Billing code 27634: Soft-tissue excisionMedicare rate & RVUs in Oklahoma
Reports excision of a deep soft-tissue tumor in the leg or ankle area when the lesion measures 5 cm or greater.
CMS doesn’t publish an office rate for 27634 in Oklahoma.
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 27634 covers
This code describes surgical removal of a soft-tissue mass in the leg or ankle area that lies beneath the superficial fascia, such as a subfascial or intramuscular lesion, and measures at least 5 cm. An orthopedic surgeon, podiatric surgeon, or other qualified surgeon may perform the procedure in an operating room or, in selected cases, an office procedure setting. The code concerns soft tissue, not a tumor arising in the tibia, fibula, or another bone.
Choose the code based on the lesion’s location, depth, size, and the work performed. The operative report should identify the leg or ankle site, document that the mass is deep, give its size, and describe its removal. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are 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.
27634 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $584.44 |
How the 27634 rate is calculated
Each of 27634’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 · 27634
RVUs × geographic indexes × conversion factor
Work9.88
9.88 RVUs× 1.000 GPCI
Practice expense6.86
6.86 RVUs× 1.000 GPCI
Malpractice1.92
1.92 RVUs× 1.000 GPCI
Adjusted RVUs
18.6600
Conversion factor
$33.4009
Medicare rate
$623.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27634
27634 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27634
Soft-tissue 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) | 0 | Not permitted. |
| 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 · 27634
Soft-tissue 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
27634 without 50 · national facility
$623.26
Soft-tissue excision
27634-50 · Bilateral: 150%
$934.89
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).
27634 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 27619Soft-tissue excision
- Both apply to deep leg or ankle soft-tissue tumor excision; the size distinction is 5 cm, with 27634 for lesions 5 cm or greater and 27619 for smaller lesions.
- 27632Soft-tissue excision
- 27632 is for a subcutaneous tumor measuring 3 cm or greater. Use 27634 when the tumor is deep and measures at least 5 cm.
- 27616Tumor resection
- 27616 is in the resection series and covers a leg or ankle soft-tissue tumor 5 cm or greater. This code is for excision; the documented procedure determines which applies.
- 27613Soft-tissue biopsy
- 27613 describes lower-leg soft-tissue biopsy, rather than excision of a deep tumor measuring at least 5 cm.
27634 billing questions
How does this differ from 27619?
Both describe excision of a deep leg or ankle soft-tissue tumor. Use 27634 for a lesion 5 cm or greater; 27619 is for one smaller than 5 cm.
How does this differ from 27632?
27632 applies to a subcutaneous leg or ankle tumor measuring 3 cm or greater. This code is for a deeper, subfascial or intramuscular tumor measuring at least 5 cm.
When would 27616 be considered instead?
27616 is in the resection series for a leg or ankle soft-tissue tumor measuring 5 cm or greater. Select between it and this excision code based on the procedure actually performed and documented, not size alone.
What should the operative note document?
Document the leg or ankle site, the tumor’s deep location, its size, and the excision performed. These details support the code’s anatomic, depth, and size criteria.
Are related postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit. The global period does not include unrelated services.
Can this be reported for a bilateral procedure?
Yes. CMS identifies this as a bilateral procedure; reporting modifier 50 results in payment 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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