No office rate
Both describe excision of a subcutaneous thigh or knee lesion; the size boundary is under 3 cm for 27327 and 3 cm or larger for 27337.
On this page
CMS RVU26D · Effective 2026-10-01
27327 Soft-tissue excision Medicare reimbursement rates in Oklahoma
Reports complete removal of a small, superficial soft-tissue lesion from the thigh or knee region when it lies beneath the skin and measures under 3 cm. Compare 27327 office and facility rates across CMS payment localities in Oklahoma.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 27327 in Oklahoma?
Oklahoma has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$492.13
1 of 1 localities have a supported rate.
Payment area: Oklahoma
One mapped payment locality.
Facility setting
$286.32
1 of 1 localities have a supported rate.
Payment area: Oklahoma
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Soft-tissue surgery
About 27327: Subcutaneous thigh or knee lesion excision
Reports complete removal of a small, superficial soft-tissue lesion from the thigh or knee region when it lies beneath the skin and measures under 3 cm.
This service is the surgical removal of a discrete soft-tissue lesion in the thigh or knee region that lies in the subcutaneous layer and is smaller than 3 cm. A common example is excision of a small subcutaneous lipoma. An orthopedic or general surgeon may perform it in an office procedure room or an outpatient operating facility. The code describes removal of the lesion, rather than taking a sample for diagnosis or opening a collection to drain it.
Choose the code using the lesion’s documented size and tissue depth; the operative note should identify the site, dimensions, and that the lesion was subcutaneous. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 27327
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.86 · 24%
- Practice expense (office) RVU11.42 · 71%
- Malpractice RVU0.87 · 5%
1.7K
Medicare services in 2024 · #2598 by national volume
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.
27327 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
No office rate
27327 is for a subcutaneous lesion under 3 cm. 27328 is for a soft-tissue tumor in a deeper plane and has a different size threshold.
$252.43
27323 represents biopsy of thigh soft tissue. Report 27327 when the surgeon removes the lesion rather than taking a diagnostic sample.
$661.11
27301 describes drainage of a thigh or knee lesion, such as a collection; 27327 removes a discrete subcutaneous soft-tissue lesion.
Compare 27327 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Oklahoma →
Office / nonfacility
$492.13
Facility
$286.32
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27327 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
2,838
- Code
- 27327
- Physician work
- 3.86
- Practice expense
- 11.42
- Malpractice
- 0.87
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.86 | × 1.000 | 3.8600 |
| Practice expense | 11.42 | × 0.893 | 10.1981 |
| Malpractice | 0.87 | × 0.777 | 0.6760 |
| Total RVUs | 14.7340 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$492.13
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.86 | 1 |
| Practice expense | 11.42 | 0.893 |
| Malpractice | 0.87 | 0.777 |
(3.86 × 1 + 11.42 × 0.893 + 0.87 × 0.777) × $33.4009 = $492.13
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.86 | 1 |
| Practice expense | 4.52 | 0.893 |
| Malpractice | 0.87 | 0.777 |
(3.86 × 1 + 4.52 × 0.893 + 0.87 × 0.777) × $33.4009 = $286.32
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
27327 billing questions
How is this code distinguished from 27337?
This code is for a subcutaneous lesion under 3 cm. Use 27337 when the subcutaneous lesion is 3 cm or larger.
When would a biopsy code be more appropriate?
Use a biopsy code when the surgeon takes tissue for diagnosis rather than removing the lesion. The operative note should support whether sampling or complete removal was performed.
What documentation supports code selection?
Document the thigh or knee-region site, lesion dimensions, subcutaneous tissue plane, and the removal performed. These details distinguish this service from deeper or larger-lesion excisions.
How does CMS treat bilateral reporting?
For a bilateral procedure reported with modifier 50, CMS pays 150% under the supplied fee schedule rule.
What happens when other procedures are performed in the same session?
CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others, which are paid at 50%.
Is assistant-at-surgery payment available?
No. CMS lists a statutory restriction on assistant-at-surgery payment for this code; co-surgeons and team surgery are also 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,83527324,,Biopsy thigh soft tissues,A,,4.91,6.01,NA,6.01,,1.13,12.05,12.05,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,83627325,,Neurectomy hamstring,A,,7.02,7.68,NA,7.68,,1.48,16.18,16.18,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,83727326,,Neurectomy popliteal,A,,6.31,7.46,NA,7.46,,1.33,15.10,15.10,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,83827327,,Exc thigh/knee les sc < 3 cm,A,,3.86,11.42,,4.52,,0.87,16.15,9.25,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,83927328,,Exc thigh/knee tum deep <5cm,A,,8.63,7.08,NA,7.08,,1.96,17.67,17.67,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,84027329,,Resect thigh/knee tum < 5 cm,A,,15.33,10.11,NA,10.11,,3.48,28.92,28.92,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,84127330,,Biopsy knee joint lining,A,,4.98,6.31,NA,6.31,,1.07,12.36,12.36,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193