$496.64
Use 27327 for a superficial thigh or knee lesion under 3 cm; 27328 is for a deep tumor under 5 cm.
On this page
CMS RVU26D · Effective 2026-10-01
27328 Soft-tissue tumor excision Medicare reimbursement rates in Indiana
Reports removal of a deep soft-tissue tumor in the thigh or knee region when the tumor measures less than 5 cm. Compare 27328 office and facility rates across CMS payment localities in Indiana.
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 27328 in Indiana?
Indiana 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
$539.28
1 of 1 localities have a supported rate.
Payment area: Indiana
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 27328: Deep thigh or knee tumor excision under 5 cm
Reports removal of a deep soft-tissue tumor in the thigh or knee region when the tumor measures less than 5 cm.
This service involves surgically removing a tumor beneath the superficial soft tissues of the thigh or knee, such as a subfascial or intramuscular mass, measuring less than 5 cm. It is commonly performed by an orthopedic surgeon or surgical oncologist in an operating room, including a hospital outpatient department or ambulatory surgery center. A diagnostic biopsy alone is not the same service as removing the tumor.
Choose the code based on the operative report’s documented site, depth, size, and procedure. The record should establish that the tumor is deep, measures under 5 cm, and was removed from the thigh or knee area. 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 other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is barred by statutory restriction; co-surgeons and team surgery are not permitted.
CMS billing rules for 27328
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.63 · 49%
- Practice expense (office) RVU7.08 · 40%
- Malpractice RVU1.96 · 11%
518
Medicare services in 2024 · #3533 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.
27328 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
Both cover deep thigh or knee tumors under 5 cm. The operative report’s documented excision or resection determines which code describes the service.
No office rate
Use 27337 for a superficial lesion measuring 3 cm or larger; 27328 describes a deep tumor under 5 cm.
No office rate
Use 27339 for a deep thigh or knee tumor measuring 5 cm or larger; 27328 is the under-5-cm size level.
Compare 27328 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
Indiana →
Office / nonfacility
Unavailable
Facility
$539.28
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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 27328 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
2,839
- Code
- 27328
- Physician work
- 8.63
- Practice expense
- 7.08
- Malpractice
- 1.96
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.63 | × 1.000 | 8.6300 |
| Practice expense | 7.08 | × 0.927 | 6.5632 |
| Malpractice | 1.96 | × 0.486 | 0.9526 |
| Total RVUs | 16.1457 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$539.28
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.63 | 1 |
| Practice expense | 7.08 | 0.927 |
| Malpractice | 1.96 | 0.486 |
(8.63 × 1 + 7.08 × 0.927 + 1.96 × 0.486) × $33.4009 = $539.28
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.
27328 billing questions
How does this differ from 27327?
27328 is for a deep thigh or knee tumor under 5 cm. Code 27327 describes removal of a superficial lesion under 3 cm.
When should 27329 be considered instead?
Both codes concern deep thigh or knee tumors under 5 cm, but distinguish the documented operative procedure as excision versus resection. Follow the operative report rather than inferring the code from the diagnosis alone.
What documentation supports 27328?
Document the thigh or knee location, the tumor’s deep or subfascial position, its measured size under 5 cm, and the removal performed. The operative report should support the depth and extent of the work.
Can modifier 50 be used for bilateral procedures?
CMS lists this as a bilateral procedure; reporting modifier 50 is paid at 150%. The record should support treatment of both sides.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction, with payment at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is barred by statutory restriction. CMS does not permit co-surgeons or team surgery for this code.
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.
2,83627325,,Neurectomy hamstring,A,,7.02,7.68,NA,7.68,,1.48,16.18,16.18,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915