Billing code 27059: Tumor resectionMedicare rate & RVUs in Oregon
Reports resection of a soft-tissue tumor in the pelvis or hip area measuring 5 cm or larger, based on the documented site, size, and procedure.
CMS doesn’t publish an office rate for 27059 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 27059 covers
This code describes operative resection of a soft-tissue tumor in the pelvis or hip area when the tumor measures at least 5 cm. A typical case may involve a large mass, including a suspected sarcoma, treated by an orthopedic oncologist or surgical oncologist in an operating room. The code is specific to the pelvic or hip region; it is not the code for removal of a tumor arising in bone.
Select the code using the documented tumor size, anatomic location, and operation performed. The operative report should identify the tumor site, its measured size, and the resection performed; size alone does not distinguish this code from codes for excision of soft-tissue tumors. 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 the same session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral reporting with modifier 50, CMS pays at 150%. Assistant-at-surgery services may be paid; 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.
Where 27059 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $1,658.92 |
| Rest Of Oregon | Unavailable | $1,579.94 |
How the 27059 rate is calculated
Each of 27059’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 · 27059
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 28.62Practice expense 14.36Malpractice 6.23
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27059
27059 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27059
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 · 27059
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
27059 without 50 · national facility
$1,643.66
Tumor resection
27059-50 · Bilateral: 150%
$2,465.49
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).
27059 compared with similar codes
Compare codes
27059 vs 27049 vs 27045 vs 27075: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27049Tumor resection
- This is the size-based sibling for resection of a pelvic or hip soft-tissue tumor measuring 5 cm or larger. Code 27049 is for a tumor under 5 cm.
- 27045Tumor excision
- This code describes excision of a subfascial soft-tissue tumor measuring 5 cm or more. Choose based on the operation documented, not size alone.
- 27075Tumor resection
- Code 27075 concerns resection of a pelvic bone tumor. This code is for a soft-tissue tumor in the pelvis or hip area.
27059 billing questions
How does this code differ from 27049?
Both concern resection of a soft-tissue tumor in the pelvis or hip area. This code is for a tumor measuring 5 cm or larger; 27049 is for one under 5 cm.
Should this code be used instead of 27045 for a tumor at least 5 cm?
Not based on size alone. Code 27045 describes excision of a subfascial soft-tissue tumor, while this code describes resection; use the code that matches the documented procedure.
What tumor-size documentation supports this code?
The operative documentation should state the tumor's location in the pelvis or hip area and its measured size of at least 5 cm, along with the resection performed.
How is bilateral treatment reported?
For a bilateral procedure, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; CMS does not permit team-surgery payment.
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.
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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