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 21280
CPT code 21280 is a medical code used to describe the revision of an eyelid procedure.
CPT Code 21310
CPT code 21310 is for the closed treatment of a nasal fracture without manipulation.
CPT Code 21315
CPT code 21315 is for the closed treatment of a nasal fracture without manipulation.
CPT Code 21330
CPT code 21330 is for the open treatment of a nasal fracture with skeletal fixation.
CPT Code 21344
CPT code 21344 is for the open treatment of a complex fracture of the frontal sinus.
CPT Code 21346
CPT code 21346 is for the open treatment of a nasomaxillary fracture with fixation.
CPT Code 21400
CPT code 21400 is for a closed treatment of an orbital fracture without manipulation.
CPT Code 21558
CPT code 21558 is for the surgical resection of a neck tumor measuring 5 cm or larger.
CPT Code 21685
CPT code 21685 is for the surgical procedure involving hyoid myotomy and suspension.
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox