$496.53
27603 addresses a lower-leg soft-tissue lesion. Use 27607 when the surgeon opens bone cortex to treat an osseous infection or abscess.
On this page
CMS RVU26D · Effective 2026-10-01
27607 Bone incision Medicare reimbursement rates in Kansas
Reports surgical opening of lower-leg or ankle bone cortex to treat an osseous infection, such as osteomyelitis or a bone abscess. Compare 27607 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 27607 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
$517.59
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 27607: Lower leg cortical bone incision
Reports surgical opening of lower-leg or ankle bone cortex to treat an osseous infection, such as osteomyelitis or a bone abscess.
An orthopedic surgeon opens the cortex of a lower-leg or ankle bone to reach and treat infection within the bone, such as osteomyelitis or an intraosseous abscess. The service is generally performed in an operating room or other surgical setting; it is distinct from draining a soft-tissue collection or removing a benign bone growth. The operative report should identify the bone and site, the infection or abscess treated, and the cortical access and treatment performed.
Report this code for the cortical bone procedure, not for a soft-tissue lesion or a bone lesion treated by excision or curettage. It has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral performance, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 27607
- 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 RVU8.40 · 49%
- Practice expense (office) RVU6.93 · 41%
- Malpractice RVU1.65 · 10%
495
Medicare services in 2024 · #3572 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.
27607 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
27635 is for excision or curettage of a bone cyst or benign tumor in the tibia or fibula. 27607 describes cortical access for treatment such as osteomyelitis or bone abscess.
No office rate
27637 involves removal or curettage of a leg-bone lesion with grafting. Choose 27607 for the documented cortical procedure to treat infection, not a grafted lesion procedure.
Compare 27607 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
$517.59
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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 27607 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
2,969
- Code
- 27607
- Physician work
- 8.40
- Practice expense
- 6.93
- Malpractice
- 1.65
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.40 | × 1.000 | 8.4000 |
| Practice expense | 6.93 | × 0.904 | 6.2647 |
| Malpractice | 1.65 | × 0.504 | 0.8316 |
| Total RVUs | 15.4963 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$517.59
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.4 | 1 |
| Practice expense | 6.93 | 0.904 |
| Malpractice | 1.65 | 0.504 |
(8.4 × 1 + 6.93 × 0.904 + 1.65 × 0.504) × $33.4009 = $517.59
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.
27607 billing questions
When is 27607 appropriate instead of 27635?
Use 27607 for cortical access to treat an infection such as osteomyelitis or a bone abscess. Code 27635 describes excision or curettage for a bone cyst or benign tumor.
Can a soft-tissue abscess be reported with 27607?
No. This code is for work on the bone cortex; drainage of a lower-leg soft-tissue lesion is a different service, represented by 27603 when its descriptor and documentation fit.
Does 27607 have a global period?
Yes. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral performance reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard multiple-procedure reduction.
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.
2,96627604,,Drain lower leg bursa,A,,4.48,9.00,,4.18,,0.82,14.30,9.48,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,96727605,,Incision of achilles tendon,A,,2.85,6.96,,2.06,,0.28,10.09,5.19,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,96827606,,Incision of achilles tendon,A,,4.08,2.90,NA,2.90,,0.65,7.63,7.63,0,010,0.10,0.80,0.10,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,96927607,,Treat lower leg bone lesion,A,,8.40,6.93,NA,6.93,,1.65,16.98,16.98,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97027610,,Explore/treat ankle joint,A,,8.90,7.71,NA,7.71,,1.64,18.25,18.25,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97127612,,Exploration of ankle joint,A,,7.95,7.01,NA,7.01,,1.25,16.21,16.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97227613,,Biopsy lower leg soft tissue,A,,2.16,5.32,,2.03,,0.33,7.81,4.52,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,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