$521.26
Both concern subcutaneous lesions in the thigh or knee area; the size distinction is below 3 cm for 27327 versus 3 cm or larger for 27337.
On this page
CMS RVU26D · Effective 2026-10-01
27337 Soft-tissue excision Medicare reimbursement rates in Vermont
Reports surgical removal of a subcutaneous soft-tissue lesion in the thigh or knee area when the lesion measures 3 cm or larger. Compare 27337 office and facility rates across CMS payment localities in Vermont.
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 27337 in Vermont?
Vermont 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
$383.53
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Musculoskeletal surgery
About 27337: Subcutaneous thigh or knee lesion excision
Reports surgical removal of a subcutaneous soft-tissue lesion in the thigh or knee area when the lesion measures 3 cm or larger.
This service covers definitive surgical removal of a soft-tissue mass located beneath the skin in the thigh or knee area, measuring at least 3 cm. An orthopedic or general surgeon may perform it in an operating room or another appropriate procedural setting. A palpable subcutaneous mass, such as a lipoma, may be removed when treatment or diagnosis calls for excision rather than a limited tissue sample. The code is for a superficial lesion, not a mass situated in deeper soft tissue.
Choose this code when the operative documentation supports the thigh or knee location, subcutaneous depth, and size threshold. Record the lesion’s measured size and the tissue plane involved; the operative report should show that the service was removal, not sampling alone. 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, payment is 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 27337
- 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 · 47%
- Practice expense (office) RVU5.07 · 41%
- Malpractice RVU1.39 · 11%
2.6K
Medicare services in 2024 · #2259 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.
27337 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
27328 is for a deep soft-tissue tumor under 5 cm. Use 27337 when the lesion is subcutaneous and at least 3 cm.
No office rate
27339 concerns a deep soft-tissue tumor measuring 5 cm or larger; 27337 is for a subcutaneous lesion, regardless of whether its size reaches 5 cm.
$268.05
27323 is a thigh soft-tissue biopsy for obtaining a sample. 27337 describes definitive removal of a qualifying subcutaneous lesion in the thigh or knee area.
Compare 27337 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
Vermont →
Office / nonfacility
Unavailable
Facility
$383.53
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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 27337 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,847
- Code
- 27337
- Physician work
- 5.76
- Practice expense
- 5.07
- Malpractice
- 1.39
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.76 | × 1.000 | 5.7600 |
| Practice expense | 5.07 | × 0.990 | 5.0193 |
| Malpractice | 1.39 | × 0.506 | 0.7033 |
| Total RVUs | 11.4826 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$383.53
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.76 | 1 |
| Practice expense | 5.07 | 0.99 |
| Malpractice | 1.39 | 0.506 |
(5.76 × 1 + 5.07 × 0.99 + 1.39 × 0.506) × $33.4009 = $383.53
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.
27337 billing questions
When should this code be selected instead of 27327?
Use 27337 for a subcutaneous thigh or knee lesion measuring 3 cm or larger. Code 27327 describes the same general site and tissue depth for a lesion smaller than 3 cm.
How does a deep mass change code selection?
This code is for a lesion beneath the skin in the subcutaneous plane. A mass documented in deeper soft tissue may fall under a deep-tumor code, with the applicable size threshold determining the choice.
Can a biopsy of the same lesion be reported with its excision?
When tissue sampling is part of the process leading to definitive removal of that same lesion, the operative service is the excision. A biopsy code is for sampling rather than complete removal.
What documentation supports reporting 27337?
Document the thigh or knee location, that the lesion is subcutaneous, its size of at least 3 cm, and the operative work showing removal. The note should distinguish the lesion from a deeper mass or a sample-only procedure.
What payment rules affect this service?
It has a 90-day global period, and standard multiple-procedure reduction applies when other procedures are performed in the same session. Bilateral reporting with modifier 50 is paid at 150%; assistant-at-surgery payment may be made, while co-surgeons and team surgery are not permitted.
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.
2,84427333,,Removal of knee cartilage,A,,7.36,7.98,NA,7.98,,1.56,16.90,16.90,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,84527334,,Remove knee joint lining,A,,8.96,8.60,NA,8.60,,1.90,19.46,19.46,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,84627335,,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
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817