CPT code 27340 is for the removal of the kneecap bursa, a procedure to alleviate pain and inflammation in the knee area.
CPT code 27340 is the procedure for the removal of the bursa located near the kneecap. This surgical intervention is typically performed to alleviate pain or inflammation caused by conditions such as bursitis or other knee-related issues. The procedure involves excising the bursa to improve mobility and reduce discomfort in the knee joint.
When billing for the CPT code 27340 (Removal of kneecap bursa), the following modifiers may be applicable, depending on the specific circumstances of the procedure:
1. Modifier 50 - Bilateral Procedure: Use this modifier if the procedure is performed on both knees during the same session.
2. Modifier 51 - Multiple Procedures: This modifier is appropriate if the removal of the kneecap bursa is performed in conjunction with other surgical procedures during the same session.
3. Modifier 59 - Distinct Procedural Service: This modifier should be used when the procedure is performed separately and is not considered part of another procedure performed on the same day.
4. Modifier 76 - Repeat Procedure by Same Physician: If the procedure is repeated on the same knee during the same session, this modifier should be applied.
5. Modifier 78 - Unplanned Return to the Operating/Procedure Room: This modifier is applicable if the patient requires a return to the operating room for complications related to the initial procedure.
6. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Use this modifier if a different procedure is performed during the postoperative period that is unrelated to the original procedure.
7. Modifier RT - Right Side: This modifier indicates that the procedure was performed on the right knee.
8. Modifier LT - Left Side: This modifier indicates that the procedure was performed on the left knee.
9. Modifier AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist: This modifier is used when the procedure is performed by a non-physician practitioner.
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 27340 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, Medicare Administrative Contractors (MACs) play a crucial role in determining the local coverage and payment policies for CPT codes. Therefore, it is advisable to consult the MPFS and your regional MAC to confirm the exact reimbursement rate and any specific guidelines associated with CPT code 27340.
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