CPT code 27077 is a medical billing code for the surgical procedure of resecting a hip tumor with innominate bone involvement.
CPT code 27077 is for the surgical procedure involving the resection of a hip tumor along with the innominate bone. This procedure typically entails the removal of a tumor located in the hip area, which may involve excising a portion of the innominate bone, a key structure in the pelvis. This code is used to document and bill for the surgical intervention aimed at treating malignancies or other significant growths affecting the hip region.
When billing for the CPT code 27077, 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.
2. Modifier 51 - Multiple Procedures: This modifier should be applied if the procedure is performed in conjunction with other surgical procedures on the same day.
3. Modifier 58 - Staged or Related Procedure or Service by the Same Physician: This modifier is appropriate if the procedure is a staged procedure or if it is related to a previous procedure performed by the same physician.
4. Modifier 59 - Distinct Procedural Service: Use this modifier when the procedure is distinct or independent from other services performed on the same day.
5. Modifier 76 - Repeat Procedure by Same Physician: This modifier is applicable if the procedure is repeated by the same physician on the same day.
6. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician: This modifier should be used if the patient requires a return to the operating room for a related procedure within the global period.
7. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: This modifier is appropriate if a different procedure is performed by the same physician during the postoperative period of the initial procedure.
8. Modifier LT - Left Side: Use this modifier to specify that the procedure was performed on the left hip.
9. Modifier RT - Right Side: This modifier indicates that the procedure was performed on the right hip.
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.
The CPT code 27077 is reimbursed by Medicare, but it is essential to verify its specific reimbursement status through the Medicare Physician Fee Schedule (MPFS). The MPFS provides detailed information on the payment rates for services covered by Medicare. Additionally, it is advisable to consult with your regional Medicare Administrative Contractor (MAC) to confirm any local coverage determinations or specific billing requirements that may affect reimbursement for CPT code 27077.
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