more.
Can this code be used for a deep mass?
No. The lesion must be in the subcutaneous layer. A deep soft-tissue lesion is represented by a different code, with size determining the applicable level.
When should a biopsy code be used instead?
Use a biopsy code when the procedure samples tissue rather than excising the lesion. Codes 27040 and 27041 distinguish superficial and deep soft-tissue biopsy, respectively.
What should the operative note document?
Document the hip or pelvic location, lesion size, subcutaneous depth, and removal of the lesion. These details support selection over a biopsy or a code for a larger or deeper lesion.
How does Medicare handle bilateral reporting and other procedures in the same session?
CMS pays bilateral reporting with modifier 50 at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%.
Are assistant surgeons or co-surgeons payable?
CMS does not pay an assistant at surgery for this code. 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.
2,72127041,,Biopsy of soft tissues,A,,9.93,7.67,NA,7.67,,2.01,19.61,19.61,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72227043,,Exc hip pelvis les sc 3 cm/>,A,,6.71,5.23,NA,5.23,,1.65,13.59,13.59,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72327045,,Exc hip/pelv tum deep 5 cm/>,A,,10.85,7.43,NA,7.43,,2.43,20.71,20.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72427047,,Exc hip/pelvis les sc < 3 cm,A,,4.82,10.06,,4.58,,1.13,16.01,10.53,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72527048,,Exc hip/pelv tum deep < 5 cm,A,,8.63,6.93,NA,6.93,,2.01,17.57,17.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72627049,,Resect hip/pelv tum < 5 cm,A,,21.01,13.20,NA,13.20,,4.47,38.68,38.68,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72727050,,Biopsy of sacroiliac joint,A,,4.62,6.35,NA,6.35,,1.00,11.97,11.97,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899