CPT code 27632: Soft-tissue excision2026 Medicare rate & RVUs in Massachusetts
Removal of a subcutaneous soft-tissue mass in the leg or ankle measuring at least 3 cm, selected by the lesion’s size and tissue depth.
CMS doesn’t publish an office rate for 27632 in Massachusetts.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 27632 covers
This code describes operative removal of a soft-tissue mass beneath the skin in the leg or ankle, with the mass measuring at least 3 cm. A surgeon, often an orthopedic surgeon, may perform it for a localized mass such as a lipoma. The operative approach exposes and removes the mass from the subcutaneous tissue; a lesion arising within or below fascia is coded differently. The service may be performed in a hospital or ambulatory surgery setting.
Choose this code when the operative report supports both the subcutaneous location and the size threshold. Document the mass dimensions, its relationship to the fascia, and the extent of removal; pathology can support the diagnosis but does not replace the operative findings. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral procedures reported with modifier 50, CMS pays at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
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.
Where 27632 pays more and less in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston | Unavailable | $427.57 |
| Rest Of Massachusetts | Unavailable | $396.41 |
How the 27632 rate is calculated
Each of 27632’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 27632
RVUs × geographic indexes × conversion factor
Work5.76
5.76 RVUs× 1.000 GPCI
Practice expense4.79
4.79 RVUs× 1.000 GPCI
Malpractice1.22
1.22 RVUs× 1.000 GPCI
Adjusted RVUs
11.7700
Conversion factor
$33.4009
Medicare rate
$393.13
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27632
27632 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27632
Soft-tissue excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27632
Soft-tissue excision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27632 without 50 · national facility
$393.13
Soft-tissue excision
27632-50 · Bilateral: 150%
$589.70
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
27632 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27618Soft-tissue excision
- This code applies to a subcutaneous leg or ankle mass measuring at least 3 cm. Code 27618 is the corresponding size level for a smaller mass.
- 27619Soft-tissue excision
- Code 27619 describes a subfascial mass smaller than 5 cm. Choose by the mass’s depth and size, not simply by incision length.
- 27634Soft-tissue excision
- Code 27634 is for a subfascial mass measuring 5 cm or larger; this code is for a subcutaneous mass measuring at least 3 cm.
27632 billing questions
How does this differ from code 27618?
Both describe a subcutaneous mass in the leg or ankle. Use 27632 when the mass is 3 cm or larger; 27618 is for a smaller mass.
What if the mass is below the fascia?
Use the subfascial code family instead. The operative report should establish the mass’s depth, not just the depth of the incision.
Can the pathology examination be billed separately?
The surgeon’s excision and a pathologist’s examination of the submitted specimen are distinct services when each is performed and documented.
What does the 90-day global period include?
CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.
How is a bilateral excision handled?
CMS pays a bilateral procedure reported with modifier 50 at 150%. Document the treated sites and the work performed on each side.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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