CPT code 27339: Soft-tissue excision2026 Medicare rate & RVUs in Nebraska

Removal of a deep soft-tissue tumor in the thigh or knee region, reported when the mass measures at least 5 cm.

CMS RVU26DEffective Oct 1, 20261 payment locality1K Medicare services in 2024

CMS doesn’t publish an office rate for 27339 in Nebraska.

—Office (non-facility)
$641.46Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 27339 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Nebraska
  2. What 27339 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 27339 covers

This operation removes a deep soft-tissue mass in the thigh or knee region, such as a tumor beneath the fascia or within muscle. An orthopedic surgeon or surgical oncologist typically performs the dissection in an operating room, exposing and removing the mass from surrounding tissue. The code distinguishes a deep tumor from a superficial lesion and applies to tumors at least 5 cm in size.

Choose the code based on the tumor’s documented depth and size, along with the operative work. The report should describe the mass location, its relationship to fascia or muscle, dimensions, and whether it was excised or radically resected. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and others at 50%. For bilateral procedures reported with modifier 50, payment is 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.

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.

27339 in Nebraska

27339 office and facility rates by payment locality
Payment localityOfficeFacility
NebraskaUnavailable$641.46

How the 27339 rate is calculated

Each of 27339’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 27339

RVUs × geographic indexes × conversion factor

Work10.85

10.85 RVUs× 1.000 GPCI

Practice expense8.02

8.02 RVUs× 1.000 GPCI

Malpractice2.52

2.52 RVUs× 1.000 GPCI

Adjusted RVUs

21.3900

Conversion factor

$33.4009

Medicare rate

$714.45

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 27339

27339 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27339

Soft-tissue excision

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27339

Soft-tissue excision

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27339 without 50 · national facility

$714.45

Soft-tissue excision

27339-50 · Bilateral: 150%

$1,071.68

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

27339 compared with similar codes

Compare codes · National

5 codes, side by side

  • 27339

    Soft-tissue excision10.85 wRVU

    Not priced

  • 27328

    Soft-tissue tumor excision8.63 wRVU

    Not priced

  • 27364

    Soft-tissue tumor resection23.88 wRVU

    Not priced

  • 27337

    Soft-tissue excision5.76 wRVU

    Not priced

  • 27323

    Soft-tissue biopsy2.27 wRVU

    $274.89

How to choose

27328Soft-tissue tumor excision
Both apply to deep tumors in the thigh or knee region. The size threshold separates them: this code is for tumors at least 5 cm, while 27328 is for smaller tumors.
27364Soft-tissue tumor resection
Both concern large thigh or knee soft-tissue tumors, but 27364 describes radical resection. Use this code when the documented procedure is excision rather than radical resection.
27337Soft-tissue excision
27337 is for a superficial lesion at least 3 cm. This code is for a deep tumor at least 5 cm.
27323Soft-tissue biopsy
27323 reports biopsy sampling of thigh soft tissue. This code represents removal of a deep tumor rather than diagnostic sampling alone.

27339 billing questions

How is this different from 27328?

Both codes describe removal of a deep thigh or knee tumor. Use 27339 when the tumor is at least 5 cm; 27328 is for a smaller deep tumor.

When would 27364 be more appropriate?

27364 describes radical resection of a thigh or knee soft-tissue tumor at least 5 cm in size. This code represents excision; the operative report should support the work actually performed.

Can a biopsy be reported instead?

A biopsy code describes sampling tissue for diagnosis rather than excising the tumor. Select the code that matches whether the surgeon sampled the mass or removed it.

How does Medicare handle bilateral excisions?

For a bilateral procedure reported with modifier 50, Medicare pays at 150%. The record should support a qualifying procedure on both sides.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 27339PPRRVU2026_Oct_nonQPP.csv, line 2,848 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)

Open CMS sourceHow we calculate rates

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