Billing code 27070: Hip bone excisionMedicare rate & RVUs in Washington
Reports superficial partial removal of pelvic or hip-joint bone, such as for osteomyelitis, when the operative work is less extensive than deep excision.
CMS doesn’t publish an office rate for 27070 in Washington.
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 27070 covers
An orthopedic surgeon removes a limited portion of superficial bone in the pelvis or around the hip joint, commonly to address diseased bone such as osteomyelitis. The operation is generally performed in an operating room. The code describes partial bone excision, not removal of a separately defined bone lesion or a larger tumor resection; the operative report should identify the bone treated and the extent and depth of removal.
Select this code when the documented work is superficial; deeper partial excision is distinguished by 27071. Documentation should support the indication and show the actual bone work performed. The code has a 90-day global period, which 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% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment 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.
Where 27070 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | Unavailable | $832.78 |
| Seattle (King Cnty) | Unavailable | $916.07 |
How the 27070 rate is calculated
Each of 27070’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 · 27070
RVUs × geographic indexes × conversion factor
Work11.27
11.27 RVUs× 1.000 GPCI
Practice expense11.21
11.21 RVUs× 1.000 GPCI
Malpractice2.25
2.25 RVUs× 1.000 GPCI
Adjusted RVUs
24.7300
Conversion factor
$33.4009
Medicare rate
$826.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27070
27070 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27070
Hip bone 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 · 27070
Hip bone 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
27070 without 50 · national facility
$826.00
Hip bone excision
27070-50 · Bilateral: 150%
$1,239.00
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).
27070 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 27071Bone excision
- Both describe partial bone excision in the pelvic or hip-joint area. The distinction is superficial versus deep operative work.
- 27065Bone lesion removal
- This code is for partial bone excision, commonly for diseased bone such as osteomyelitis; 27065 is for excision of a superficial bone lesion.
- 27066Bone lesion excision
- Use 27066 for excision of a deep bone lesion. Use 27070 when the service is superficial partial bone excision rather than lesion excision.
- 27075Tumor resection
- 27075 describes hip-area tumor resection. It is not the limited superficial partial bone excision represented by 27070.
27070 billing questions
How do I choose between 27070 and 27071?
Use 27070 for partial excision of superficial bone in the pelvis or hip-joint area. Use 27071 when the documented excision is deep.
Is removal of a bone lesion reported with 27070?
Not when the operative service is specifically removal of a hip or pelvic bone lesion. Codes such as 27065 or 27066 describe lesion excision at different depths; choose based on the documented procedure.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. Do not separately report those included services as unrelated visits.
How is bilateral surgery reported?
When the procedure is performed bilaterally, modifier 50 is associated with payment at 150% under the CMS rule for this code.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery payment is 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 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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