Billing code 27071: Bone excisionMedicare rate & RVUs in Ohio

Reports partial removal of deep pelvic or hip bone, commonly for osteomyelitis or a bone abscess, when the operation removes bone beyond superficial excision.

CMS RVU26DEffective Oct 1, 20261 payment locality512 Medicare services in 2024

CMS doesn’t publish an office rate for 27071 in Ohio.

—Office (non-facility)
$879.67Hospital 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 27071 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Ohio
  2. What 27071 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 27071 covers

An orthopedic surgeon or other qualified surgeon removes part of a deep pelvic or hip bone, often to treat osteomyelitis or a bone abscess. The procedure is generally performed in a hospital operating room and may involve removing infected or nonviable bone. The operative report should identify the bone treated, the indication, and the depth and extent of the excision.

Choose this code for a deep partial bone excision, not simply because a lesion is large. A superficial partial excision is reported with 27070; codes for bone lesions or tumors apply when that is the procedure performed. This major surgery code includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, CMS pays the highest-valued procedure in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with 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.

27071 in Ohio

27071 office and facility rates by payment locality
Payment localityOfficeFacility
OhioUnavailable$879.67

How the 27071 rate is calculated

Each of 27071’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 · 27071

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 12.08Practice expense 12.80Malpractice 2.55

27.4300 adjusted RVUs×$33.4009 conversion factor=$916.19

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 27071

27071 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27071

Bone 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)1Permitted with supporting documentation.
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 · 27071

Bone 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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

27071 without 50 · national facility

$916.19

Bone excision

27071-50 · Bilateral: 150%

$1,374.29

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

27071 compared with similar codes

Compare codes

27071 vs 27070 vs 27066 vs 27067 vs 27075: national Medicare rates

Swap in your local Medicare rate.

  • 27071
    Bone excision · 12.08 wRVU
    —
  • 27070
    Hip bone excision · 11.27 wRVU
    —
  • 27066
    Bone lesion excision · 10.92 wRVU
    —
  • 27067
    Bone lesion curettage · 14.35 wRVU
    —
  • 27075
    Tumor resection · 31.89 wRVU
    —

How to choose

27070Hip bone excision
This is the superficial sibling code. Report 27071 when the operative documentation supports a deep partial excision.
27066Bone lesion excision
This code describes deep removal of a bone lesion. Choose 27071 when the service is a deep partial bone excision, commonly for osteomyelitis or a bone abscess.
27067Bone lesion curettage
This code describes removal of a bone lesion with grafting. It is not the choice for a deep partial excision when grafting is not the defining procedure.
27075Tumor resection
This code is for resection of a hip tumor. Use 27071 for a deep partial bone excision rather than a tumor resection.

27071 billing questions

How does 27071 differ from 27070?

Both describe partial removal of pelvic or hip bone, but 27071 is for a deep excision and 27070 for a superficial one. The operative report should support the documented depth.

Should 27071 be used for a deep bone lesion?

Use 27071 when the surgeon performs a deep partial bone excision, such as for osteomyelitis or a bone abscess. A procedure directed at removing a bone lesion may instead fit a lesion-excision code, depending on what was performed.

Does the 90-day global period include postoperative visits?

It includes the day-before preoperative visit and 90 days of related postoperative care. The operative claim therefore includes that related care during the global period.

How does Medicare pay when other procedures are performed in the same session?

The highest-valued procedure is paid in full, and other procedures are paid at 50%. For bilateral reporting with modifier 50, CMS pays 150%.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; 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 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 27071PPRRVU2026_Oct_nonQPP.csv, line 2,738 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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