CPT code 27071 is used for the surgical procedure involving the deep removal of part of the hip bone.
CPT code 27071 is used to describe a surgical procedure involving the removal of a part of the hip bone, specifically performed at a deep level. This code indicates that the procedure is more complex than a superficial removal, often requiring significant surgical intervention and expertise. It is typically utilized in cases where there is a need to address issues such as bone tumors, infections, or other conditions affecting the hip joint.
When billing for the CPT code 27071, which pertains to the partial removal of hip bone deep, several modifiers may be applicable depending on the specific circumstances of the procedure. Here is a list of potential modifiers that could be used:
1. Modifier 50 - Bilateral Procedure: Use this modifier if the procedure is performed on both hips during the same session.
2. Modifier 51 - Multiple Procedures: This modifier is appropriate if the procedure is performed in conjunction with other surgical procedures on the same day.
3. Modifier 58 - Staged or Related Procedure: This modifier should be used if the procedure is a staged procedure or if it is related to a previous procedure performed during the postoperative period.
4. Modifier 59 - Distinct Procedural Service: This modifier is applicable when the procedure is performed separately from other procedures on the same day, indicating that it is not a component of a more comprehensive service.
5. Modifier 76 - Repeat Procedure by Same Physician: Use this modifier if the procedure is repeated by the same physician on the same day.
6. Modifier 78 - Unplanned Return to the Operating/Procedure Room: This modifier is relevant if the patient requires a return to the operating room for a related procedure within the postoperative period.
7. Modifier 79 - Unrelated Procedure by Same Physician: This modifier is appropriate if a different procedure is performed by the same physician during the postoperative period that is unrelated to the original procedure.
8. Modifier RT - Right Side: Use this modifier to indicate that the procedure was performed on the right hip.
9. Modifier LT - Left Side: This modifier should be used to indicate that the procedure was performed on the left hip.
10. Modifier 22 - Increased Procedural Services: This modifier may be used if the procedure required significantly more work than typically required.
It is essential to select the appropriate modifier(s) based on the specific circumstances of the procedure to ensure accurate billing and compliance with payer requirements.
CPT code 27071 is reimbursed by Medicare, but the reimbursement is subject to specific conditions outlined in the Medicare Physician Fee Schedule (MPFS). To determine the exact reimbursement rate and any applicable guidelines, healthcare providers should consult the MPFS. Additionally, it is essential to verify with the respective Medicare Administrative Contractor (MAC) for any regional variations or additional requirements that may impact reimbursement for CPT code 27071.
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