No office rate
Choose 27355 when the lesion is treated without graft; 27356 includes filling the defect with autograft.
On this page
CMS RVU26D · Effective 2026-10-01
27356 Bone lesion surgery Medicare reimbursement rates in Kansas
Reports curettage or excision of a benign femoral bone lesion when the resulting cavity is filled with autologous bone graft. Compare 27356 office and facility rates across CMS payment localities in Kansas.
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 27356 in Kansas?
Kansas 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
$633.48
1 of 1 localities have a supported rate.
Payment area: Kansas
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 27356: Femoral lesion curettage with autograft
Reports curettage or excision of a benign femoral bone lesion when the resulting cavity is filled with autologous bone graft.
An orthopedic surgeon uses this service to remove or curette a benign bone cyst or tumor in the femur and fill the resulting defect with the patient’s own bone graft. The work is typically performed in an operating room when the lesion requires operative treatment; graft procurement is included in this code. The operative report should identify the femoral lesion, describe its removal or curettage, and document placement of autograft.
Select this code when autograft is used, rather than the related code for treatment without graft, allograft, or internal fixation. It has 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 may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27356
- 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 RVU9.84 · 47%
- Practice expense (office) RVU8.93 · 43%
- Malpractice RVU2.09 · 10%
77
Medicare services in 2024 · #5083 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.
27356 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
Choose 27357 for allograft. Code 27356 is the corresponding grafted treatment using the patient’s own bone.
No office rate
Choose 27358 when internal fixation is part of the femoral lesion treatment; 27356 identifies treatment with autograft.
Compare 27356 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
Kansas →
Office / nonfacility
Unavailable
Facility
$633.48
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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 27356 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
2,854
- Code
- 27356
- Physician work
- 9.84
- Practice expense
- 8.93
- Malpractice
- 2.09
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.84 | × 1.000 | 9.8400 |
| Practice expense | 8.93 | × 0.904 | 8.0727 |
| Malpractice | 2.09 | × 0.504 | 1.0534 |
| Total RVUs | 18.9661 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$633.48
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.84 | 1 |
| Practice expense | 8.93 | 0.904 |
| Malpractice | 2.09 | 0.504 |
(9.84 × 1 + 8.93 × 0.904 + 2.09 × 0.504) × $33.4009 = $633.48
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.
27356 billing questions
How does this differ from 27355?
Use 27356 when the femoral lesion is curetted or excised and the defect is filled with autograft. Code 27355 describes the corresponding treatment without graft.
Does this code include harvesting the bone graft?
Yes. The autograft procurement is included; do not separately report the graft-harvesting work.
When is 27357 a better choice?
Use 27357 when the graft placed in the defect is allograft rather than the patient’s own bone.
How should bilateral femoral lesions be reported?
Report bilateral treatment with modifier 50. CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery 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.
2,85127347,,Remove knee cyst,A,,6.56,7.31,NA,7.31,,1.34,15.21,15.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85227350,,Removal of kneecap,A,,8.44,8.37,NA,8.37,,1.76,18.57,18.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85327355,,Remove femur lesion,A,,7.80,7.85,NA,7.85,,1.64,17.29,17.29,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85427356,,Remove femur lesion/graft,A,,9.84,8.93,NA,8.93,,2.09,20.86,20.86,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85527357,,Remove femur lesion/graft,A,,10.88,9.76,NA,9.76,,2.31,22.95,22.95,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85627358,,Remove femur lesion/fixation,A,,4.61,1.47,NA,1.47,,1.00,7.08,7.08,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85727360,,Partial removal leg bone(s),A,,11.17,12.10,NA,12.10,,2.38,25.65,25.65,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958