Billing code 27075: Tumor resectionMedicare rate & RVUs in Ohio

Reports surgical resection of a tumor in the pelvis or hip area when the operative anatomy and extent match this resection category.

CMS RVU26DEffective Oct 1, 20261 payment locality48 Medicare services in 2024

CMS doesn’t publish an office rate for 27075 in Ohio.

—Office (non-facility)
$1,810.96Hospital 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 27075 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Ohio
  2. What 27075 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 27075 covers

An orthopedic surgeon, often an orthopedic oncologist, reports this service for operative removal of a tumor in the pelvis or hip area. The procedure involves surgically exposing the involved region and removing the tumor according to its location and extent. It is generally performed in a hospital or other surgical facility. The operative report should identify the tumor site and the structures resected so the service can be distinguished from removal of a limited bone lesion or a soft-tissue tumor procedure.

Choose this code by the operation performed and the anatomy involved, not solely by the tumor diagnosis. Document the tumor’s location, the resection performed, and any involvement of the acetabulum, innominate bone, or femur; those details help distinguish this code from the separately categorized resections in the same family. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeons require 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.

27075 in Ohio

27075 office and facility rates by payment locality
Payment localityOfficeFacility
OhioUnavailable$1,810.96

How the 27075 rate is calculated

Each of 27075’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 · 27075

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 31.89Practice expense 16.96Malpractice 6.79

55.6400 adjusted RVUs×$33.4009 conversion factor=$1,858.43

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

Payment rules and modifiers for 27075

27075 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27075

Tumor resection

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)0The 150% bilateral adjustment doesn’t apply.
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 · 27075

Tumor resection

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 51 · payment effect

With and without the modifier

27075 without 51 · national facility

$1,858.43

Tumor resection

27075-51 · Second procedure: 50%

$929.22

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

27075 compared with similar codes

Compare codes

27075 vs 27059 vs 27076 vs 27077 vs 27078: national Medicare rates

Swap in your local Medicare rate.

  • 27075
    Tumor resection · 31.89 wRVU
    —
  • 27059
    Tumor resection · 28.62 wRVU
    —
  • 27076
    Hip tumor resection · 39.2 wRVU
    —
  • 27077
    Hip tumor resection · 44.08 wRVU
    —
  • 27078
    Hip tumor resection · 31.4 wRVU
    —

How to choose

27059Tumor resection
This code is for a pelvic or hip tumor resection category; 27059 describes soft-tissue tumor resection. The operative report must support the tissue and procedure coded.
27076Hip tumor resection
27076 identifies a pelvic and hip tumor resection involving the acetabulum. Use this code when the documented operation fits the 27075 category instead.
27077Hip tumor resection
27077 identifies a pelvic and hip tumor resection involving the innominate bone. The documented structures and extent of resection distinguish it from 27075.
27078Hip tumor resection
27078 identifies a pelvic and hip tumor resection involving the femur. Select between the codes using the anatomy and operation recorded in the operative report.

27075 billing questions

How is this code distinguished from 27059?

27059 describes resection of a soft-tissue tumor in the pelvis or hip area. Select the code that matches the tissue and operation documented, rather than treating the codes as interchangeable tumor-size levels.

When should a code in the 27076–27078 range be considered?

Those codes identify resections involving specified structures such as the acetabulum, innominate bone, or femur. Use the operative report’s description of the resection to determine which category fits.

Is modifier 50 appropriate for bilateral resection?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.

What postoperative care is included?

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

How does the multiple-procedure reduction affect this service?

For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction.

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 27075PPRRVU2026_Oct_nonQPP.csv, line 2,739 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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