CPT code 27177 is used to describe the surgical treatment of a slipped epiphysis in the hip joint.
CPT code 27177 is used to describe the surgical procedure for treating a slipped epiphysis, which is a condition where the ball at the top of the thigh bone (femur) slips out of place at the growth plate. This code specifically refers to the surgical intervention aimed at stabilizing the femoral head to prevent further displacement and to promote proper alignment and healing.
When billing for CPT code 27177, 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 sides of the body.
2. Modifier 51 - Multiple Procedures: This modifier is applicable if multiple procedures are performed during the same session.
3. Modifier 52 - Reduced Services: Use this modifier if the service provided is less than what is typically required for the procedure.
4. Modifier 53 - Discontinued Procedure: This modifier should be used if the procedure was started but had to be discontinued due to extenuating circumstances.
5. Modifier 76 - Repeat Procedure by Same Physician: This modifier is used when the same procedure is performed again by the same physician on the same day.
6. Modifier 77 - Repeat Procedure by Another Physician: This modifier applies when the same procedure is performed again by a different physician on the same day.
7. Modifier 78 - Unplanned Return to the Operating/Procedure Room: Use this modifier if a patient requires a return to the operating room for a related procedure within the global period.
8. 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 original procedure.
9. Modifier 22 - Increased Procedural Services: This modifier can be used if the procedure required significantly more work than typically required.
10. Modifier 59 - Distinct Procedural Service: This modifier is applicable when a procedure is performed that is distinct or independent from other services performed on the same day.
Each of these modifiers serves a specific purpose and helps to provide additional context for the services rendered, ensuring accurate billing and reimbursement.
The CPT code 27177 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 services covered by Medicare and their corresponding reimbursement rates.
Additionally, it is crucial to consult with your local Medicare Administrative Contractor (MAC) to confirm any regional variations or specific guidelines that may affect reimbursement for CPT code 27177. Each MAC may have unique policies or additional requirements that could influence the reimbursement process.
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