CPT CODES

CPT Code 27355

CPT code 27355 is used to describe the procedure for removing a lesion from the femur, a bone in the thigh.

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What is CPT Code 27355

CPT code 27355 is used to describe the surgical procedure for the removal of a lesion from the femur, which is the thigh bone. This code indicates that the healthcare provider has performed an excision of a tumor or abnormal growth located in the femur, typically involving the use of surgical instruments to ensure complete removal while minimizing damage to surrounding tissues.

Does CPT 27355 Need a Modifier?

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CPT Code 27355 Medicare Reimbursement

The CPT code 27355 is reimbursed by Medicare, but it is essential to verify the specific details through the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services covered by Medicare, including the reimbursement rates for each CPT code.

Additionally, it is crucial to consult with your regional Medicare Administrative Contractor (MAC) to confirm the reimbursement specifics and any potential local coverage determinations (LCDs) that may affect the payment. The MACs are responsible for processing Medicare claims and can provide detailed information on the reimbursement policies for CPT code 27355 in your area.

Are You Being Underpaid for 27355 CPT Code?

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 CPT code 27355, you can ensure that every dollar is accounted for. Schedule a demo today to see how RevFind can help you maximize your revenue and minimize losses.

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