27075 is the related radical hip or pelvic tumor resection without acetabular inclusion. Choose 27076 when the operation includes resection of the acetabulum.
On this page
CMS RVU26D · Effective 2026-10-01
27076 Hip tumor resection Medicare reimbursement rates in Maine
Reports radical resection of a pelvic or hip-area tumor when the operation includes removal of the acetabulum as part of the tumor excision. Compare 27076 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 27076 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
$2075.76–$2124.02
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 oncology surgery
About 27076: Radical hip tumor resection including acetabulum
Reports radical resection of a pelvic or hip-area tumor when the operation includes removal of the acetabulum as part of the tumor excision.
This code covers extensive operative removal of a tumor in the hip or pelvic region when the resection includes the acetabulum. Orthopedic oncologic surgeons commonly perform the procedure for primary bone tumors or other tumors requiring radical excision in this area. The operation may involve removing tumor-bearing acetabular bone along with involved surrounding tissue; the operative report should identify the tumor site and describe the extent of resection.
Choose this code when acetabular resection is part of the radical tumor operation, rather than a more limited tumor or bone-lesion removal. Documentation should establish the tumor location, structures removed, and the acetabular involvement. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 27076
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU39.20 · 59%
- Practice expense (office) RVU19.29 · 29%
- Malpractice RVU8.36 · 13%
60
Medicare services in 2024 · #5236 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.
27076 compared with similar codes
Office rates for Maine, from the same CMS release.
27077 identifies radical tumor resection including the innominate bone. For 27076, the defining inclusion is the acetabulum.
27078 identifies radical tumor resection including the femur. Use 27076 when acetabular resection, rather than femoral inclusion, distinguishes the operation.
Compare 27076 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
$2075.76
Southern Maine →
Office / nonfacility
Unavailable
Facility
$2124.02
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
27076 billing questions
How does this differ from 27075?
Use 27076 when radical tumor resection includes the acetabulum. Code 27075 describes radical resection in the hip and pelvic area without that acetabular inclusion.
When would 27077 or 27078 be a closer match?
Those related radical tumor-resection codes distinguish operations that include the innominate bone or femur, respectively. Select according to the bone included in the documented resection.
What operative documentation supports 27076?
Document the tumor's location and the structures removed, including the acetabular resection and the extent of the radical excision.
Can modifier 50 be used for bilateral work?
No bilateral adjustment applies to this code; the descriptor and anatomy make modifier 50 inappropriate.
How are other procedures in the same session paid?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. 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.
