CPT code 27045: Tumor excision2026 Medicare rate & RVUs in Utah
Reports surgical excision of a deep soft-tissue tumor in the hip or pelvic area when the documented tumor measures 5 cm or larger.
CMS doesn’t publish an office rate for 27045 in Utah.
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 27045 covers
This code describes surgical removal of a deep soft-tissue tumor in the hip or pelvic area measuring at least 5 cm. The surgeon may encounter a mass beneath the subcutaneous tissue, such as one involving deeper soft tissue or muscle. It is used for operative removal, rather than sampling alone, and the operative report should identify the site, depth, size, and extent of removal. Orthopedic surgeons and other surgeons who treat pelvic and hip-region masses may perform the procedure in a hospital or outpatient surgical setting.
Select this code when the documented tumor is deep and meets the 5 cm threshold; a smaller deep tumor or a superficial lesion points to a different code. The record should support the tumor’s dimensions and location as well as the excision performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others are subject to the standard multiple-procedure reduction. Modifier 50 identifies bilateral procedures, paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. 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.
27045 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $668.56 |
How the 27045 rate is calculated
Each of 27045’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 · 27045
RVUs × geographic indexes × conversion factor
Work10.85
10.85 RVUs× 1.000 GPCI
Practice expense7.43
7.43 RVUs× 1.000 GPCI
Malpractice2.43
2.43 RVUs× 1.000 GPCI
Adjusted RVUs
20.7100
Conversion factor
$33.4009
Medicare rate
$691.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27045
27045 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27045
Tumor excision
| 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 · 27045
Tumor excision
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
27045 without 50 · national facility
$691.73
Tumor excision
27045-50 · Bilateral: 150%
$1,037.60
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).
27045 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 27048Tumor excision
- Both concern deep hip or pelvic tumor excision, but 27048 is for tumors smaller than 5 cm; 27045 requires at least 5 cm.
- 27059Tumor resection
- 27059 describes tumor resection at the 5 cm-or-larger size level. Distinguish it from 27045 by the operative procedure and extent documented.
- 27043Soft-tissue excision
- 27043 is for a subcutaneous hip or pelvic lesion measuring 3 cm or larger. This code is for a deep tumor measuring at least 5 cm.
- 27041Soft-tissue biopsy
- 27041 is a soft-tissue biopsy code. Use 27045 when the surgeon excises the qualifying deep tumor rather than sampling it.
27045 billing questions
How does this differ from 27048?
Both describe deep hip or pelvic tumor excision. Use 27045 when the tumor is 5 cm or larger and 27048 when it is smaller than 5 cm.
When would 27059 be more appropriate?
27059 describes resection of a hip or pelvic soft-tissue tumor measuring 5 cm or larger. Choose between the codes based on the documented procedure and extent of removal, not size alone.
What documentation supports 27045?
The operative report should identify the hip or pelvic site, establish that the tumor is deep, document a size of at least 5 cm, and describe the excision performed.
How does the 90-day global period affect billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can modifier 50 or an assistant-at-surgery claim be reported?
Modifier 50 applies to a bilateral procedure, which Medicare pays at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation.
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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