No office rate
This code describes femoral lesion curettage or excision without graft reconstruction. Use 27356 when the procedure includes the grafting distinguished by that sibling code.
On this page
CMS RVU26D · Effective 2026-10-01
27355 Femur lesion removal Medicare reimbursement rates in Pennsylvania
Reports curettage or excision of a benign bone cyst or tumor in the femur when the treated defect is not reconstructed with a graft. Compare 27355 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 27355 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
$552.99–$603.51
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 27355: Femoral bone lesion curettage without graft
Reports curettage or excision of a benign bone cyst or tumor in the femur when the treated defect is not reconstructed with a graft.
An orthopedic surgeon or orthopedic oncologist uses this service to treat a localized benign bone cyst or tumor in the femur by removing or curetting the lesion. These procedures are commonly performed in an operating room, often for a symptomatic or structurally concerning lesion identified on imaging. The code distinguishes treatment of a femoral bone lesion from removal of a soft-tissue mass around the thigh or knee and from a wider tumor resection.
Report this code when the operative documentation identifies the femur, the benign lesion or cyst, and the curettage or excision performed without graft reconstruction. A graft or internal fixation changes the applicable code within the femoral lesion family. The 90-day global period includes 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 are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27355
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.80 · 45%
- Practice expense (office) RVU7.85 · 45%
- Malpractice RVU1.64 · 9%
450
Medicare services in 2024 · #3652 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.
27355 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
This code is for lesion treatment without graft reconstruction. The related fixation code is the closer choice when internal fixation is performed.
No office rate
27355 addresses curettage or excision of a localized benign bone lesion. 27365 is used for a more extensive tumor resection involving the femur or knee region.
Compare 27355 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
$603.51
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$552.99
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27355 billing questions
How does this code differ from the femoral lesion codes that include grafting or fixation?
Use 27355 for curettage or excision without graft reconstruction. The related femoral lesion codes distinguish cases involving grafting or internal fixation.
What documentation supports reporting this code?
The operative report should identify the femur and lesion, describe the curettage or excision performed, and establish that graft reconstruction was not part of the procedure.
Does this code include postoperative care?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral treatment reported?
For bilateral procedures, modifier 50 is paid at 150% under the CMS facts for this code.
Can an assistant or co-surgeon be paid?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when this is performed with another procedure in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.
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.
2,85027345,,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
2,85327355,,Remove femur lesion,A,,7.80,7.85,NA,7.85,,1.64,17.29,17.29,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85427356,,Remove femur lesion/graft,A,,9.84,8.93,NA,8.93,,2.09,20.86,20.86,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85527357,,Remove femur lesion/graft,A,,10.88,9.76,NA,9.76,,2.31,22.95,22.95,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85627358,,Remove femur lesion/fixation,A,,4.61,1.47,NA,1.47,,1.00,7.08,7.08,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00