No office rate
Both describe partial bone excision in the pelvic or hip-joint area. The distinction is superficial versus deep operative work.
On this page
CMS RVU26D · Effective 2026-10-01
27070 Hip bone excision Medicare reimbursement rates in Iowa
Reports superficial partial removal of pelvic or hip-joint bone, such as for osteomyelitis, when the operative work is less extensive than deep excision. Compare 27070 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 27070 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
$748.86
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 27070: Superficial partial excision of hip bone
Reports superficial partial removal of pelvic or hip-joint bone, such as for osteomyelitis, when the operative work is less extensive than deep excision.
An orthopedic surgeon removes a limited portion of superficial bone in the pelvis or around the hip joint, commonly to address diseased bone such as osteomyelitis. The operation is generally performed in an operating room. The code describes partial bone excision, not removal of a separately defined bone lesion or a larger tumor resection; the operative report should identify the bone treated and the extent and depth of removal.
Select this code when the documented work is superficial; deeper partial excision is distinguished by 27071. Documentation should support the indication and show the actual bone work performed. The code has a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same 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 available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 27070
- 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 RVU11.27 · 46%
- Practice expense (office) RVU11.21 · 45%
- Malpractice RVU2.25 · 9%
158
Medicare services in 2024 · #4520 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.
27070 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
This code is for partial bone excision, commonly for diseased bone such as osteomyelitis; 27065 is for excision of a superficial bone lesion.
No office rate
Use 27066 for excision of a deep bone lesion. Use 27070 when the service is superficial partial bone excision rather than lesion excision.
No office rate
27075 describes hip-area tumor resection. It is not the limited superficial partial bone excision represented by 27070.
Compare 27070 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
$748.86
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 27070 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
2,737
- Code
- 27070
- Physician work
- 11.27
- Practice expense
- 11.21
- Malpractice
- 2.25
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.27 | × 1.000 | 11.2700 |
| Practice expense | 11.21 | × 0.915 | 10.2572 |
| Malpractice | 2.25 | × 0.397 | 0.8933 |
| Total RVUs | 22.4204 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$748.86
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.27 | 1 |
| Practice expense | 11.21 | 0.915 |
| Malpractice | 2.25 | 0.397 |
(11.27 × 1 + 11.21 × 0.915 + 2.25 × 0.397) × $33.4009 = $748.86
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.
27070 billing questions
How do I choose between 27070 and 27071?
Use 27070 for partial excision of superficial bone in the pelvis or hip-joint area. Use 27071 when the documented excision is deep.
Is removal of a bone lesion reported with 27070?
Not when the operative service is specifically removal of a hip or pelvic bone lesion. Codes such as 27065 or 27066 describe lesion excision at different depths; choose based on the documented procedure.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. Do not separately report those included services as unrelated visits.
How is bilateral surgery reported?
When the procedure is performed bilaterally, modifier 50 is associated with payment at 150% under the CMS rule for this code.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery payment 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.
2,73427065,,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
2,73627067,,Remove/graft hip bone lesion,A,,14.35,11.26,NA,11.26,,3.05,28.66,28.66,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73727070,,Part remove hip bone super,A,,11.27,11.21,NA,11.21,,2.25,24.73,24.73,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73827071,,Part removal hip bone deep,A,,12.08,12.80,NA,12.80,,2.55,27.43,27.43,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73927075,,Resect hip tumor,A,,31.89,16.96,NA,16.96,,6.79,55.64,55.64,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74027076,,Resect hip tum incl acetabul,A,,39.20,19.29,NA,19.29,,8.36,66.85,66.85,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,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