No office rate
Use 27618 for a subcutaneous tumor under 3 cm; 27619 describes a deep soft-tissue tumor under 5 cm.
On this page
CMS RVU26D · Effective 2026-10-01
27618 Soft-tissue excision Medicare reimbursement rates in Wyoming
Reports excision of a subcutaneous soft-tissue tumor under 3 cm in the leg or ankle, such as a small superficial lipoma. Compare 27618 office and facility rates across CMS payment localities in Wyoming.
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 27618 in Wyoming?
Wyoming 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
$511.61
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$291.50
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Soft-tissue surgery
About 27618: Small Superficial Leg or Ankle Tumor Excision
Reports excision of a subcutaneous soft-tissue tumor under 3 cm in the leg or ankle, such as a small superficial lipoma.
This code describes excision of a soft-tissue tumor smaller than 3 cm that lies beneath the skin but remains subcutaneous in the leg or ankle area. An orthopedic surgeon or another surgeon may perform it in an operating room or an outpatient procedure setting. A small superficial lipoma is a typical example; the operative report should establish the mass’s location, size, and depth.
Choose this code when the surgeon removes the tumor, not when only a tissue sample is taken. Distinguish it from codes for larger subcutaneous tumors and for tumors beneath the fascia. 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 27618
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.86 · 25%
- Practice expense (office) RVU10.88 · 70%
- Malpractice RVU0.78 · 5%
848
Medicare services in 2024 · #3097 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.
27618 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
27632 is for a subcutaneous leg or ankle lesion 3 cm or larger. 27618 is limited to a tumor under 3 cm.
No office rate
27615 describes resection of a subcutaneous leg or ankle tumor under 5 cm. 27618 describes excision of a subcutaneous tumor under 3 cm; the operative procedure and documented size distinguish them.
Compare 27618 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
Wyoming** →
Office / nonfacility
$511.61
Facility
$291.50
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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 27618 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,976
- Code
- 27618
- Physician work
- 3.86
- Practice expense
- 10.88
- Malpractice
- 0.78
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.86 | × 1.000 | 3.8600 |
| Practice expense | 10.88 | × 1.000 | 10.8800 |
| Malpractice | 0.78 | × 0.740 | 0.5772 |
| Total RVUs | 15.3172 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$511.61
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.86 | 1 |
| Practice expense | 10.88 | 1 |
| Malpractice | 0.78 | 0.74 |
(3.86 × 1 + 10.88 × 1 + 0.78 × 0.74) × $33.4009 = $511.61
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.86 | 1 |
| Practice expense | 4.29 | 1 |
| Malpractice | 0.78 | 0.74 |
(3.86 × 1 + 4.29 × 1 + 0.78 × 0.74) × $33.4009 = $291.50
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.
27618 billing questions
How does 27618 differ from 27619?
27618 is for a subcutaneous tumor under 3 cm. 27619 is for a deep soft-tissue tumor under 5 cm.
Is 27618 appropriate when the surgeon takes only a biopsy?
No. This code describes excision of the tumor, rather than sampling only part of it. Consider the applicable soft-tissue biopsy code when the surgeon obtains tissue for diagnosis without removing the entire mass.
What documentation supports 27618?
The operative report should identify the leg or ankle site, document that the tumor is subcutaneous, and record its size as under 3 cm. It should also describe removal of the tumor.
How is bilateral reporting handled?
CMS pays bilateral reporting with modifier 50 at 150%. The record should support a qualifying procedure on both sides.
Can an assistant surgeon or co-surgeon be reported?
CMS restricts assistant-at-surgery payment for this code. 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.
2,97327614,,Biopsy lower leg soft tissue,A,,5.66,11.69,,5.15,,0.92,18.27,11.73,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97427615,,Resect leg/ankle tum < 5 cm,A,,15.33,9.61,NA,9.61,,3.29,28.23,28.23,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97527616,,Resect leg/ankle tum 5 cm/>,A,,19.14,11.38,NA,11.38,,4.17,34.69,34.69,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97627618,,Exc leg/ankle tum < 3 cm,A,,3.86,10.88,,4.29,,0.78,15.52,8.93,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97727619,,Exc leg/ankle tum deep <5 cm,A,,6.74,5.19,NA,5.19,,1.13,13.06,13.06,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97827620,,Explore/treat ankle joint,A,,6.00,6.01,NA,6.01,,1.03,13.04,13.04,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97927625,,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,