Billing code 27372: Foreign body removalMedicare rate & RVUs in Illinois

Reports surgical extraction of a deeply embedded foreign object in the thigh or knee region, when the operative work goes beyond superficial soft-tissue retrieval.

CMS RVU26DEffective Oct 1, 20264 payment localities244 Medicare services in 2024

Medicare pays $621.36–$688.60 for 27372 in the office in Illinois, from Rest Of Illinois to Chicago. Which amount applies depends on the service address.

$621.36–$688.60Office (non-facility)
$395.39–$439.86Hospital 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 27372 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Illinois
  2. What 27372 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 27372 covers

A surgeon uses an incision to locate and extract a deeply embedded object from soft tissues of the thigh or knee region, such as a retained metal or glass fragment after penetrating trauma. The target is deeper than a subcutaneous splinter; the operative note should make the object’s anatomic location and depth clear. The service is typically performed in an operating room or ambulatory surgery setting rather than as a simple office extraction.

Report 27372 for deep regional retrieval; superficial subcutaneous extraction and arthroscopic removal of an intra-articular knee body follow different code pathways. Document the indication, site, depth, dissection, and removal. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures 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 documented medical necessity; co-surgeons and team surgery are 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 27372 pays more and less in Illinois

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

4 payment localities

$621.36 to $688.60

$621.36$654.98$688.60
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.
27372 office and facility rates by payment locality
Payment localityOfficeFacility
Chicago$688.60$439.86
East St. Louis$640.52$412.81
Rest Of Illinois$621.36$395.39
Suburban Chicago$679.44$425.26

How the 27372 rate is calculated

Each of 27372’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 · 27372

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 5.08Practice expense 12.98Malpractice 1.07

19.1300 adjusted RVUs×$33.4009 conversion factor=$638.96

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

Payment rules and modifiers for 27372

27372 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27372

Foreign body removal

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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
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 · 27372

Foreign body 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.

  • 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 50 · payment effect

With and without the modifier

27372 without 50 · national office

$638.96

Foreign body removal

27372-50 · Bilateral: 150%

$958.44

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

27372 compared with similar codes

Compare codes

27372 vs 20525 vs 10120 vs 29874: national Medicare rates

Swap in your local Medicare rate.

  • 27372
    Foreign body removal · 5.08 wRVU
    $638.96
  • 20525
    Foreign body removal · 3.45 wRVU
    $497.01−$141.95
  • 10120
    Foreign body removal · 1.19 wRVU
    $157.32−$481.64
  • 29874
    Knee arthroscopy · 7.01 wRVU
    —

How to choose

20525Foreign body removal
Use 27372 for deep removal in the thigh or knee region. 20525 describes deep or complicated retrieval from muscle or tendon sheath; the documented operative target helps distinguish them.
10120Foreign body removal
10120 is for simple removal from subcutaneous tissue. 27372 is for a deeply embedded object in the thigh or knee region requiring deeper surgical dissection.
29874Knee arthroscopy
29874 is an arthroscopic knee procedure for removing a loose body or foreign body within the joint. 27372 describes deep regional removal rather than arthroscopic intra-articular retrieval.

27372 billing questions

How does 27372 differ from 20525?

27372 identifies deep foreign-body removal in the thigh or knee region. 20525 describes deep or complicated removal from muscle or tendon sheath; select based on the operative target and applicable code descriptor.

Does 27372 cover arthroscopic removal of a loose body from the knee?

No. Arthroscopic removal of an intra-articular knee loose body or foreign body is represented by 29874; 27372 is for deep removal in the thigh or knee region outside that arthroscopic service.

When would a superficial foreign-body code be more appropriate?

For removal from subcutaneous tissue, consider 10120 rather than 27372. The documentation should establish whether the object was superficial or required deep dissection.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are bilateral procedures and assistants handled?

Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are 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 27372PPRRVU2026_Oct_nonQPP.csv, line 2,861 (RVU26D)

Open CMS sourceHow we calculate rates

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