No office rate
Both apply to deep leg or ankle soft-tissue tumor excision; the size distinction is 5 cm, with 27634 for lesions 5 cm or greater and 27619 for smaller lesions.
On this page
CMS RVU26D · Effective 2026-10-01
27634 Soft-tissue excision Medicare reimbursement rates in Washington
Reports excision of a deep soft-tissue tumor in the leg or ankle area when the lesion measures 5 cm or greater. Compare 27634 office and facility rates across CMS payment localities in Washington.
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 27634 in Washington?
Washington 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
$624.37–$680.04
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.
Musculoskeletal surgery
About 27634: Deep leg or ankle soft-tissue tumor excision
Reports excision of a deep soft-tissue tumor in the leg or ankle area when the lesion measures 5 cm or greater.
This code describes surgical removal of a soft-tissue mass in the leg or ankle area that lies beneath the superficial fascia, such as a subfascial or intramuscular lesion, and measures at least 5 cm. An orthopedic surgeon, podiatric surgeon, or other qualified surgeon may perform the procedure in an operating room or, in selected cases, an office procedure setting. The code concerns soft tissue, not a tumor arising in the tibia, fibula, or another bone.
Choose the code based on the lesion’s location, depth, size, and the work performed. The operative report should identify the leg or ankle site, document that the mass is deep, give its size, and describe its removal. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 27634
- 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 RVU9.88 · 53%
- Practice expense (office) RVU6.86 · 37%
- Malpractice RVU1.92 · 10%
423
Medicare services in 2024 · #3685 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.
27634 compared with similar codes
Office rates for Washington, from the same CMS release.
No office rate
27632 is for a subcutaneous tumor measuring 3 cm or greater. Use 27634 when the tumor is deep and measures at least 5 cm.
No office rate
27616 is in the resection series and covers a leg or ankle soft-tissue tumor 5 cm or greater. This code is for excision; the documented procedure determines which applies.
$268.58–$302.79
27613 describes lower-leg soft-tissue biopsy, rather than excision of a deep tumor measuring at least 5 cm.
Compare 27634 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
Rest Of Washington →
Office / nonfacility
Unavailable
Facility
$624.37
Seattle (King Cnty) →
Office / nonfacility
Unavailable
Facility
$680.04
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27634 billing questions
How does this differ from 27619?
Both describe excision of a deep leg or ankle soft-tissue tumor. Use 27634 for a lesion 5 cm or greater; 27619 is for one smaller than 5 cm.
How does this differ from 27632?
27632 applies to a subcutaneous leg or ankle tumor measuring 3 cm or greater. This code is for a deeper, subfascial or intramuscular tumor measuring at least 5 cm.
When would 27616 be considered instead?
27616 is in the resection series for a leg or ankle soft-tissue tumor measuring 5 cm or greater. Select between it and this excision code based on the procedure actually performed and documented, not size alone.
What should the operative note document?
Document the leg or ankle site, the tumor’s deep location, its size, and the excision performed. These details support the code’s anatomic, depth, and size criteria.
Are related postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit. The global period does not include unrelated services.
Can this be reported for a bilateral procedure?
Yes. CMS identifies this as a bilateral procedure; reporting modifier 50 results in payment at 150%.
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.
2,98027626,,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
2,98627638,,Remove/graft leg bone lesion,A,,10.72,8.26,NA,8.26,,1.94,20.92,20.92,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00