No office rate
This is a related pelvic tumor resection code. Use 27077 when the operative resection involves the innominate bone; distinguish the codes by the structures documented as resected.
On this page
CMS RVU26D · Effective 2026-10-01
27077 Hip tumor resection Medicare reimbursement rates in Iowa
Extensive pelvic tumor resection involving the innominate bone, reported when operative removal encompasses this bone rather than a more limited hip or pelvic lesion. Compare 27077 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 27077 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
$2234.30
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 oncology
About 27077: Hip tumor resection involving innominate bone
Extensive pelvic tumor resection involving the innominate bone, reported when operative removal encompasses this bone rather than a more limited hip or pelvic lesion.
This code describes extensive surgery to remove a tumor involving the innominate bone of the pelvis. It is typically performed by an orthopedic oncologist or another surgeon experienced in pelvic tumor surgery, often in a hospital operating room. The operative approach and amount of bone removed depend on the tumor’s location and extent; this is distinct from a limited bone-lesion excision or a resection specifically involving the acetabulum or femur.
Select the code from the structures actually resected, not imaging findings alone or the tumor’s size by itself. The operative report should identify the tumor site, the innominate bone resected, and the extent of the procedure. Medicare assigns a 90-day global period, including 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 other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27077
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU44.08 · 59%
- Practice expense (office) RVU20.85 · 28%
- Malpractice RVU9.41 · 13%
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.
27077 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
Code 27076 specifies a pelvic tumor resection including the acetabulum. Code 27077 identifies resection involving the innominate bone.
No office rate
Code 27078 specifies tumor resection involving the femur. Code 27077 is the relevant choice when the documented resection involves the innominate bone.
Compare 27077 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
$2234.30
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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 27077 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
2,741
- Code
- 27077
- Physician work
- 44.08
- Practice expense
- 20.85
- Malpractice
- 9.41
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 44.08 | × 1.000 | 44.0800 |
| Practice expense | 20.85 | × 0.915 | 19.0778 |
| Malpractice | 9.41 | × 0.397 | 3.7358 |
| Total RVUs | 66.8935 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$2234.30
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 44.08 | 1 |
| Practice expense | 20.85 | 0.915 |
| Malpractice | 9.41 | 0.397 |
(44.08 × 1 + 20.85 × 0.915 + 9.41 × 0.397) × $33.4009 = $2234.30
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.
27077 billing questions
How does this differ from code 27076?
Choose based on the resection performed and the anatomic structures involved. Code 27076 identifies a pelvic tumor resection that includes the acetabulum; this code identifies involvement of the innominate bone.
What documentation supports reporting this code?
The operative report should describe the tumor location, the innominate bone removed, and the extent of resection. Document the actual procedure rather than relying only on preoperative imaging or a diagnosis of pelvic tumor.
Can modifier 50 be used for bilateral surgery?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures performed in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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.
2,73827071,,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
2,74127077,,Resect hip tum w/innom bone,A,,44.08,20.85,NA,20.85,,9.41,74.34,74.34,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74227078,,Rsect hip tum incl femur,A,,31.40,16.81,NA,16.81,,6.69,54.90,54.90,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74327080,,Removal of tail bone,A,,6.72,6.58,NA,6.58,,1.69,14.99,14.99,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74427086,,Remove hip foreign body,A,,1.87,7.90,,2.74,,0.40,10.17,5.01,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,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