No office rate
Both cover deep hip or pelvic tumor excision. Choose 27048 for tumors under 5 cm and 27045 for tumors measuring 5 cm or more.
On this page
CMS RVU26D · Effective 2026-10-01
27048 Tumor excision Medicare reimbursement rates in Maine
Removal of a deep soft-tissue tumor in the hip or pelvic region smaller than 5 cm when the surgeon performs an excision. Compare 27048 office and facility rates across CMS payment localities in Maine.
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 27048 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$542.96–$560.00
2 of 2 localities have a supported rate.
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 27048: Deep hip or pelvic tumor excision under 5 cm
Removal of a deep soft-tissue tumor in the hip or pelvic region smaller than 5 cm when the surgeon performs an excision.
Code 27048 describes operative removal of a soft-tissue tumor in the hip or pelvic area that lies beneath the superficial fascia, such as within muscle, and measures less than 5 cm. An orthopedic surgeon, often an orthopedic oncologist, may perform this in an operating room for a known or suspected mass; the removed tissue is ordinarily submitted for pathologic examination. The code hinges on the tumor’s deep location and size, not simply the length of the skin incision.
Choose this code when the operative report supports excision of a deep lesion under 5 cm. Document the site, depth or compartment, tumor dimensions, and whether the surgeon excised or resected it. CMS assigns a 90-day global period, including the day-before preoperative visit and 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 27048
- 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 RVU8.63 · 49%
- Practice expense (office) RVU6.93 · 39%
- Malpractice RVU2.01 · 11%
386
Medicare services in 2024 · #3765 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.
27048 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
This code is for a superficial hip or pelvic lesion 3 cm or larger. Code 27048 is for a deep tumor under 5 cm.
$493.60–$517.80
This code is for a superficial hip or pelvic lesion under 3 cm; 27048 requires a deep tumor, regardless of the superficial-lesion size grouping.
No office rate
Both address deep hip or pelvic tumors under 5 cm. The operative service distinguishes them: excision for 27048 versus resection for 27049.
Compare 27048 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$542.96
Southern Maine →
Office / nonfacility
Unavailable
Facility
$560.00
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27048 billing questions
How does 27048 differ from 27045?
Both describe deep hip or pelvic tumor excision, but 27048 is for a tumor under 5 cm. Use 27045 when the deep tumor measures 5 cm or more.
How does this differ from 27043 or 27047?
Those codes are for superficial hip or pelvic lesions. Code 27048 is for a tumor beneath the superficial fascia, such as within muscle.
When would 27049 be considered instead?
Consider 27049 when the operative service is a resection rather than an excision of a deep hip or pelvic tumor under 5 cm. The operative report should describe the procedure performed.
What documentation supports reporting 27048?
The operative report should identify the hip or pelvic site, the tumor’s deep location or compartment, its dimensions, and the removal performed. Tumor size—not incision length—distinguishes this code from size-based neighbors.
How is a bilateral procedure reported?
CMS lists this as a bilateral procedure; report modifier 50 when appropriate. CMS pays bilateral reporting at 150%.
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.
2,72227043,,Exc hip pelvis les sc 3 cm/>,A,,6.71,5.23,NA,5.23,,1.65,13.59,13.59,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72327045,,Exc hip/pelv tum deep 5 cm/>,A,,10.85,7.43,NA,7.43,,2.43,20.71,20.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72427047,,Exc hip/pelvis les sc < 3 cm,A,,4.82,10.06,,4.58,,1.13,16.01,10.53,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72527048,,Exc hip/pelv tum deep < 5 cm,A,,8.63,6.93,NA,6.93,,2.01,17.57,17.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72627049,,Resect hip/pelv tum < 5 cm,A,,21.01,13.20,NA,13.20,,4.47,38.68,38.68,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72727050,,Biopsy of sacroiliac joint,A,,4.62,6.35,NA,6.35,,1.00,11.97,11.97,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72827052,,Biopsy of hip joint,A,,7.23,7.90,NA,7.90,,1.53,16.66,16.66,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00