CPT Code 27050
CPT code 27050 is a medical billing code for a biopsy of the sacroiliac joint, used to document and bill for this specific procedure.
Boost patient experience and your bottom line by automating patient cost estimates, payer underpayment detection, and contract optimization in one place.
What is CPT Code 27050
CPT code 27050 is used to describe a biopsy procedure of the sacroiliac joint. This code indicates that a healthcare provider has performed a surgical intervention to obtain tissue samples from the sacroiliac joint, which is located in the lower back where the spine meets the pelvis. The biopsy is typically conducted to diagnose conditions affecting the joint, such as inflammation, infection, or tumors.
Does CPT 27050 Need a Modifier?
GPT loading... ETA: 2 minutes (03:08 UTC)You can cancel the execution by clearing this cell.
CPT Code 27050 Medicare Reimbursement
The CPT code 27050 is reimbursed by Medicare, but its reimbursement is subject to specific conditions outlined in the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services covered by Medicare and the corresponding payment rates.
Additionally, the reimbursement for CPT code 27050 may vary depending on the local policies of the Medicare Administrative Contractor (MAC) that services your region. Each MAC has the authority to implement and interpret Medicare policies, which can affect the approval and reimbursement rates for specific CPT codes.
Therefore, it is crucial to consult both the MPFS and your regional MAC guidelines to ensure accurate billing and reimbursement for CPT code 27050.
Are You Being Underpaid for 27050 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. With RevFind, you can identify discrepancies for CPT code 27050, ensuring you receive the full reimbursement you deserve. Schedule a demo today to see how RevFind can streamline your revenue recovery process.
Get paid in full by bringing clarity to your revenue cycle
Related CPT Codes
CPT Code 20555
CPT code 20555 is for placing a needle in muscle or tissue for radiation therapy.
CPT Code 20606
CPT code 20606 is for draining or injecting a joint or bursa with ultrasound guidance.
CPT Code 20610
CPT code 20610 is for draining or injecting a joint or bursa without using ultrasound.
CPT Code 20611
CPT code 20611 is for draining or injecting a joint or bursa with ultrasound guidance.
CPT Code 20700
CPT code 20700 is for the manual preparation and insertion of a drug delivery device.
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox
