CPT code 27066: Bone lesion excision2026 Medicare rate & RVUs in Nevada
Reports operative removal or curettage of a deep benign bone lesion in the pelvis or hip when the procedure does not include autografting.
CMS doesn’t publish an office rate for 27066 in Nevada.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 27066 covers
The surgeon reaches a deep lesion in pelvic or hip bone and removes it by excision or curettage. Typical targets are a benign bone tumor or cyst, rather than a broad resection of tumor-bearing bone. Orthopedic surgeons, including orthopedic oncologists, commonly perform this operation in an operating room.
Choose this code when the lesion is deep and the procedure does not include autografting. The operative report should identify the bone and site, lesion diagnosis, depth, extent of removal, and whether grafting was performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 for bilateral surgery is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is 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.
27066 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $746.25 |
How the 27066 rate is calculated
Each of 27066’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 · 27066
RVUs × geographic indexes × conversion factor
Work10.92
10.92 RVUs× 1.000 GPCI
Practice expense9.53
9.53 RVUs× 1.000 GPCI
Malpractice2.26
2.26 RVUs× 1.000 GPCI
Adjusted RVUs
22.7100
Conversion factor
$33.4009
Medicare rate
$758.53
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27066
27066 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27066
Bone lesion excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27066
Bone lesion 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27066 without 50 · national facility
$758.53
Bone lesion excision
27066-50 · Bilateral: 150%
$1,137.80
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).
27066 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 27065Bone lesion removal
- 27065 describes removal or curettage of a superficial bone lesion; 27066 is selected for a deep lesion.
- 27067Bone lesion curettage
- 27067 is the related lesion procedure when autografting is included. Use 27066 when the procedure does not include autografting.
- 27045Tumor excision
- 27045 concerns excision of a deep hip or pelvic tumor measured by size, rather than focused removal or curettage of a benign bone lesion.
- 27075Tumor resection
- 27075 describes hip tumor resection; 27066 is for focused excision or curettage of a deep benign bone lesion.
27066 billing questions
How does this differ from 27065?
27066 is for a deep bone lesion; 27065 is the superficial-lesion counterpart. The operative documentation should support the depth distinction.
When should 27067 be considered?
Use 27067 when the lesion procedure includes autografting. This code describes the deep lesion procedure without that grafting option.
Does the code include related postoperative visits?
Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.
How are additional procedures in the same session paid?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are paid at 50%.
What supports reporting this code?
Document the specific pelvic or hip bone, the lesion and its diagnosis, its deep location, the removal or curettage performed, and whether autografting was part of the procedure.
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
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