No office rate
This code is for a superficial lesion; 27066 is the corresponding service when the pelvic or hip bone lesion is deep.
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CMS RVU26D · Effective 2026-10-01
27065 Bone lesion removal Medicare reimbursement rates in Michigan
Reports surgical curettage or excision of a superficial benign bone lesion or cyst in the pelvis or hip, without bone grafting. Compare 27065 office and facility rates across CMS payment localities in Michigan.
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 27065 in Michigan?
Michigan 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
$492.44–$530.55
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 27065: Superficial hip or pelvic bone lesion removal
Reports surgical curettage or excision of a superficial benign bone lesion or cyst in the pelvis or hip, without bone grafting.
An orthopedic surgeon uses this service to remove or curette a superficial cyst or benign tumor arising in bone of the pelvis or hip. The operative work treats the bone lesion itself, rather than a mass limited to nearby soft tissue. It is generally performed in an operating room, with the removed material available for pathologic examination. The code is distinguished from its deep-lesion counterpart by the documented depth and surgical approach, not by lesion diameter.
Select this code when the operative report supports treatment of a superficial bone lesion and does not describe the grafting service represented by a different code. Document the bone involved, lesion depth, operative approach, and whether the surgeon excised or curetted the lesion. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 27065
- 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 RVU6.39 · 42%
- Practice expense (office) RVU7.48 · 49%
- Malpractice RVU1.35 · 9%
91
Medicare services in 2024 · #4946 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.
27065 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
Choose 27067 when treatment includes bone grafting. This code describes superficial lesion treatment without that grafting service.
No office rate
27070 describes partial removal of superficial hip or pelvic bone. This code is focused on curettage or excision of a bone cyst or benign tumor.
$510.38–$548.88
27047 concerns an excision of a superficial soft-tissue lesion in the hip or pelvis region; this code treats a lesion arising in bone.
Compare 27065 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
Detroit →
Office / nonfacility
Unavailable
Facility
$530.55
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$492.44
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27065 billing questions
How is this code distinguished from 27066?
Use 27065 for a superficial pelvic or hip bone lesion. Code 27066 represents the deep-lesion counterpart; the operative report should support the depth and approach.
Can this code be used when the surgeon grafts the defect?
When the service includes bone grafting for the lesion, consider 27067 rather than reporting this code as though grafting were included.
Is a separate biopsy reported for the lesion that is removed?
The specimen from the therapeutic excision or curettage does not by itself establish a separate biopsy service. The record should distinguish any separately performed diagnostic work from treatment of the lesion.
What documentation supports superficial classification?
Document the affected pelvic or hip bone, the lesion's depth, the surgical approach, and the excision or curettage performed. A size measurement alone does not establish the superficial-versus-deep distinction.
How are multiple procedures and bilateral services handled?
For multiple procedures in one session, the highest-valued procedure is paid in full and the others are subject to the standard reduction. Bilateral reporting with modifier 50 is paid at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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.
2,73127059,,Resect hip/pelv tum 5 cm/>,A,,28.62,14.36,NA,14.36,,6.23,49.21,49.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73227060,,Removal of ischial bursa,A,,5.72,6.55,NA,6.55,,1.22,13.49,13.49,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73327062,,Remove femur lesion/bursa,A,,5.61,6.23,NA,6.23,,1.12,12.96,12.96,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73427065,,Remove hip bone les super,A,,6.39,7.48,NA,7.48,,1.35,15.22,15.22,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73527066,,Remove hip bone les deep,A,,10.92,9.53,NA,9.53,,2.26,22.71,22.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73627067,,Remove/graft hip bone lesion,A,,14.35,11.26,NA,11.26,,3.05,28.66,28.66,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73727070,,Part remove hip bone super,A,,11.27,11.21,NA,11.21,,2.25,24.73,24.73,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00