No office rate
Use 27635 for tibial or fibular cyst or benign-tumor removal without the grafting represented by 27637; the graft-specific procedure belongs to 27637.
On this page
CMS RVU26D · Effective 2026-10-01
27635 Bone lesion removal Medicare reimbursement rates in Connecticut
Reported for operative excision or curettage of a cyst or benign tumor in the tibia or fibula when the procedure does not include bone grafting. Compare 27635 office and facility rates across CMS payment localities in Connecticut.
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 27635 in Connecticut?
Connecticut 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
No supported rate
Facility setting
$579.06
1 of 1 localities have a supported rate.
Payment area: Connecticut
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.
Orthopedic surgery
About 27635: Curettage of tibial or fibular bone lesion
Reported for operative excision or curettage of a cyst or benign tumor in the tibia or fibula when the procedure does not include bone grafting.
An orthopedic surgeon or orthopedic oncologist uses this procedure to remove or curette a bone cyst or benign tumor in the tibia or fibula. The surgeon exposes the affected bone and removes the lesion, typically in an operating room. The removed tissue may be submitted for pathology. The code distinguishes this treatment of a lower-leg bone lesion from removal of a soft-tissue mass or a more extensive bone resection.
Select this code when the documented procedure treats a tibial or fibular cyst or benign tumor without the grafting described by the related graft-specific codes. The operative report should identify the bone and lesion, describe the excision or curettage, and document whether a graft was used. 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 are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27635
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.83 · 48%
- Practice expense (office) RVU7.12 · 44%
- Malpractice RVU1.39 · 9%
1.1K
Medicare services in 2024 · #2927 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.
27635 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
27638 is the related graft-specific option for allografting. 27635 describes lesion removal or curettage without that grafting.
No office rate
27640 describes partial removal of the tibia, rather than curettage or excision of a cyst or benign tumor.
No office rate
27645 is for tibial tumor resection; 27635 describes excision or curettage of a bone cyst or benign tumor.
Compare 27635 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
Connecticut →
Office / nonfacility
Unavailable
Facility
$579.06
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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 27635 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
2,984
- Code
- 27635
- Physician work
- 7.83
- Practice expense
- 7.12
- Malpractice
- 1.39
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.83 | × 1.020 | 7.9866 |
| Practice expense | 7.12 | × 1.077 | 7.6682 |
| Malpractice | 1.39 | × 1.210 | 1.6819 |
| Total RVUs | 17.3367 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$579.06
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.83 | 1.02 |
| Practice expense | 7.12 | 1.077 |
| Malpractice | 1.39 | 1.21 |
(7.83 × 1.02 + 7.12 × 1.077 + 1.39 × 1.21) × $33.4009 = $579.06
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.
27635 billing questions
How does this differ from 27637 or 27638?
27635 is for tibial or fibular lesion removal without the grafting represented by those related codes. Choose the applicable graft-specific code when the operative service includes that grafting.
Can I report this for a biopsy alone?
No. A diagnostic biopsy that samples lower-leg soft tissue is a different service; 27635 describes operative removal or curettage of a bone cyst or benign tumor.
What should the operative note support?
Document whether the lesion was in the tibia or fibula, its cystic or benign-tumor diagnosis, the removal or curettage performed, and whether grafting was part of the procedure.
How is bilateral treatment reported?
CMS lists this as a bilateral procedure; modifier 50 is paid at 150%. The documentation should support treatment of both sides.
Does the surgeon's postoperative care fall within the global period?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment is subject to a statutory restriction and is not paid. Co-surgeons are paid only with supporting documentation; team surgery is 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.
2,98127630,,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
2,98727640,,Partial removal of tibia,A,,11.93,8.90,NA,8.90,,2.18,23.01,23.01,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808