$493.92
This code applies to a subcutaneous leg or ankle mass measuring at least 3 cm. Code 27618 is the corresponding size level for a smaller mass.
On this page
CMS RVU26D · Effective 2026-10-01
27632 Soft-tissue excision Medicare reimbursement rates in Utah
Removal of a subcutaneous soft-tissue mass in the leg or ankle measuring at least 3 cm, selected by the lesion’s size and tissue depth. Compare 27632 office and facility rates across CMS payment localities in Utah.
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 27632 in Utah?
Utah has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$379.37
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
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 27632: Subcutaneous leg or ankle mass excision
Removal of a subcutaneous soft-tissue mass in the leg or ankle measuring at least 3 cm, selected by the lesion’s size and tissue depth.
This code describes operative removal of a soft-tissue mass beneath the skin in the leg or ankle, with the mass measuring at least 3 cm. A surgeon, often an orthopedic surgeon, may perform it for a localized mass such as a lipoma. The operative approach exposes and removes the mass from the subcutaneous tissue; a lesion arising within or below fascia is coded differently. The service may be performed in a hospital or ambulatory surgery setting.
Choose this code when the operative report supports both the subcutaneous location and the size threshold. Document the mass dimensions, its relationship to the fascia, and the extent of removal; pathology can support the diagnosis but does not replace the operative findings. CMS assigns a 90-day global period, including 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 others at 50%. For bilateral procedures reported with modifier 50, CMS pays at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 27632
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.76 · 49%
- Practice expense (office) RVU4.79 · 41%
- Malpractice RVU1.22 · 10%
1K
Medicare services in 2024 · #2936 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.
27632 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
Code 27619 describes a subfascial mass smaller than 5 cm. Choose by the mass’s depth and size, not simply by incision length.
No office rate
Code 27634 is for a subfascial mass measuring 5 cm or larger; this code is for a subcutaneous mass measuring at least 3 cm.
Compare 27632 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.
1 of 1 payment localities
Utah →
Office / nonfacility
Unavailable
Facility
$379.37
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27632 in Utah.
PPRRVU2026_Oct_nonQPP.csv
2,982
- Code
- 27632
- Physician work
- 5.76
- Practice expense
- 4.79
- Malpractice
- 1.22
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.76 | × 1.000 | 5.7600 |
| Practice expense | 4.79 | × 0.940 | 4.5026 |
| Malpractice | 1.22 | × 0.898 | 1.0956 |
| Total RVUs | 11.3582 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$379.37
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.76 | 1 |
| Practice expense | 4.79 | 0.94 |
| Malpractice | 1.22 | 0.898 |
(5.76 × 1 + 4.79 × 0.94 + 1.22 × 0.898) × $33.4009 = $379.37
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
27632 billing questions
How does this differ from code 27618?
Both describe a subcutaneous mass in the leg or ankle. Use 27632 when the mass is 3 cm or larger; 27618 is for a smaller mass.
What if the mass is below the fascia?
Use the subfascial code family instead. The operative report should establish the mass’s depth, not just the depth of the incision.
Can the pathology examination be billed separately?
The surgeon’s excision and a pathologist’s examination of the submitted specimen are distinct services when each is performed and documented.
What does the 90-day global period include?
CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.
How is a bilateral excision handled?
CMS pays a bilateral procedure reported with modifier 50 at 150%. Document the treated sites and the work performed on each side.
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.
2,97927625,,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
2,98127630,,Removal of tendon lesion,A,,4.82,11.44,,4.84,,0.72,16.98,10.38,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,98227632,,Exc leg/ankle les sc 3 cm/>,A,,5.76,4.79,NA,4.79,,1.22,11.77,11.77,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,98327634,,Exc leg/ankle tum dep 5 cm/>,A,,9.88,6.86,NA,6.86,,1.92,18.66,18.66,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,98427635,,Remove lower leg bone lesion,A,,7.83,7.12,NA,7.12,,1.39,16.34,16.34,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,98527637,,Remove/graft leg bone lesion,A,,10.05,9.14,NA,9.14,,2.00,21.19,21.19,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985