CPT code 27327 is for excising a thigh or knee lesion that is less than 3 cm in size, helping to standardize medical billing and documentation.
CPT code 27327 is used to describe a surgical procedure involving the excision of a lesion located in the thigh or knee area that is less than 3 centimeters in size. This code indicates that the procedure is focused on removing a specific abnormal growth or tissue from the specified region, which may be necessary for diagnostic or therapeutic reasons.
When billing for CPT code 27327, there are several modifiers that may be applicable depending on the specific circumstances of the procedure. Below is a list of potential modifiers that could be used with this code, along with the reasons for their use:
1. Modifier 50 - Bilateral Procedure
Used when the procedure is performed on both sides of the body.
2. Modifier 51 - Multiple Procedures
Indicates that multiple procedures were performed during the same session.
3. Modifier 59 - Distinct Procedural Service
Used to indicate that a procedure or service was distinct or independent from other services performed on the same day.
4. Modifier LT - Left Side
Indicates that the procedure was performed on the left side of the body.
5. Modifier RT - Right Side
Indicates that the procedure was performed on the right side of the body.
6. Modifier 22 - Increased Procedural Services
Used when the work required to provide a service is substantially greater than typically required.
7. Modifier 76 - Repeat Procedure by Same Physician
Indicates that a procedure was repeated by the same physician on the same day.
8. Modifier 77 - Repeat Procedure by Another Physician
Indicates that a procedure was repeated by a different physician on the same day.
9. Modifier 93 - Synchronous Telemedicine Service Rendered via a Real-Time Interactive Audio and Video Telecommunications System
Used when the service is provided via telemedicine.
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 27327 is reimbursed by Medicare, but the specifics of reimbursement can vary based on several factors. The Medicare Physician Fee Schedule (MPFS) provides a comprehensive list of services covered by Medicare, including the reimbursement rates for each CPT code. To determine the exact reimbursement for CPT code 27327, healthcare providers should refer to the MPFS.
Additionally, Medicare Administrative Contractors (MACs) play a crucial role in the reimbursement process. MACs are responsible for processing Medicare claims and can provide region-specific information regarding coverage and reimbursement rates. Providers should consult their local MAC for detailed guidance on the reimbursement of CPT code 27327, as policies and rates may differ by region.
Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments down to the CPT code level and by individual payer. For instance, with RevFind, you can identify discrepancies related to CPT code 27327, ensuring you capture every dollar owed. Schedule a demo today to see how RevFind can optimize your financial performance.
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