Billing code 27065: Bone lesion removalMedicare rate & RVUs in Guam
Reports surgical curettage or excision of a superficial benign bone lesion or cyst in the pelvis or hip, without bone grafting.
CMS doesn’t publish an office rate for 27065 in Guam.
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 27065 covers
An orthopedic surgeon uses this service to remove or curette a superficial cyst or benign tumor arising in bone of the pelvis or hip. The operative work treats the bone lesion itself, rather than a mass limited to nearby soft tissue. It is generally performed in an operating room, with the removed material available for pathologic examination. The code is distinguished from its deep-lesion counterpart by the documented depth and surgical approach, not by lesion diameter.
Select this code when the operative report supports treatment of a superficial bone lesion and does not describe the grafting service represented by a different code. Document the bone involved, lesion depth, operative approach, and whether the surgeon excised or curetted the lesion. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; 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.
27065 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $523.61 |
How the 27065 rate is calculated
Each of 27065’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 · 27065
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.39Practice expense 7.48Malpractice 1.35
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27065
27065 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27065
Bone lesion removal
| 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 27065
Bone lesion removal
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
27065 without 50 · national facility
$508.36
Bone lesion removal
27065-50 · Bilateral: 150%
$762.54
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).
27065 compared with similar codes
Compare codes
27065 vs 27066 vs 27067 vs 27070 vs 27047: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27066Bone lesion excision
- This code is for a superficial lesion; 27066 is the corresponding service when the pelvic or hip bone lesion is deep.
- 27067Bone lesion curettage
- Choose 27067 when treatment includes bone grafting. This code describes superficial lesion treatment without that grafting service.
- 27070Hip bone excision
- 27070 describes partial removal of superficial hip or pelvic bone. This code is focused on curettage or excision of a bone cyst or benign tumor.
- 27047Soft tissue excision
- 27047 concerns an excision of a superficial soft-tissue lesion in the hip or pelvis region; this code treats a lesion arising in bone.
27065 billing questions
How is this code distinguished from 27066?
Use 27065 for a superficial pelvic or hip bone lesion. Code 27066 represents the deep-lesion counterpart; the operative report should support the depth and approach.
Can this code be used when the surgeon grafts the defect?
When the service includes bone grafting for the lesion, consider 27067 rather than reporting this code as though grafting were included.
Is a separate biopsy reported for the lesion that is removed?
The specimen from the therapeutic excision or curettage does not by itself establish a separate biopsy service. The record should distinguish any separately performed diagnostic work from treatment of the lesion.
What documentation supports superficial classification?
Document the affected pelvic or hip bone, the lesion's depth, the surgical approach, and the excision or curettage performed. A size measurement alone does not establish the superficial-versus-deep distinction.
How are multiple procedures and bilateral services handled?
For multiple procedures in one session, the highest-valued procedure is paid in full and the others are subject to the standard reduction. Bilateral reporting with modifier 50 is paid at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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
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