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CMS RVU26D · Effective 2026-10-01

27071 Bone excision Medicare reimbursement rates in Missouri

Reports partial removal of deep pelvic or hip bone, commonly for osteomyelitis or a bone abscess, when the operation removes bone beyond superficial excision. Compare 27071 office and facility rates across CMS payment localities in Missouri.

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 27071 in Missouri?

Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$854.97–$895.84

3 of 3 localities have a supported rate.

Lowest: Rest Of Missouri

Highest: Metropolitan St. Louis

A spread of $40.87 per service.

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.

Find 27071 in your payment locality →

Where 27071 pays more and less in Missouri

Orthopedic surgery

About 27071: Deep partial excision of hip bone

Reports partial removal of deep pelvic or hip bone, commonly for osteomyelitis or a bone abscess, when the operation removes bone beyond superficial excision.

An orthopedic surgeon or other qualified surgeon removes part of a deep pelvic or hip bone, often to treat osteomyelitis or a bone abscess. The procedure is generally performed in a hospital operating room and may involve removing infected or nonviable bone. The operative report should identify the bone treated, the indication, and the depth and extent of the excision.

Choose this code for a deep partial bone excision, not simply because a lesion is large. A superficial partial excision is reported with 27070; codes for bone lesions or tumors apply when that is the procedure performed. This major surgery code includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, CMS pays the highest-valued procedure in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.

CMS billing rules for 27071

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 RVU12.08 · 44%
  • Practice expense (office) RVU12.80 · 47%
  • Malpractice RVU2.55 · 9%

512

Medicare services in 2024 · #3544 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.

27071 compared with similar codes

Office rates for Missouri, from the same CMS release.

27070

Hip bone excision

Superficial partial excision

No office rate

This is the superficial sibling code. Report 27071 when the operative documentation supports a deep partial excision.

27066

Bone lesion excision

Deep lesion, without graft

No office rate

This code describes deep removal of a bone lesion. Choose 27071 when the service is a deep partial bone excision, commonly for osteomyelitis or a bone abscess.

27067

Bone lesion curettage

With autograft

No office rate

This code describes removal of a bone lesion with grafting. It is not the choice for a deep partial excision when grafting is not the defining procedure.

27075

Tumor resection

Hip and pelvic area

No office rate

This code is for resection of a hip tumor. Use 27071 for a deep partial bone excision rather than a tumor resection.

Compare 27071 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.

3 of 3 payment localities

Office and facility base rates · shared scale starting at $0

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27071 billing questions

How does 27071 differ from 27070?

Both describe partial removal of pelvic or hip bone, but 27071 is for a deep excision and 27070 for a superficial one. The operative report should support the documented depth.

Should 27071 be used for a deep bone lesion?

Use 27071 when the surgeon performs a deep partial bone excision, such as for osteomyelitis or a bone abscess. A procedure directed at removing a bone lesion may instead fit a lesion-excision code, depending on what was performed.

Does the 90-day global period include postoperative visits?

It includes the day-before preoperative visit and 90 days of related postoperative care. The operative claim therefore includes that related care during the global period.

How does Medicare pay when other procedures are performed in the same session?

The highest-valued procedure is paid in full, and other procedures are paid at 50%. For bilateral reporting with modifier 50, CMS pays 150%.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; 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.

RVUs for 27071PPRRVU2026_Oct_nonQPP.csv, line 2,738 (RVU26D)