$240.20
Both describe soft-tissue biopsy in the leg or ankle area; choose 27614 for deep tissue and 27613 for superficial tissue.
On this page
CMS RVU26D · Effective 2026-10-01
27614 Soft-tissue biopsy Medicare reimbursement rates in Kentucky
Reports surgical sampling of deep soft tissue in the lower leg or ankle area when tissue is obtained for diagnostic evaluation. Compare 27614 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 27614 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
$564.28
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$370.09
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 27614: Deep lower-leg soft-tissue biopsy
Reports surgical sampling of deep soft tissue in the lower leg or ankle area when tissue is obtained for diagnostic evaluation.
This service is a surgical biopsy of deep soft tissue in the lower leg or ankle area, such as tissue beneath the superficial layer. An orthopedic surgeon or other surgeon may obtain a sample to investigate a suspicious mass or an unexplained soft-tissue abnormality. The specimen is submitted for diagnostic examination; the service is sampling, not removal of the lesion as definitive treatment.
Select this code when the operative documentation supports a deep soft-tissue biopsy, rather than a superficial biopsy or excision of a tumor. Document the target, its depth and location, and that tissue was sampled for diagnosis. CMS assigns 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 other procedures are subject to the standard multiple procedure reduction. For bilateral procedures reported with modifier 50, CMS pays at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 27614
- 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 RVU5.66 · 31%
- Practice expense (office) RVU11.69 · 64%
- Malpractice RVU0.92 · 5%
254
Medicare services in 2024 · #4127 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.
27614 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
27614 samples tissue for diagnosis. 27615 describes tumor resection, when the operative service is removal rather than biopsy.
No office rate
27614 is a deep-tissue biopsy; 27619 describes excision of a deep leg or ankle tumor under the code's size threshold.
Compare 27614 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
$564.28
Facility
$370.09
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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 27614 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
2,973
- Code
- 27614
- Physician work
- 5.66
- Practice expense
- 11.69
- Malpractice
- 0.92
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.66 | × 1.000 | 5.6600 |
| Practice expense | 11.69 | × 0.889 | 10.3924 |
| Malpractice | 0.92 | × 0.915 | 0.8418 |
| Total RVUs | 16.8942 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$564.28
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.66 | 1 |
| Practice expense | 11.69 | 0.889 |
| Malpractice | 0.92 | 0.915 |
(5.66 × 1 + 11.69 × 0.889 + 0.92 × 0.915) × $33.4009 = $564.28
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.66 | 1 |
| Practice expense | 5.15 | 0.889 |
| Malpractice | 0.92 | 0.915 |
(5.66 × 1 + 5.15 × 0.889 + 0.92 × 0.915) × $33.4009 = $370.09
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.
27614 billing questions
How does this differ from 27613?
27614 is for biopsy of deep soft tissue in the lower leg or ankle area. Use 27613 when the biopsied tissue is superficial.
Can this be reported when the lesion is removed?
This code describes diagnostic tissue sampling. When the surgeon excises or resects the lesion rather than taking a biopsy, select the code that describes the removal performed.
What documentation supports the deep-biopsy selection?
Document the lower-leg or ankle target, its depth, and the tissue sampled for diagnostic evaluation. The operative note should make clear that the procedure was a biopsy rather than lesion excision.
What 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 does Medicare handle bilateral reporting?
For a bilateral procedure reported with modifier 50, CMS pays at 150%. Same-session procedures are also subject to the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is statutorily restricted. CMS does not permit co-surgeons or team surgery for this code.
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.
2,97027610,,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
2,97327614,,Biopsy lower leg soft tissue,A,,5.66,11.69,,5.15,,0.92,18.27,11.73,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97427615,,Resect leg/ankle tum < 5 cm,A,,15.33,9.61,NA,9.61,,3.29,28.23,28.23,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97527616,,Resect leg/ankle tum 5 cm/>,A,,19.14,11.38,NA,11.38,,4.17,34.69,34.69,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97627618,,Exc leg/ankle tum < 3 cm,A,,3.86,10.88,,4.29,,0.78,15.52,8.93,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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