Billing code 27080: CoccygectomyMedicare rate & RVUs in Oregon
Reports surgical removal of the coccyx, commonly for persistent coccydynia when conservative treatment has not relieved tailbone pain.
CMS doesn’t publish an office rate for 27080 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 27080 covers
This operation removes the coccyx, the small terminal bone at the base of the spine. It is commonly performed by an orthopedic or spine surgeon for persistent coccydynia after conservative treatment has failed. The procedure is typically done in a hospital or ambulatory surgery setting, with the patient positioned to give the surgeon access to the tailbone.
Report 27080 when the operative service is removal of the coccyx, rather than resection of a broader pelvic or hip tumor. Documentation should identify the indication and describe the bone removed and the operative work. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. 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 multiple-procedure reduction. Modifier 50 is inappropriate for this anatomy. 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.
Where 27080 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $514.22 |
| Rest Of Oregon | Unavailable | $483.04 |
How the 27080 rate is calculated
Each of 27080’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 · 27080
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.72Practice expense 6.58Malpractice 1.69
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27080
27080 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27080
Coccygectomy
| 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 · 27080
Coccygectomy
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
27080 without 51 · national facility
$500.68
Coccygectomy
27080-51 · Second procedure: 50%
$250.34
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%).
27080 compared with similar codes
Compare codes
27080 vs 27075 vs 27076 vs 27090: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27075Tumor resection
- 27080 removes the coccyx. Code 27075 describes a radical pelvic or hip tumor resection, not routine coccygectomy for coccydynia.
- 27076Hip tumor resection
- Choose 27076 when the documented tumor resection includes the acetabulum; 27080 is for removal of the coccyx.
- 27090Hip implant removal
- 27090 concerns removal of a hip prosthesis. It does not describe removal of the coccyx.
27080 billing questions
When should I report 27080 instead of a pelvic tumor resection code?
Use 27080 when the operation removes the coccyx. A pelvic or hip tumor resection code may be appropriate when the documented operation is a broader tumor resection rather than coccygectomy.
Does the 90-day global period include related postoperative care?
Yes. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the global period.
Can modifier 50 be reported for coccygectomy?
No. The CMS facts specify that bilateral adjustment does not apply and modifier 50 is inappropriate for this anatomy.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be available. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
What should the operative note establish?
Document the indication for coccyx removal and describe the coccyx removed and the operative work. This supports selecting 27080 rather than a code for a different pelvic or hip procedure.
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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