No office rate
Both concern tumors under 5 cm in the hip or pelvic area, but 27049 is for radical resection; 27048 describes deep soft-tissue excision.
On this page
CMS RVU26D · Effective 2026-10-01
27049 Tumor resection Medicare reimbursement rates in Minnesota
Reports radical resection of a soft-tissue tumor in the hip or pelvic area when the tumor measures less than 5 cm. Compare 27049 office and facility rates across CMS payment localities in Minnesota.
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 27049 in Minnesota?
Minnesota has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1199.62
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
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 27049: Radical soft-tissue tumor resection, hip or pelvis
Reports radical resection of a soft-tissue tumor in the hip or pelvic area when the tumor measures less than 5 cm.
This code describes radical resection of a soft-tissue tumor in the hip or pelvic area, with a tumor size under 5 cm. The operation is more extensive than a local excision: the surgeon removes the tumor as an oncologic resection, typically in an operating room. Orthopedic oncologists and other surgeons who treat soft-tissue tumors may perform it. The code concerns soft tissue, not removal of a hip or pelvic bone tumor.
Select the code when the operative report supports radical resection and documents the tumor’s size and hip or pelvic location. A deep but nonradical excision is classified separately. Medicare assigns a 90-day global period, including 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 the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 27049
- 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 RVU21.01 · 54%
- Practice expense (office) RVU13.20 · 34%
- Malpractice RVU4.47 · 12%
95
Medicare services in 2024 · #4921 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.
27049 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
Both describe radical resection of soft-tissue tumors in the hip or pelvic area. Choose 27049 for tumors under 5 cm and 27059 for tumors 5 cm or greater.
No office rate
Code 27045 describes deep soft-tissue tumor excision at 5 cm or greater, rather than radical resection. Size alone does not make it interchangeable with 27049.
Compare 27049 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.
1 of 1 payment localities
Minnesota →
Office / nonfacility
Unavailable
Facility
$1199.62
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27049 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
2,726
- Code
- 27049
- Physician work
- 21.01
- Practice expense
- 13.20
- Malpractice
- 4.47
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.01 | × 1.000 | 21.0100 |
| Practice expense | 13.20 | × 1.029 | 13.5828 |
| Malpractice | 4.47 | × 0.296 | 1.3231 |
| Total RVUs | 35.9159 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$1199.62
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.01 | 1 |
| Practice expense | 13.2 | 1.029 |
| Malpractice | 4.47 | 0.296 |
(21.01 × 1 + 13.2 × 1.029 + 4.47 × 0.296) × $33.4009 = $1199.62
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
27049 billing questions
How is this different from code 27048?
Code 27049 is for radical resection of a soft-tissue tumor under 5 cm. Code 27048 describes deep soft-tissue tumor excision under 5 cm when the operation is not a radical resection.
Does a deep tumor automatically qualify for this code?
No. Depth alone does not establish radical resection. The operative documentation should support the radical resection and identify the tumor’s location and size.
When should code 27059 be considered instead?
Use the corresponding larger-size code when the radical soft-tissue tumor resection in the hip or pelvic area is 5 cm or greater.
Are related postoperative visits separately 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?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How does Medicare handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and other procedures in the session are paid at 50%. Bilateral reporting with modifier 50 is paid 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.
2,72327045,,Exc hip/pelv tum deep 5 cm/>,A,,10.85,7.43,NA,7.43,,2.43,20.71,20.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72427047,,Exc hip/pelvis les sc < 3 cm,A,,4.82,10.06,,4.58,,1.13,16.01,10.53,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72527048,,Exc hip/pelv tum deep < 5 cm,A,,8.63,6.93,NA,6.93,,2.01,17.57,17.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72627049,,Resect hip/pelv tum < 5 cm,A,,21.01,13.20,NA,13.20,,4.47,38.68,38.68,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72727050,,Biopsy of sacroiliac joint,A,,4.62,6.35,NA,6.35,,1.00,11.97,11.97,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72827052,,Biopsy of hip joint,A,,7.23,7.90,NA,7.90,,1.53,16.66,16.66,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72927054,,Removal of hip joint lining,A,,8.98,8.61,NA,8.61,,1.91,19.50,19.50,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002