No office rate
Both concern deep hip or pelvic tumor excision, but 27048 is for tumors smaller than 5 cm; 27045 requires at least 5 cm.
On this page
CMS RVU26D · Effective 2026-10-01
27045 Tumor excision Medicare reimbursement rates in Massachusetts
Reports surgical excision of a deep soft-tissue tumor in the hip or pelvic area when the documented tumor measures 5 cm or larger. Compare 27045 office and facility rates across CMS payment localities in Massachusetts.
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 27045 in Massachusetts?
Massachusetts 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
$694.21–$745.81
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.
Soft tissue surgery
About 27045: Deep hip or pelvic tumor excision
Reports surgical excision of a deep soft-tissue tumor in the hip or pelvic area when the documented tumor measures 5 cm or larger.
This code describes surgical removal of a deep soft-tissue tumor in the hip or pelvic area measuring at least 5 cm. The surgeon may encounter a mass beneath the subcutaneous tissue, such as one involving deeper soft tissue or muscle. It is used for operative removal, rather than sampling alone, and the operative report should identify the site, depth, size, and extent of removal. Orthopedic surgeons and other surgeons who treat pelvic and hip-region masses may perform the procedure in a hospital or outpatient surgical setting.
Select this code when the documented tumor is deep and meets the 5 cm threshold; a smaller deep tumor or a superficial lesion points to a different code. The record should support the tumor’s dimensions and location as well as the excision performed. Medicare 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 one session, the highest-valued procedure is paid in full and others are subject to the standard multiple-procedure reduction. Modifier 50 identifies bilateral procedures, paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. Team surgery is not permitted.
CMS billing rules for 27045
- 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 RVU10.85 · 52%
- Practice expense (office) RVU7.43 · 36%
- Malpractice RVU2.43 · 12%
745
Medicare services in 2024 · #3212 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.
27045 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
27059 describes tumor resection at the 5 cm-or-larger size level. Distinguish it from 27045 by the operative procedure and extent documented.
No office rate
27043 is for a subcutaneous hip or pelvic lesion measuring 3 cm or larger. This code is for a deep tumor measuring at least 5 cm.
No office rate
27041 is a soft-tissue biopsy code. Use 27045 when the surgeon excises the qualifying deep tumor rather than sampling it.
Compare 27045 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
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$745.81
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$694.21
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27045 billing questions
How does this differ from 27048?
Both describe deep hip or pelvic tumor excision. Use 27045 when the tumor is 5 cm or larger and 27048 when it is smaller than 5 cm.
When would 27059 be more appropriate?
27059 describes resection of a hip or pelvic soft-tissue tumor measuring 5 cm or larger. Choose between the codes based on the documented procedure and extent of removal, not size alone.
What documentation supports 27045?
The operative report should identify the hip or pelvic site, establish that the tumor is deep, document a size of at least 5 cm, and describe the excision performed.
How does the 90-day global period affect billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can modifier 50 or an assistant-at-surgery claim be reported?
Modifier 50 applies to a bilateral procedure, which Medicare pays at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation.
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.
2,72027040,,Biopsy of soft tissues,A,,2.85,6.96,,2.19,,0.43,10.24,5.47,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72127041,,Biopsy of soft tissues,A,,9.93,7.67,NA,7.67,,2.01,19.61,19.61,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72227043,,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