$309.26
Choose 27086 when the foreign object is subcutaneous in the pelvis or hip region. Choose 27087 when it is lodged in deep tissue, such as muscle.
On this page
CMS RVU26D · Effective 2026-10-01
27087 Foreign body removal Medicare reimbursement rates in Kentucky
Report removal of a foreign object from deep pelvic or hip tissues, such as a retained fragment embedded in muscle. Compare 27087 office and facility rates across CMS payment localities in Kentucky.
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 27087 in Kentucky?
Kentucky 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
$563.97
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 27087: Deep hip foreign body removal
Report removal of a foreign object from deep pelvic or hip tissues, such as a retained fragment embedded in muscle.
This service covers operative retrieval of foreign material lodged deep in the pelvis or hip region, including material embedded in muscle. An orthopedic, trauma, or other surgeon may perform it in a hospital or ambulatory surgical setting when reaching and extracting the object requires deep dissection rather than a superficial skin-level procedure. A retained fragment from a penetrating injury is a typical clinical situation.
Select this code when the operative report supports a deep pelvic or hip location; distinguish it from removal of a subcutaneous object. Document the object’s location, depth, operative approach, and retrieval. The operation 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 the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27087
- 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 RVU8.61 · 48%
- Practice expense (office) RVU7.26 · 41%
- Malpractice RVU1.99 · 11%
83
Medicare services in 2024 · #5015 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.
27087 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$455.20
This code describes deep or complicated foreign-body removal from muscle or tendon sheath in another anatomic coding context. Use 27087 for deep pelvic or hip removal.
No office rate
27090 is for removal of a hip prosthesis. Code 27087 is for foreign material, not an implanted hip replacement.
Compare 27087 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$563.97
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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 27087 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
2,745
- Code
- 27087
- Physician work
- 8.61
- Practice expense
- 7.26
- Malpractice
- 1.99
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.61 | × 1.000 | 8.6100 |
| Practice expense | 7.26 | × 0.889 | 6.4541 |
| Malpractice | 1.99 | × 0.915 | 1.8209 |
| Total RVUs | 16.8850 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$563.97
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.61 | 1 |
| Practice expense | 7.26 | 0.889 |
| Malpractice | 1.99 | 0.915 |
(8.61 × 1 + 7.26 × 0.889 + 1.99 × 0.915) × $33.4009 = $563.97
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.
27087 billing questions
How does this differ from 27086?
27087 is for a foreign object lodged deep in the pelvis or hip, such as within muscle. Use 27086 for a subcutaneous object in that region.
Is removal of a hip prosthesis reported with this code?
No. Removal of a hip prosthesis is a different operation; 27087 addresses retrieval of foreign material, not removal of the prosthetic joint.
Can the incision or exploration be billed separately?
The operative access and retrieval are part of the foreign-body removal service. Do not separately report an incision code for the same work.
What documentation supports choosing 27087?
Record the foreign material, its deep pelvic or hip location, the operative dissection used to reach it, and its removal. The report should distinguish deep tissue from subcutaneous location.
How is bilateral removal reported?
For a bilateral procedure, report modifier 50; CMS pays the bilateral service at 150%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation, and 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.
2,74227078,,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
2,74527087,,Remove hip foreign body,A,,8.61,7.26,NA,7.26,,1.99,17.86,17.86,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74627090,,Removal of hip prosthesis,A,,11.40,9.36,NA,9.36,,2.39,23.15,23.15,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74727091,,Removal of hip prosthesis,A,,23.74,14.26,NA,14.26,,5.03,43.03,43.03,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74827093,,Injection for hip x-ray,A,,1.27,5.54,,0.31,,0.15,6.96,1.73,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631