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 92120
CPT code 92120 is a medical billing code for tonography and eye evaluation procedures.
CPT Code 92265
CPT code 92265 is used for billing an eye muscle evaluation by a healthcare provider.
CPT Code 92311
CPT code 92311 is used for billing a contact lens fitting by healthcare providers.
CPT Code 92312
CPT code 92312 is used to bill for the professional service of fitting contact lenses.
CPT Code 92353
CPT code 92353 is for fitting a multifocal lens spectacle for patients with aphakia.
CPT Code 92354
CPT code 92354 is a medical billing code used for fitting single vision spectacles.
CPT Code 92355
CPT code 92355 is used for billing the fitting of spectacles with compound lenses.
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox
