Billing code 27077: Hip tumor resectionMedicare rate & RVUs in Ohio
Extensive pelvic tumor resection involving the innominate bone, reported when operative removal encompasses this bone rather than a more limited hip or pelvic lesion.
CMS doesn’t publish an office rate for 27077 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 27077 covers
This code describes extensive surgery to remove a tumor involving the innominate bone of the pelvis. It is typically performed by an orthopedic oncologist or another surgeon experienced in pelvic tumor surgery, often in a hospital operating room. The operative approach and amount of bone removed depend on the tumor’s location and extent; this is distinct from a limited bone-lesion excision or a resection specifically involving the acetabulum or femur.
Select the code from the structures actually resected, not imaging findings alone or the tumor’s size by itself. The operative report should identify the tumor site, the innominate bone resected, and the extent of the procedure. 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 one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. 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.
27077 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $2,424.95 |
How the 27077 rate is calculated
Each of 27077’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 · 27077
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 44.08Practice expense 20.85Malpractice 9.41
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27077
27077 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27077
Hip tumor resection
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 · 27077
Hip 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
27077 without 51 · national facility
$2,483.02
Hip tumor resection
27077-51 · Second procedure: 50%
$1,241.51
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%).
27077 compared with similar codes
Compare codes
27077 vs 27075 vs 27076 vs 27078: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27075Tumor resection
- This is a related pelvic tumor resection code. Use 27077 when the operative resection involves the innominate bone; distinguish the codes by the structures documented as resected.
- 27076Hip tumor resection
- Code 27076 specifies a pelvic tumor resection including the acetabulum. Code 27077 identifies resection involving the innominate bone.
- 27078Hip tumor resection
- Code 27078 specifies tumor resection involving the femur. Code 27077 is the relevant choice when the documented resection involves the innominate bone.
27077 billing questions
How does this differ from code 27076?
Choose based on the resection performed and the anatomic structures involved. Code 27076 identifies a pelvic tumor resection that includes the acetabulum; this code identifies involvement of the innominate bone.
What documentation supports reporting this code?
The operative report should describe the tumor location, the innominate bone removed, and the extent of resection. Document the actual procedure rather than relying only on preoperative imaging or a diagnosis of pelvic tumor.
Can modifier 50 be used for bilateral surgery?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures performed in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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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