CPT code 27087 is used to describe the procedure for removing a foreign body from the hip joint.
CPT code 27087 is used to describe the procedure of removing a foreign body from the hip area. This code is applicable when a healthcare provider performs a surgical intervention to extract an object that is not naturally part of the body and has become lodged in the hip region, potentially causing pain or complications.
When billing for the CPT code 27087 (Remove hip foreign body), 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 is appropriate if multiple procedures are performed during the same session.
3. Modifier 52 - Reduced Services: If the procedure is partially reduced or not completed, this modifier should be used.
4. Modifier 53 - Discontinued Procedure: This modifier is applicable if the procedure was started but had to be discontinued due to extenuating circumstances.
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 an unplanned return to the operating room for complications related to the initial procedure.
7. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: This modifier should be used if a different procedure is performed by the same physician during the postoperative period of the initial procedure.
8. Modifier LT - Left Side: This modifier indicates that the procedure was performed on the left hip specifically.
9. Modifier RT - Right Side: This modifier indicates that the procedure was performed on the right hip specifically.
10. Modifier 22 - Increased Procedural Services: If the procedure required significantly more work than usual, this modifier can be used to indicate the increased complexity.
It is essential to select the appropriate modifier(s) based on the specific details of the procedure to ensure accurate billing and compliance with payer requirements.
CPT code 27087 is reimbursed by Medicare, but it is essential to verify the specific reimbursement details through the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of payment rates for services covered under Medicare Part B. Additionally, reimbursement can vary based on the region, as Medicare Administrative Contractors (MACs) may have localized policies and rates. Therefore, it is advisable to consult the MPFS and the relevant MAC for the most accurate and up-to-date information regarding the reimbursement of CPT code 27087.
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