No office rate
Use 27339 for excision of a deep soft-tissue tumor in the thigh or knee. This code requires radical resection of a tumor at least 5 cm.
On this page
CMS RVU26D · Effective 2026-10-01
27364 Soft-tissue tumor resection Medicare reimbursement rates in Massachusetts
Reports wide resection of a soft-tissue tumor in the thigh or knee region measuring at least 5 cm, rather than routine excision or bone-tumor surgery. Compare 27364 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 27364 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
$1431.21–$1531.83
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.
Musculoskeletal surgery
About 27364: Radical thigh or knee soft-tissue tumor resection
Reports wide resection of a soft-tissue tumor in the thigh or knee region measuring at least 5 cm, rather than routine excision or bone-tumor surgery.
This service involves an extensive, margin-oriented removal of a soft-tissue tumor in the thigh or knee region that is at least 5 cm. It is typically performed by an orthopedic oncologist or another surgeon experienced in musculoskeletal tumor surgery, often in a hospital operating room. The target is soft tissue; a tumor arising in the femur is coded differently. A large mass alone does not establish this service if the operative approach is a routine excision rather than a radical resection.
Report the code when the operative documentation supports the region, soft-tissue origin, size threshold, and extent of resection. The CMS global period includes 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 at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27364
- 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 RVU23.88 · 56%
- Practice expense (office) RVU13.61 · 32%
- Malpractice RVU5.34 · 12%
885
Medicare services in 2024 · #3059 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.
27364 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
Code 27337 describes excision of a subcutaneous lesion. This code is for radical resection of a larger soft-tissue tumor in the thigh or knee region.
No office rate
Code 27365 is for radical resection of a tumor involving the femur or knee bone; this code addresses soft tissue.
Compare 27364 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
$1531.83
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$1431.21
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27364 billing questions
How does this differ from code 27339?
This code describes radical, margin-oriented removal of a soft-tissue tumor at least 5 cm in the thigh or knee region. Code 27339 is for excision of a deep soft-tissue tumor, not the radical resection represented here.
Does a tumor measuring 5 cm automatically qualify?
No. The record should support both the size threshold and the radical extent of resection, as well as the thigh or knee region and soft-tissue origin.
Should this code be used for a tumor arising in the femur?
No. This code is for a soft-tissue tumor; a tumor arising in the femur is represented by a bone-tumor procedure code, such as 27365 when radical resection is performed.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; CMS does not permit team-surgery payment for this code.
How are bilateral and same-session procedures paid?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%.
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.
2,85527357,,Remove femur lesion/graft,A,,10.88,9.76,NA,9.76,,2.31,22.95,22.95,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85627358,,Remove femur lesion/fixation,A,,4.61,1.47,NA,1.47,,1.00,7.08,7.08,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85727360,,Partial removal leg bone(s),A,,11.17,12.10,NA,12.10,,2.38,25.65,25.65,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85827364,,Resect thigh/knee tum 5 cm/>,A,,23.88,13.61,NA,13.61,,5.34,42.83,42.83,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85927365,,Resect femur/knee tumor,A,,31.40,16.89,NA,16.89,,6.71,55.00,55.00,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,86027369,,Njx cntrst kne arthg/ct/mri,A,,0.75,4.61,,0.19,,0.08,5.44,1.02,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,86127372,,Removal of foreign body,A,,5.08,12.98,,5.57,,1.07,19.13,11.72,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00