CPT CODES

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.

Accelerate your revenue cycle

Boost patient experience and your bottom line by automating patient cost estimates, payer underpayment detection, and contract optimization in one place.

Get a Demo

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?

GPT loading...​ ETA: 2 minutes (03:08 UTC)You can cancel the execution by clearing this cell.

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.

Are You Being Underpaid for 27043 CPT Code?

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments down to the CPT code level and by individual payer. For instance, with RevFind, you can identify discrepancies related to CPT code 27043, ensuring you capture every dollar owed to your practice. Schedule a demo today to see how RevFind can help you optimize your revenue and minimize losses.

Get paid in full by bringing clarity to your revenue cycle

Full Page Background