CPT code 27392 is for the surgical incision of thigh tendons, used to describe a specific medical procedure in billing and documentation.
CPT code 27392 is for the surgical procedure involving the incision of tendons in the thigh. This code is used to describe the specific action taken during surgery to access or repair the tendons located in the thigh area, which may be necessary due to injury, disease, or other medical conditions affecting the tendons.
When billing for the CPT code 27392, which pertains to the incision of thigh tendons, 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 should be applied when multiple procedures are performed during the same session.
3. Modifier 58 - Staged or Related Procedure: This modifier is appropriate if the procedure is part of a staged treatment plan or if it is a subsequent procedure related to the initial surgery.
4. Modifier 59 - Distinct Procedural Service: Use this modifier when 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 applicable if the procedure is repeated by the same physician on the same day.
6. Modifier 78 - Unplanned Return to the Operating/Procedure Room: This modifier should be used if the patient requires a return to the operating room for a related procedure within the global period.
7. Modifier 79 - Unrelated Procedure or Service by the Same Physician: This modifier is relevant if a different procedure is performed by the same physician during the global period that is unrelated to the original procedure.
8. Modifier LT - Left Side: Use this modifier to specify that the procedure was performed on the left thigh.
9. Modifier RT - Right Side: This modifier indicates that the procedure was performed on the right thigh.
10. Modifier 22 - Increased Procedural Services: This modifier can be used if the procedure required significantly more work than typically required.
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 27392 is reimbursed by Medicare, but it is essential to verify the specifics through the Medicare Physician Fee Schedule (MPFS) and your regional Medicare Administrative Contractor (MAC).
The MPFS provides detailed information on the reimbursement rates and guidelines for each CPT code, while the MACs administer Medicare claims and can offer region-specific details.
Always consult these resources to ensure accurate and up-to-date information regarding the reimbursement status of CPT code 27392.
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 27392, you can ensure that every dollar is accounted for. Schedule a demo today to see how RevFind can help you maximize your reimbursements and streamline your financial processes.
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