No office rate
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.
On this page
CMS RVU26D · Effective 2026-10-01
27329 Tumor resection Medicare reimbursement rates in Hawaii
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. Compare 27329 office and facility rates across CMS payment localities in Hawaii.
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 27329 in Hawaii?
Hawaii 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
$963.28
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 27329: Radical thigh or knee tumor resection under 5 cm
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.
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.
CMS billing rules for 27329
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU15.33 · 53%
- Practice expense (office) RVU10.11 · 35%
- Malpractice RVU3.48 · 12%
148
Medicare services in 2024 · #4570 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.
27329 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
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.
$579.45
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.
No office rate
Code 27339 describes subfascial excision of a tumor measuring 5 cm or greater. Code 27329 is selected for radical resection under 5 cm.
Compare 27329 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$963.28
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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 27329 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
2,840
- Code
- 27329
- Physician work
- 15.33
- Practice expense
- 10.11
- Malpractice
- 3.48
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.33 | × 1.000 | 15.3300 |
| Practice expense | 10.11 | × 1.137 | 11.4951 |
| Malpractice | 3.48 | × 0.579 | 2.0149 |
| Total RVUs | 28.8400 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$963.28
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.33 | 1 |
| Practice expense | 10.11 | 1.137 |
| Malpractice | 3.48 | 0.579 |
(15.33 × 1 + 10.11 × 1.137 + 3.48 × 0.579) × $33.4009 = $963.28
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.
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 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.
2,83727326,,Neurectomy popliteal,A,,6.31,7.46,NA,7.46,,1.33,15.10,15.10,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,83827327,,Exc thigh/knee les sc < 3 cm,A,,3.86,11.42,,4.52,,0.87,16.15,9.25,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,83927328,,Exc thigh/knee tum deep <5cm,A,,8.63,7.08,NA,7.08,,1.96,17.67,17.67,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,84027329,,Resect thigh/knee tum < 5 cm,A,,15.33,10.11,NA,10.11,,3.48,28.92,28.92,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,84127330,,Biopsy knee joint lining,A,,4.98,6.31,NA,6.31,,1.07,12.36,12.36,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,84227331,,Explore/treat knee joint,A,,5.87,6.66,NA,6.66,,1.23,13.76,13.76,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,84327332,,Removal of knee cartilage,A,,8.25,8.41,NA,8.41,,1.75,18.41,18.41,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014