Billing code 27329: Tumor resectionMedicare rate & RVUs in Florida

Reports radical removal of a soft-tissue tumor in the thigh or knee area measuring less than 5 cm, rather than a limited local excision.

CMS RVU26DEffective Oct 1, 20263 payment localities148 Medicare services in 2024

CMS doesn’t publish an office rate for 27329 in Florida.

—Office (non-facility)
$1,009.56–$1,157.52Hospital 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 27329 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Florida
  2. What 27329 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 27329 covers

This code describes radical resection of a soft-tissue tumor in the thigh or knee area when the tumor measures less than 5 cm. It is used for a planned, definitive removal that is more extensive than a limited excision, often performed by an orthopedic oncologist or surgical oncologist in an operating room. The operative report should make the radical nature of the resection clear and identify the tumor site, size, and extent of tissue removed.

Select this code based on the radical resection performed and the tumor’s size, not simply because a tumor was removed. Distinguish it from a subfascial excision and from an excision of a larger tumor. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur 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 may be allowed; 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 27329 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.

27329 office and facility rates by payment locality
Payment localityOfficeFacility
Fort LauderdaleUnavailable$1,064.26
MiamiUnavailable$1,157.52
Rest Of FloridaUnavailable$1,009.56

How the 27329 rate is calculated

Each of 27329’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 · 27329

RVUs × geographic indexes × conversion factor

Work15.33

15.33 RVUs× 1.000 GPCI

Practice expense10.11

10.11 RVUs× 1.000 GPCI

Malpractice3.48

3.48 RVUs× 1.000 GPCI

Adjusted RVUs

28.9200

Conversion factor

$33.4009

Medicare rate

$965.95

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 27329

27329 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27329

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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 · 27329

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned 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

27329 without 50 · national facility

$965.95

Tumor resection

27329-50 · Bilateral: 150%

$1,448.93

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

27329 compared with similar codes

Compare codes · National

5 codes, side by side

  • 27329

    Tumor resection15.33 wRVU

    Not priced

  • 27328

    Soft-tissue tumor excision8.63 wRVU

    Not priced

  • 27364

    Soft-tissue tumor resection23.88 wRVU

    Not priced

  • 27327

    Soft-tissue excision3.86 wRVU

    $539.42

  • 27339

    Soft-tissue excision10.85 wRVU

    Not priced

How to choose

27328Soft-tissue tumor excision
Use 27329 for radical resection of a tumor under 5 cm. Use 27328 for subfascial tumor excision under 5 cm when the documented procedure is not a radical resection.
27364Soft-tissue tumor resection
Both codes describe radical resection of a thigh or knee soft-tissue tumor; 27329 is for tumors under 5 cm, while 27364 is for tumors 5 cm or greater.
27327Soft-tissue excision
Code 27327 describes excision of a small subcutaneous lesion. Code 27329 is for radical resection of a soft-tissue tumor under 5 cm, not a routine superficial lesion excision.
27339Soft-tissue excision
Code 27339 describes subfascial excision of a tumor measuring 5 cm or greater. Code 27329 is selected for radical resection under 5 cm.

27329 billing questions

How does this differ from code 27328?

Code 27329 represents radical resection of a soft-tissue tumor under 5 cm. Code 27328 describes subfascial tumor excision under 5 cm, without the radical-resection distinction.

Does tumor size alone determine whether to report this code?

No. The tumor must be under 5 cm, and the procedure must be a radical resection. A limited excision of a tumor does not qualify solely because of its size.

What documentation supports reporting this code?

Document the thigh or knee site, tumor size, and operative details that show a radical resection was performed. The record should distinguish that work from a limited excision or biopsy.

How does Medicare handle related postoperative visits?

The 90-day global period includes the day-before preoperative visit and related postoperative care. Those included services are part of the surgical payment.

Can this be reported for bilateral tumors?

CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. Document the procedures performed on both sides.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation, and 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 27329PPRRVU2026_Oct_nonQPP.csv, line 2,840 (RVU26D)

Open CMS sourceHow we calculate rates

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