No office rate
Choose 27086 for an object in subcutaneous tissue of the hip or pelvis; 27087 is for an object in deeper tissue, such as beneath fascia or within muscle.
On this page
CMS RVU26D · Effective 2026-10-01
27086 Foreign body removal Medicare reimbursement rates in Missouri
Removal of a retained foreign object from subcutaneous tissue of the hip or pelvis, when the procedure is limited to that superficial location. Compare 27086 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 27086 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
$302.93–$327.05
3 of 3 localities have a supported rate.
Facility setting
$154.36–$162.97
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 27086 pays more and less in Missouri
3 payment localities
$302.93 to $327.05
Surgical procedure
About 27086: Superficial hip or pelvic foreign body removal
Removal of a retained foreign object from subcutaneous tissue of the hip or pelvis, when the procedure is limited to that superficial location.
This service covers surgical removal of a foreign object from the subcutaneous tissue over the hip or pelvis. It is selected for a superficial object in that anatomic region; removal from deeper tissue is reported with the corresponding deep-removal code. An orthopedic surgeon or another surgeon may perform the procedure, commonly in a facility setting. Medicare recorded 31 facility services and no office services for this code in 2024.
The operative report should identify the hip or pelvic site, describe the object’s superficial location, and document its removal. This minor procedure has a 10-day global period, so related postoperative visits during those 10 days 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 50% reduction. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 27086
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.87 · 18%
- Practice expense (office) RVU7.90 · 78%
- Malpractice RVU0.40 · 4%
31
Medicare services in 2024 · #5637 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.
27086 compared with similar codes
Office rates for Missouri, from the same CMS release.
$141.62–$151.91
This code is for simple subcutaneous foreign-body removal at a site other than the hip or pelvis; 27086 is the site-specific choice for the hip or pelvis.
$250.97–$266.93
This code is for complicated subcutaneous foreign-body removal at a site other than the hip or pelvis; 27086 applies to the hip or pelvis site.
Compare 27086 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
$323.28
Facility
$161.45
Metropolitan St. Louis →
Office / nonfacility
$327.05
Facility
$162.97
Rest Of Missouri →
Office / nonfacility
$302.93
Facility
$154.36
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27086 billing questions
How do I choose between 27086 and 27087?
Use 27086 when the foreign object is in subcutaneous tissue of the hip or pelvis. Use 27087 when it is located deeper, such as beneath the fascia or within muscle.
Can modifier 50 be reported for bilateral removal?
Yes. CMS treats this as a bilateral procedure, and modifier 50 is paid at 150%.
Are related postoperative visits separately payable during the global period?
Related postoperative visits for 10 days are included in this procedure’s minor-procedure global period.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
What documentation supports 27086?
Document the hip or pelvic site, the foreign object’s subcutaneous location, and its removal. Assistant-at-surgery payment also requires documentation of medical necessity.
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.
2,74127077,,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
2,74727091,,Removal of hip prosthesis,A,,23.74,14.26,NA,14.26,,5.03,43.03,43.03,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00