CPT code 27306 is a medical billing code used for the incision of a thigh tendon during a surgical procedure.
CPT code 27306 is for the surgical procedure involving the incision of a tendon in the thigh. This code is used to describe the specific action taken during the surgery, which may be necessary to address issues such as tendon tears, injuries, or other conditions affecting the thigh's tendons. The procedure typically involves making an incision to access the tendon for repair or treatment.
When billing for the CPT code 27306 (Incision of thigh tendon), 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 thighs.
2. Modifier 51 - Multiple Procedures: This modifier is applicable if multiple procedures are performed during the same session.
3. Modifier 58 - Staged or Related Procedure: Use this modifier if the procedure is part of a staged or planned series of procedures.
4. Modifier 59 - Distinct Procedural Service: This modifier is used to indicate that 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 appropriate if the procedure is repeated by the same physician on the same day.
6. Modifier 78 - Unplanned Return to the Operating/Procedure Room: Use this modifier 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 applicable if a different procedure is performed by the same physician during the postoperative period.
8. Modifier LT - Left Side: Use this modifier to specify that the procedure was performed on the left thigh.
9. Modifier RT - Right Side: Use this modifier to specify that the procedure was performed on the right thigh.
10. Modifier 22 - Increased Procedural Services: This modifier may be used if the procedure required significantly more work than typically required.
Each of these modifiers serves to provide additional context for the procedure performed, ensuring accurate billing and compliance with payer requirements.
The CPT code 27306 is reimbursed by Medicare, but the reimbursement amount can vary based on several factors. To determine the specific reimbursement rate, you should refer to the Medicare Physician Fee Schedule (MPFS), which provides detailed information on the payment rates for various CPT codes.
Additionally, the reimbursement may be subject to local adjustments and policies set by the Medicare Administrative Contractor (MAC) for your region. Therefore, it is essential to consult both the MPFS and your regional MAC to obtain accurate and up-to-date reimbursement information for CPT code 27306.
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