No office rate
Use 27365 for radical resection involving a femoral bone tumor. Use 27364 when the radical resection is of a thigh or knee soft-tissue tumor.
On this page
CMS RVU26D · Effective 2026-10-01
27365 Bone tumor resection Medicare reimbursement rates in Michigan
Radical resection of a femoral or knee-region tumor is reported for en bloc removal of a bone tumor requiring wide oncologic margins. Compare 27365 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 27365 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
$1816.88–$1971.05
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 oncology surgery
About 27365: Radical femoral tumor resection
Radical resection of a femoral or knee-region tumor is reported for en bloc removal of a bone tumor requiring wide oncologic margins.
This code describes an extensive oncologic operation to remove a tumor involving the femur or knee region, generally by taking the tumor out en bloc with a margin of surrounding tissue. Orthopedic oncologists typically perform the procedure in a hospital operating room for a primary malignant bone tumor, such as an osteosarcoma. The operative report should identify the tumor’s location and extent and describe the resection performed.
Report the code for radical tumor resection of the femur or knee region, not for limited curettage of a bone lesion or resection of a soft-tissue mass. Documentation should support the tumor’s bone involvement and the radical extent of the operation. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 bilateral procedures are paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27365
- 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 RVU31.40 · 57%
- Practice expense (office) RVU16.89 · 31%
- Malpractice RVU6.71 · 12%
568
Medicare services in 2024 · #3445 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.
27365 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
Code 27355 describes curettage or excision of a femoral bone lesion. Code 27365 is for the more extensive radical tumor resection.
No office rate
Code 27339 is for excision of a deep soft-tissue thigh or knee tumor. It does not describe radical resection of a femoral bone tumor.
Compare 27365 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
$1971.05
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$1816.88
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27365 billing questions
How is this different from code 27364?
Code 27365 is for radical tumor resection involving the femur or knee region. Code 27364 describes radical resection of a tumor in the thigh or knee soft tissues.
Can this code be used for curettage of a femoral lesion?
No. Limited curettage or excision of a femoral bone lesion is distinct from the radical resection represented by this code; consider code 27355 when the documented procedure is curettage of a benign femoral lesion.
Does the 90-day global period include related postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in that session are paid at 50% under the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted for this code.
How is a bilateral procedure handled?
For a bilateral procedure reported with modifier 50, CMS pays at 150%.
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.
2,85627358,,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
2,86227380,,Repair of kneecap tendon,A,,7.26,9.14,NA,9.14,,1.50,17.90,17.90,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00