Billing code 27614: Soft-tissue biopsyMedicare rate & RVUs in Delaware
Reports surgical sampling of deep soft tissue in the lower leg or ankle area when tissue is obtained for diagnostic evaluation.
Medicare pays $603.39 for 27614 in the office in Delaware (Delaware). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 27614 covers
This service is a surgical biopsy of deep soft tissue in the lower leg or ankle area, such as tissue beneath the superficial layer. An orthopedic surgeon or other surgeon may obtain a sample to investigate a suspicious mass or an unexplained soft-tissue abnormality. The specimen is submitted for diagnostic examination; the service is sampling, not removal of the lesion as definitive treatment.
Select this code when the operative documentation supports a deep soft-tissue biopsy, rather than a superficial biopsy or excision of a tumor. Document the target, its depth and location, and that tissue was sampled for diagnosis. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. For bilateral procedures reported with modifier 50, CMS pays at 150%. Assistant-at-surgery payment is statutorily restricted; 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.
27614 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $603.39 | $387.57 |
How the 27614 rate is calculated
Each of 27614’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 · 27614
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.66Practice expense 11.69Malpractice 0.92
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27614
27614 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27614
Soft-tissue biopsy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27614
Soft-tissue biopsy
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27614 without 50 · national office
$610.23
Soft-tissue biopsy
27614-50 · Bilateral: 150%
$915.35
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).
27614 compared with similar codes
Compare codes
27614 vs 27613 vs 27615 vs 27619: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27613Soft-tissue biopsy
- Both describe soft-tissue biopsy in the leg or ankle area; choose 27614 for deep tissue and 27613 for superficial tissue.
- 27615Tumor resection
- 27614 samples tissue for diagnosis. 27615 describes tumor resection, when the operative service is removal rather than biopsy.
- 27619Soft-tissue excision
- 27614 is a deep-tissue biopsy; 27619 describes excision of a deep leg or ankle tumor under the code's size threshold.
27614 billing questions
How does this differ from 27613?
27614 is for biopsy of deep soft tissue in the lower leg or ankle area. Use 27613 when the biopsied tissue is superficial.
Can this be reported when the lesion is removed?
This code describes diagnostic tissue sampling. When the surgeon excises or resects the lesion rather than taking a biopsy, select the code that describes the removal performed.
What documentation supports the deep-biopsy selection?
Document the lower-leg or ankle target, its depth, and the tissue sampled for diagnostic evaluation. The operative note should make clear that the procedure was a biopsy rather than lesion excision.
What is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle bilateral reporting?
For a bilateral procedure reported with modifier 50, CMS pays at 150%. Same-session procedures are also subject to the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is statutorily restricted. 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
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