No office rate
27075 is for radical tumor resection of pelvic bones except the acetabulum. Use 27078 when the operative resection involves the hip joint and femur.
On this page
CMS RVU26D · Effective 2026-10-01
27078 Hip tumor resection Medicare reimbursement rates in Missouri
Extensive resection of a tumor involving the hip joint and femur, reported when operative removal includes the femur rather than pelvic bone alone. Compare 27078 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 27078 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
$1750.42–$1807.21
3 of 3 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.
Where 27078 pays more and less in Missouri
Orthopedic oncology
About 27078: Radical hip tumor resection including femur
Extensive resection of a tumor involving the hip joint and femur, reported when operative removal includes the femur rather than pelvic bone alone.
This code represents an extensive tumor operation involving the hip joint and femur. An orthopedic oncologist typically performs it in a hospital operating room for a tumor involving these structures. The code is defined by the structures removed, not simply by a tumor’s proximity to the hip.
Select it when the operative report supports resection involving the hip joint and femur; document the tumor site, structures removed, and extent of resection. A limited bone-lesion excision or resection confined to other pelvic structures points to a different code. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 yields payment at 150% for bilateral reporting. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27078
- 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) RVU16.81 · 31%
- Malpractice RVU6.69 · 12%
22
Medicare services in 2024 · #5859 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.
27078 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
27076 includes the acetabulum in a pelvic-bone tumor resection. 27078 identifies resection involving the hip joint and femur.
No office rate
27077 is another radical pelvic-bone tumor resection distinguished by its included pelvic structures. For 27078, the resection involves the hip joint and femur.
No office rate
27059 concerns a qualifying soft-tissue tumor resection in the hip or pelvis. 27078 is for resection involving the hip joint and femur.
Compare 27078 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
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$1794.32
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$1807.21
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$1750.42
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27078 billing questions
How does 27078 differ from the pelvic-bone tumor resection codes?
Choose 27078 when the resection involves the hip joint and femur. The neighboring pelvic-bone codes distinguish other pelvic structures and extents of resection.
What should the operative report document?
Document the tumor location, whether the hip joint and femur were resected, and the structures and extent removed.
Can 27078 be reported with another procedure in the same session?
When multiple procedures are performed in one session, Medicare pays the highest-valued procedure in full and the others at 50%.
How is bilateral reporting handled?
When the procedure is reported bilaterally with modifier 50, Medicare pays at 150%.
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.
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.
2,73927075,,Resect hip tumor,A,,31.89,16.96,NA,16.96,,6.79,55.64,55.64,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74027076,,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