$487.15–$540.63
27618 describes a subcutaneous tumor under 3 cm. Choose 27619 for a tumor beneath the fascia, including an intramuscular tumor, under 5 cm.
On this page
CMS RVU26D · Effective 2026-10-01
27619 Soft-tissue excision Medicare reimbursement rates in Pennsylvania
Reports excision of a deep soft-tissue tumor in the leg or ankle, such as an intramuscular mass, when it measures less than 5 cm. Compare 27619 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 27619 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
$419.93–$454.66
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 27619: Deep Soft-Tissue Tumor Excision, Leg or Ankle
Reports excision of a deep soft-tissue tumor in the leg or ankle, such as an intramuscular mass, when it measures less than 5 cm.
This service removes a soft-tissue tumor beneath the fascia in the leg or ankle, including a mass located within muscle, with a size under 5 cm. An orthopedic surgeon or another surgeon treating a lower-extremity mass may perform it in an operating room or an appropriately equipped outpatient setting. The work is excision of the tumor, not merely a sample for diagnosis or a radical resection of a larger tumor.
Choose the code based on the tumor’s depth and size, and document its location, relationship to fascia or muscle, and measured dimensions. The 90-day global period includes the day-before preoperative visit and related postoperative care during that period. 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 50% multiple-procedure reduction. For bilateral reporting with modifier 50, CMS pays at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 27619
- 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 RVU6.74 · 52%
- Practice expense (office) RVU5.19 · 40%
- Malpractice RVU1.13 · 9%
714
Medicare services in 2024 · #3242 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.
27619 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
Both address deep soft-tissue tumors of the leg or ankle; the size threshold is the distinction. Use 27634 at 5 cm or larger.
$245.68–$271.57
27613 is for biopsy of superficial soft tissue. Choose 27619 when the surgeon excises a deep tumor rather than taking a diagnostic sample.
No office rate
27615 represents radical resection of a soft-tissue tumor. This code describes excision of a deep tumor under 5 cm, not that radical approach.
Compare 27619 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
$454.66
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$419.93
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27619 billing questions
How is this distinguished from code 27618?
This code is for a tumor beneath the fascia, such as an intramuscular mass, under 5 cm. Code 27618 is for a subcutaneous tumor under 3 cm.
When is code 27634 the better choice?
Use 27634 for a deep leg or ankle tumor measuring 5 cm or more. This code is for the same general depth but a tumor under 5 cm.
Can this code be used when the surgeon only takes a sample?
No. It represents excision of the tumor; a procedure limited to obtaining a diagnostic tissue sample is a biopsy service.
What documentation supports reporting this code?
Document the leg or ankle location, the tumor’s relationship to the fascia or muscle, its measured size, and that it was excised.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care for 90 days are included in the global period.
What happens when both legs are treated in the same session?
For bilateral reporting with modifier 50, CMS pays this procedure at 150%. Multiple procedures in the same session 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.
2,97427615,,Resect leg/ankle tum < 5 cm,A,,15.33,9.61,NA,9.61,,3.29,28.23,28.23,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97527616,,Resect leg/ankle tum 5 cm/>,A,,19.14,11.38,NA,11.38,,4.17,34.69,34.69,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97627618,,Exc leg/ankle tum < 3 cm,A,,3.86,10.88,,4.29,,0.78,15.52,8.93,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97727619,,Exc leg/ankle tum deep <5 cm,A,,6.74,5.19,NA,5.19,,1.13,13.06,13.06,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97827620,,Explore/treat ankle joint,A,,6.00,6.01,NA,6.01,,1.03,13.04,13.04,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97927625,,Remove ankle joint lining,A,,8.28,6.79,NA,6.79,,1.34,16.41,16.41,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,98027626,,Remove ankle joint lining,A,,8.87,6.69,NA,6.69,,1.33,16.89,16.89,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00