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CPT 27365 — Resect femur/knee tumor

CPT code 27365 (Resect femur/knee tumor) carries 31.4 work RVUs under the CMS 2026 Medicare Physician Fee Schedule. Total RVUs are 55.0 in a non-facility setting and 55.0 in a facility setting, which at the 2026 conversion factor of $33.40 works out to $1,837.05 and $1,837.05 respectively.

31.4
Work RVU
55.0
Total RVU (non-facility)
$1,837.05
Medicare, non-facility
$1,837.05
Medicare, facility
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RVU breakdown for CPT 27365

ComponentRVUsWhat it covers
Work RVU31.4Physician time, skill, effort, and stress.
Practice expense RVU (non-facility)16.89Office overhead, staff, supplies.
Practice expense RVU (facility)0.0Overhead when performed in a hospital.
Malpractice RVU6.71Professional liability cost.
Total RVU (non-facility)55.0Work + non-facility PE + malpractice.
Total RVU (facility)55.0Work + facility PE + malpractice.

How Medicare payment is calculated

Medicare multiplies total RVUs by the annual conversion factor. For CPT 27365 in 2026:

SettingTotal RVUConversion factorNational payment
Non-facility55.0$33.40$1,837.05
Facility55.0$33.40$1,837.05

These are national amounts. Actual payment is adjusted by the Geographic Practice Cost Index for your locality — check yours with the GPCI lookup.

Billing rules for CPT 27365

Global period
90-day global — major surgery; 90 days of follow-up care included.
Multiple procedure reduction
Subject to the standard multiple-procedure reduction (100%/50%/50%…).
Bilateral surgery
150% payment adjustment applies when performed bilaterally.
Assistant surgeon
Permitted.
Co-surgeon
Not permitted.
Team surgery
Not permitted unless documentation supports medical necessity.

Questions about CPT 27365

How many work RVUs is CPT 27365?

CPT 27365 is assigned 31.4 work RVUs in the CMS 2026 Medicare Physician Fee Schedule.

What does Medicare pay for CPT 27365?

At the 2026 national conversion factor of $33.40, CPT 27365 pays approximately $1,837.05 in a non-facility setting and $1,837.05 in a facility setting before geographic adjustment.

What is the global period for CPT 27365?

90-day global — major surgery; 90 days of follow-up care included.

RVU values reflect the CMS 2026 Medicare Physician Fee Schedule (conversion factor $33.40). Payment figures are national and unadjusted for geography. Verify against the official fee schedule before using for billing.