No office rate
Use 27060 for the ischial bursa and 27062 for the trochanteric bursa. Confirm the operative site rather than choosing by the general diagnosis of bursitis.
On this page
CMS RVU26D · Effective 2026-10-01
27060 Bursa excision Medicare reimbursement rates in Iowa
Operative removal of the bursa over the ischial tuberosity for persistent ischial bursitis, reported when the surgeon excises that specific bursa. Compare 27060 office and facility rates across CMS payment localities in Iowa.
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 27060 in Iowa?
Iowa 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
$407.41
1 of 1 localities have a supported rate.
Payment area: Iowa
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 27060: Ischial bursa excision
Operative removal of the bursa over the ischial tuberosity for persistent ischial bursitis, reported when the surgeon excises that specific bursa.
Code 27060 represents operative excision of the bursa over the ischial tuberosity, the sitting bone, usually for persistent ischial bursitis after nonoperative treatment. An orthopedic surgeon typically performs the procedure in an operating room. The operative target is the ischial bursa, not the hip-joint capsule or a bone lesion; select the code based on the bursa actually removed, not lesion size.
Document the ischial site, the indication, and the operative removal of the bursa. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral excision, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 27060
- 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 RVU5.72 · 42%
- Practice expense (office) RVU6.55 · 49%
- Malpractice RVU1.22 · 9%
54
Medicare services in 2024 · #5310 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.
27060 compared with similar codes
Office rates for Iowa, from the same CMS release.
$62.89
20610 describes aspiration and/or injection of a major joint or bursa without ultrasound. It is not the code for surgical removal of the ischial bursa.
No office rate
27065 is for removal of a superficial hip-region bone lesion. Choose 27060 when the operative target is the ischial bursa, not bone.
$313.60
27040 describes soft-tissue biopsy. It is relevant when tissue is sampled for diagnosis rather than when the ischial bursa is excised.
Compare 27060 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
Iowa →
Office / nonfacility
Unavailable
Facility
$407.41
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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 27060 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
2,732
- Code
- 27060
- Physician work
- 5.72
- Practice expense
- 6.55
- Malpractice
- 1.22
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.72 | × 1.000 | 5.7200 |
| Practice expense | 6.55 | × 0.915 | 5.9932 |
| Malpractice | 1.22 | × 0.397 | 0.4843 |
| Total RVUs | 12.1976 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$407.41
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.72 | 1 |
| Practice expense | 6.55 | 0.915 |
| Malpractice | 1.22 | 0.397 |
(5.72 × 1 + 6.55 × 0.915 + 1.22 × 0.397) × $33.4009 = $407.41
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.
27060 billing questions
How does 27060 differ from 27062?
27060 is for excision of the ischial bursa. Use 27062 for excision involving the trochanteric bursa; the operative site determines the choice.
Can an aspiration or injection code be used instead?
Codes 20610 and 20611 describe aspiration and/or injection of a major joint or bursa, with 20611 involving ultrasound guidance. They describe a different, non-excisional service.
How is bilateral excision reported?
CMS identifies the procedure as bilateral and pays modifier 50 at 150%.
What documentation supports reporting 27060?
The operative report should identify the ischial bursa as the site and document that the surgeon excised it. A hip-region soft-tissue biopsy or bone-lesion removal alone does not establish this service.
Is related postoperative care included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be paid?
CMS applies a statutory restriction to assistant-at-surgery payment for this code. 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 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.
2,72927054,,Removal of hip joint lining,A,,8.98,8.61,NA,8.61,,1.91,19.50,19.50,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73027057,,Buttock fasciotomy w/dbrdmt,A,,14.54,9.94,NA,9.94,,3.09,27.57,27.57,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73127059,,Resect hip/pelv tum 5 cm/>,A,,28.62,14.36,NA,14.36,,6.23,49.21,49.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73227060,,Removal of ischial bursa,A,,5.72,6.55,NA,6.55,,1.22,13.49,13.49,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73327062,,Remove femur lesion/bursa,A,,5.61,6.23,NA,6.23,,1.12,12.96,12.96,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73427065,,Remove hip bone les super,A,,6.39,7.48,NA,7.48,,1.35,15.22,15.22,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73527066,,Remove hip bone les deep,A,,10.92,9.53,NA,9.53,,2.26,22.71,22.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136