Billing code 27076: Hip tumor resectionMedicare rate & RVUs in Florida

Reports radical resection of a pelvic or hip-area tumor when the operation includes removal of the acetabulum as part of the tumor excision.

CMS RVU26DEffective Oct 1, 20263 payment localities60 Medicare services in 2024

CMS doesn’t publish an office rate for 27076 in Florida.

—Office (non-facility)
$2,344.95–$2,686.21Hospital 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 27076 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Florida
  2. What 27076 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 27076 covers

This code covers extensive operative removal of a tumor in the hip or pelvic region when the resection includes the acetabulum. Orthopedic oncologic surgeons commonly perform the procedure for primary bone tumors or other tumors requiring radical excision in this area. The operation may involve removing tumor-bearing acetabular bone along with involved surrounding tissue; the operative report should identify the tumor site and describe the extent of resection.

Choose this code when acetabular resection is part of the radical tumor operation, rather than a more limited tumor or bone-lesion removal. Documentation should establish the tumor location, structures removed, and the acetabular involvement. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is 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.

Where 27076 pays more and less in Florida

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

27076 office and facility rates by payment locality
Payment localityOfficeFacility
Fort LauderdaleUnavailable$2,466.85
MiamiUnavailable$2,686.21
Rest Of FloridaUnavailable$2,344.95

How the 27076 rate is calculated

Each of 27076’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 · 27076

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 39.20Practice expense 19.29Malpractice 8.36

66.8500 adjusted RVUs×$33.4009 conversion factor=$2,232.85

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

Payment rules and modifiers for 27076

27076 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27076

Hip tumor resection

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)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 27076

Hip tumor resection

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 51 · payment effect

With and without the modifier

27076 without 51 · national facility

$2,232.85

Hip tumor resection

27076-51 · Second procedure: 50%

$1,116.43

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

27076 compared with similar codes

Compare codes

27076 vs 27075 vs 27077 vs 27078: national Medicare rates

Swap in your local Medicare rate.

  • 27076
    Hip tumor resection · 39.2 wRVU
    —
  • 27075
    Tumor resection · 31.89 wRVU
    —
  • 27077
    Hip tumor resection · 44.08 wRVU
    —
  • 27078
    Hip tumor resection · 31.4 wRVU
    —

How to choose

27075Tumor resection
27075 is the related radical hip or pelvic tumor resection without acetabular inclusion. Choose 27076 when the operation includes resection of the acetabulum.
27077Hip tumor resection
27077 identifies radical tumor resection including the innominate bone. For 27076, the defining inclusion is the acetabulum.
27078Hip tumor resection
27078 identifies radical tumor resection including the femur. Use 27076 when acetabular resection, rather than femoral inclusion, distinguishes the operation.

27076 billing questions

How does this differ from 27075?

Use 27076 when radical tumor resection includes the acetabulum. Code 27075 describes radical resection in the hip and pelvic area without that acetabular inclusion.

When would 27077 or 27078 be a closer match?

Those related radical tumor-resection codes distinguish operations that include the innominate bone or femur, respectively. Select according to the bone included in the documented resection.

What operative documentation supports 27076?

Document the tumor's location and the structures removed, including the acetabular resection and the extent of the radical excision.

Can modifier 50 be used for bilateral work?

No bilateral adjustment applies to this code; the descriptor and anatomy make modifier 50 inappropriate.

How are other procedures in the same session paid?

Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are paid at 50%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires 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 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 27076PPRRVU2026_Oct_nonQPP.csv, line 2,740 (RVU26D)

Open CMS sourceHow we calculate rates

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