Billing code 27048: Tumor excisionMedicare rate & RVUs in Ohio
Removal of a deep soft-tissue tumor in the hip or pelvic region smaller than 5 cm when the surgeon performs an excision.
CMS doesn’t publish an office rate for 27048 in Ohio.
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 27048 covers
Code 27048 describes operative removal of a soft-tissue tumor in the hip or pelvic area that lies beneath the superficial fascia, such as within muscle, and measures less than 5 cm. An orthopedic surgeon, often an orthopedic oncologist, may perform this in an operating room for a known or suspected mass; the removed tissue is ordinarily submitted for pathologic examination. The code hinges on the tumor’s deep location and size, not simply the length of the skin incision.
Choose this code when the operative report supports excision of a deep lesion under 5 cm. Document the site, depth or compartment, tumor dimensions, and whether the surgeon excised or resected it. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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.
27048 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $567.25 |
How the 27048 rate is calculated
Each of 27048’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 · 27048
RVUs × geographic indexes × conversion factor
Work8.63
8.63 RVUs× 1.000 GPCI
Practice expense6.93
6.93 RVUs× 1.000 GPCI
Malpractice2.01
2.01 RVUs× 1.000 GPCI
Adjusted RVUs
17.5700
Conversion factor
$33.4009
Medicare rate
$586.85
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27048
27048 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27048
Tumor 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 · 27048
Tumor 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
27048 without 50 · national facility
$586.85
Tumor excision
27048-50 · Bilateral: 150%
$880.28
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).
27048 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 27045Tumor excision
- Both cover deep hip or pelvic tumor excision. Choose 27048 for tumors under 5 cm and 27045 for tumors measuring 5 cm or more.
- 27043Soft-tissue excision
- This code is for a superficial hip or pelvic lesion 3 cm or larger. Code 27048 is for a deep tumor under 5 cm.
- 27047Soft tissue excision
- This code is for a superficial hip or pelvic lesion under 3 cm; 27048 requires a deep tumor, regardless of the superficial-lesion size grouping.
- 27049Tumor resection
- Both address deep hip or pelvic tumors under 5 cm. The operative service distinguishes them: excision for 27048 versus resection for 27049.
27048 billing questions
How does 27048 differ from 27045?
Both describe deep hip or pelvic tumor excision, but 27048 is for a tumor under 5 cm. Use 27045 when the deep tumor measures 5 cm or more.
How does this differ from 27043 or 27047?
Those codes are for superficial hip or pelvic lesions. Code 27048 is for a tumor beneath the superficial fascia, such as within muscle.
When would 27049 be considered instead?
Consider 27049 when the operative service is a resection rather than an excision of a deep hip or pelvic tumor under 5 cm. The operative report should describe the procedure performed.
What documentation supports reporting 27048?
The operative report should identify the hip or pelvic site, the tumor’s deep location or compartment, its dimensions, and the removal performed. Tumor size—not incision length—distinguishes this code from size-based neighbors.
How is a bilateral procedure reported?
CMS lists this as a bilateral procedure; report modifier 50 when appropriate. CMS pays bilateral reporting at 150%.
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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