No office rate
Use 27340 for the bursa in front of the kneecap; 27345 describes excision of a popliteal cyst behind the knee.
On this page
CMS RVU26D · Effective 2026-10-01
27340 Bursa excision Medicare reimbursement rates in Pennsylvania
Reports surgical removal of the prepatellar bursa, typically for persistent symptomatic bursitis involving the superficial tissue over the kneecap. Compare 27340 office and facility rates across CMS payment localities in Pennsylvania.
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 27340 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$351.75–$386.14
2 of 2 localities have a supported rate.
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.
Orthopedic surgery
About 27340: Prepatellar bursa excision
Reports surgical removal of the prepatellar bursa, typically for persistent symptomatic bursitis involving the superficial tissue over the kneecap.
This procedure removes the prepatellar bursa, the fluid-filled sac in front of the kneecap. An orthopedic surgeon commonly performs it for persistent, symptomatic prepatellar bursitis, including a chronically thickened or repeatedly inflamed bursa. The operative report should identify the prepatellar location and describe removal of the bursa, rather than removal of a knee-joint structure or a separate soft-tissue mass.
Report the service when the documented work is excision of the prepatellar bursa. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, Medicare pays the highest-valued procedure in full and reduces other procedures to 50%. For bilateral surgery reported with modifier 50, payment is at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 27340
- 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 RVU4.21 · 38%
- Practice expense (office) RVU5.98 · 54%
- Malpractice RVU0.88 · 8%
1.2K
Medicare services in 2024 · #2814 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.
27340 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$506.55–$562.99
Use 27327 for a small subcutaneous soft-tissue lesion in the thigh or knee area. Use 27340 when the structure excised is the prepatellar bursa.
No office rate
Use 27337 for a larger subcutaneous soft-tissue lesion in the thigh or knee area, not for removal of the prepatellar bursa.
$65.39–$71.70
Code 20610 represents aspiration or injection of a major joint or bursa. Code 27340 represents surgical removal of the prepatellar bursa.
Compare 27340 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$386.14
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$351.75
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27340 billing questions
How is this different from removing a Baker cyst?
This code is for removal of the bursa over the kneecap. A popliteal, or Baker, cyst behind the knee is a different condition and is reported with 27345 when excised.
Can aspiration of the bursa be reported instead?
Aspiration or injection of a major joint or bursa is a different service from surgical excision. Code 20610 may apply to aspiration or injection when that service is performed and documented.
What documentation supports reporting this code?
Document the prepatellar location, the condition prompting surgery, and the operative work identifying and removing the bursa. The note should distinguish the bursa from a separate soft-tissue mass or an intra-articular structure.
How does Medicare handle bilateral excision?
When the procedure is performed bilaterally and reported with modifier 50, Medicare pays at 150%.
Are assistant or co-surgeon claims payable?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
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 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.
2,84627335,,Remove knee joint lining,A,,10.29,9.05,NA,9.05,,2.19,21.53,21.53,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,84727337,,Exc thigh/knee les sc 3 cm/>,A,,5.76,5.07,NA,5.07,,1.39,12.22,12.22,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,84827339,,Exc thigh/knee tum dep 5cm/>,A,,10.85,8.02,NA,8.02,,2.52,21.39,21.39,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,84927340,,Removal of kneecap bursa,A,,4.21,5.98,NA,5.98,,0.88,11.07,11.07,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85027345,,Removal of knee cyst,A,,5.94,6.82,NA,6.82,,1.26,14.02,14.02,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85127347,,Remove knee cyst,A,,6.56,7.31,NA,7.31,,1.34,15.21,15.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85227350,,Removal of kneecap,A,,8.44,8.37,NA,8.37,,1.76,18.57,18.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00