Billing code 27049: Tumor resectionMedicare rate & RVUs in Oregon
Reports radical resection of a soft-tissue tumor in the hip or pelvic area when the tumor measures less than 5 cm.
CMS doesn’t publish an office rate for 27049 in Oregon.
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 27049 covers
This code describes radical resection of a soft-tissue tumor in the hip or pelvic area, with a tumor size under 5 cm. The operation is more extensive than a local excision: the surgeon removes the tumor as an oncologic resection, typically in an operating room. Orthopedic oncologists and other surgeons who treat soft-tissue tumors may perform it. The code concerns soft tissue, not removal of a hip or pelvic bone tumor.
Select the code when the operative report supports radical resection and documents the tumor’s size and hip or pelvic location. A deep but nonradical excision is classified separately. Medicare 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 the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. 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.
Where 27049 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $1,313.89 |
| Rest Of Oregon | Unavailable | $1,245.84 |
How the 27049 rate is calculated
Each of 27049’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 · 27049
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 21.01Practice expense 13.20Malpractice 4.47
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27049
27049 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27049
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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 · 27049
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 50 · payment effect
With and without the modifier
27049 without 50 · national facility
$1,291.95
Tumor resection
27049-50 · Bilateral: 150%
$1,937.93
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).
27049 compared with similar codes
Compare codes
27049 vs 27048 vs 27059 vs 27045: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27048Tumor excision
- Both concern tumors under 5 cm in the hip or pelvic area, but 27049 is for radical resection; 27048 describes deep soft-tissue excision.
- 27059Tumor resection
- Both describe radical resection of soft-tissue tumors in the hip or pelvic area. Choose 27049 for tumors under 5 cm and 27059 for tumors 5 cm or greater.
- 27045Tumor excision
- Code 27045 describes deep soft-tissue tumor excision at 5 cm or greater, rather than radical resection. Size alone does not make it interchangeable with 27049.
27049 billing questions
How is this different from code 27048?
Code 27049 is for radical resection of a soft-tissue tumor under 5 cm. Code 27048 describes deep soft-tissue tumor excision under 5 cm when the operation is not a radical resection.
Does a deep tumor automatically qualify for this code?
No. Depth alone does not establish radical resection. The operative documentation should support the radical resection and identify the tumor’s location and size.
When should code 27059 be considered instead?
Use the corresponding larger-size code when the radical soft-tissue tumor resection in the hip or pelvic area is 5 cm or greater.
Are related postoperative visits separately included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
How does Medicare handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and other procedures in the session are paid at 50%. Bilateral reporting with modifier 50 is paid 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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