CPT Code 27043
CPT code 27043 is used to describe an excision of a lesion in the hip or pelvis that is 3 cm or smaller.
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What is CPT Code 27043
CPT code 27043 is used to describe the excision of a lesion from the hip or pelvis area that measures greater than 3 centimeters. This procedure involves the surgical removal of the lesion, which may be necessary for diagnostic purposes or to treat a condition affecting the hip or pelvic region. The code indicates that the excision is significant in size, requiring specific surgical techniques and considerations.
Does CPT 27043 Need a Modifier?
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CPT Code 27043 Medicare Reimbursement
CPT code 27043 is reimbursed by Medicare, but the reimbursement is subject to specific guidelines and conditions outlined in the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services and their corresponding reimbursement rates, which are updated annually.
Additionally, Medicare Administrative Contractors (MACs) play a crucial role in determining the local coverage and payment policies for CPT code 27043. It is essential for healthcare providers to consult both the MPFS and their respective MAC to ensure compliance with Medicare's reimbursement criteria for this specific code.
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Related CPT Codes
CPT Code 15851
CPT code 15851 is for the removal of sutures or staples that requires anesthesia.
CPT Code 15853
CPT code 15853 is for the removal of sutures or staples that requires anesthesia.
CPT Code 15854
CPT code 15854 is for the removal of sutures and staples that require anesthesia.
CPT Code 15936
CPT code 15936 is for the surgical removal of a pressure sore located on the sacrum.
CPT Code 15941
CPT code 15941 is used for the surgical removal of a pressure sore located on the hip.
CPT Code 15999
CPT code 15999 is for unlisted procedures involving the excision of pressure ulcers.
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