No office rate
This code applies to radical resection when the tumor is under 5 cm; 27616 is for a tumor measuring 5 cm or more.
On this page
CMS RVU26D · Effective 2026-10-01
27615 Tumor resection Medicare reimbursement rates in Hawaii
Reports radical removal of a soft-tissue tumor under 5 cm in the leg or ankle, rather than a biopsy or limited excision. Compare 27615 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 27615 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
$940.62
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.
Musculoskeletal surgery
About 27615: Radical resection of small leg or ankle tumor
Reports radical removal of a soft-tissue tumor under 5 cm in the leg or ankle, rather than a biopsy or limited excision.
This service involves definitive, radical removal of a soft-tissue tumor in the leg or ankle region when the tumor is under 5 cm. The surgeon removes the lesion and the tissue needed for the planned resection; this is more extensive than sampling a mass or simply excising a localized lesion. Orthopedic oncologists and other surgeons who treat soft-tissue tumors may perform it in an operating room after diagnostic workup.
Choose the code based on the radical extent of the resection and the documented tumor size, not just the incision or specimen label. The operative report should identify the site, tumor size, depth, and extent of tissue removed. This major surgery includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires medical-necessity documentation; co-surgeon payment requires supporting documentation. Team surgery is not permitted.
CMS billing rules for 27615
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU15.33 · 54%
- Practice expense (office) RVU9.61 · 34%
- Malpractice RVU3.29 · 12%
211
Medicare services in 2024 · #4271 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.
27615 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
27619 is for excision of a deep, subfascial tumor under 5 cm. Choose 27615 when the operative service is a radical resection.
$557.20
27618 describes limited excision of a superficial tumor under 3 cm, not radical resection.
$650.79
27614 is a deep soft-tissue biopsy for diagnosis; 27615 is definitive radical tumor removal.
Compare 27615 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
$940.62
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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 27615 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
2,974
- Code
- 27615
- Physician work
- 15.33
- Practice expense
- 9.61
- Malpractice
- 3.29
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 | 9.61 | × 1.137 | 10.9266 |
| Malpractice | 3.29 | × 0.579 | 1.9049 |
| Total RVUs | 28.1615 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$940.62
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.33 | 1 |
| Practice expense | 9.61 | 1.137 |
| Malpractice | 3.29 | 0.579 |
(15.33 × 1 + 9.61 × 1.137 + 3.29 × 0.579) × $33.4009 = $940.62
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.
27615 billing questions
How does this differ from 27616?
Both describe radical tumor resection in the leg or ankle region. Use 27615 for a tumor under 5 cm and 27616 for one measuring 5 cm or more.
When would 27619 be a better choice?
27619 describes excision of a deep, subfascial tumor under 5 cm. Use 27615 when the operative service is a radical resection, rather than that more limited excision.
Can a biopsy be reported as well?
A biopsy may be part of the diagnostic workup, but this code represents definitive radical removal. The operative record should distinguish any separately performed diagnostic procedure from the resection.
What documentation supports reporting 27615?
Document the leg or ankle site, tumor size, depth, and the radical extent of tissue removal. The record should support a tumor under 5 cm and distinguish the service from a biopsy or limited excision.
How are bilateral cases and surgical assistance handled?
Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity, and co-surgeon payment requires supporting documentation.
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.
2,97127612,,Exploration of ankle joint,A,,7.95,7.01,NA,7.01,,1.25,16.21,16.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97227613,,Biopsy lower leg soft tissue,A,,2.16,5.32,,2.03,,0.33,7.81,4.52,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97327614,,Biopsy lower leg soft tissue,A,,5.66,11.69,,5.15,,0.92,18.27,11.73,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97427615,,Resect leg/ankle tum < 5 cm,A,,15.33,9.61,NA,9.61,,3.29,28.23,28.23,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97527616,,Resect leg/ankle tum 5 cm/>,A,,19.14,11.38,NA,11.38,,4.17,34.69,34.69,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97627618,,Exc leg/ankle tum < 3 cm,A,,3.86,10.88,,4.29,,0.78,15.52,8.93,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97727619,,Exc leg/ankle tum deep <5 cm,A,,6.74,5.19,NA,5.19,,1.13,13.06,13.06,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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