No office rate
27080 removes the coccyx. Code 27075 describes a radical pelvic or hip tumor resection, not routine coccygectomy for coccydynia.
On this page
CMS RVU26D · Effective 2026-10-01
27080 Coccygectomy Medicare reimbursement rates in Michigan
Reports surgical removal of the coccyx, commonly for persistent coccydynia when conservative treatment has not relieved tailbone pain. Compare 27080 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 27080 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
$488.84–$531.71
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 27080: Coccygectomy for persistent tailbone pain
Reports surgical removal of the coccyx, commonly for persistent coccydynia when conservative treatment has not relieved tailbone pain.
This operation removes the coccyx, the small terminal bone at the base of the spine. It is commonly performed by an orthopedic or spine surgeon for persistent coccydynia after conservative treatment has failed. The procedure is typically done in a hospital or ambulatory surgery setting, with the patient positioned to give the surgeon access to the tailbone.
Report 27080 when the operative service is removal of the coccyx, rather than resection of a broader pelvic or hip tumor. Documentation should identify the indication and describe the bone removed and the operative work. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this anatomy. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27080
- 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 RVU6.72 · 45%
- Practice expense (office) RVU6.58 · 44%
- Malpractice RVU1.69 · 11%
272
Medicare services in 2024 · #4068 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.
27080 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
Choose 27076 when the documented tumor resection includes the acetabulum; 27080 is for removal of the coccyx.
No office rate
27090 concerns removal of a hip prosthesis. It does not describe removal of the coccyx.
Compare 27080 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
$531.71
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$488.84
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27080 billing questions
When should I report 27080 instead of a pelvic tumor resection code?
Use 27080 when the operation removes the coccyx. A pelvic or hip tumor resection code may be appropriate when the documented operation is a broader tumor resection rather than coccygectomy.
Does the 90-day global period include related postoperative care?
Yes. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the global period.
Can modifier 50 be reported for coccygectomy?
No. The CMS facts specify that bilateral adjustment does not apply and modifier 50 is inappropriate for this anatomy.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be available. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
What should the operative note establish?
Document the indication for coccyx removal and describe the coccyx removed and the operative work. This supports selecting 27080 rather than a code for a different pelvic or hip procedure.
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.
2,74027076,,Resect hip tum incl acetabul,A,,39.20,19.29,NA,19.29,,8.36,66.85,66.85,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74127077,,Resect hip tum w/innom bone,A,,44.08,20.85,NA,20.85,,9.41,74.34,74.34,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74227078,,Rsect hip tum incl femur,A,,31.40,16.81,NA,16.81,,6.69,54.90,54.90,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74327080,,Removal of tail bone,A,,6.72,6.58,NA,6.58,,1.69,14.99,14.99,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74427086,,Remove hip foreign body,A,,1.87,7.90,,2.74,,0.40,10.17,5.01,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74527087,,Remove hip foreign body,A,,8.61,7.26,NA,7.26,,1.99,17.86,17.86,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74627090,,Removal of hip prosthesis,A,,11.40,9.36,NA,9.36,,2.39,23.15,23.15,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00