CPT code 27393 is for the surgical lengthening of a thigh tendon, used to describe a specific medical procedure in billing and documentation.
CPT code 27393 is for the surgical procedure involving the lengthening of a tendon in the thigh. This procedure is typically performed to address conditions that require increased flexibility or range of motion in the thigh area, often due to tightness or contractures. The code specifically indicates that the intervention is focused on the tendons associated with the thigh, which may be necessary for improving function or alleviating pain in patients with certain musculoskeletal issues.
When billing for the CPT code 27393, there are several modifiers that 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 59 - Distinct Procedural Service: This modifier is appropriate when the procedure is performed separately from other procedures on the same day.
4. Modifier 76 - Repeat Procedure by Same Physician: Use this modifier if the procedure is repeated by the same physician on the same day.
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 a related procedure within the postoperative period.
6. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: This modifier should be used if a different procedure is performed by the same physician during the postoperative period.
7. Modifier LT - Left Side: This modifier is used to specify that the procedure was performed on the left thigh.
8. Modifier RT - Right Side: This modifier indicates that the procedure was performed on the right thigh.
9. Modifier 22 - Increased Procedural Services: This modifier may be used if the procedure required significantly more work than typically required.
10. Modifier 27 - Multiple Encounters on the Same Date: This modifier is applicable when the patient has multiple encounters on the same date of service.
It is essential to select the appropriate modifiers based on the specific circumstances of the procedure to ensure accurate billing and compliance with payer requirements.
CPT code 27393 is reimbursed by Medicare, but the reimbursement specifics can vary based on several factors. The Medicare Physician Fee Schedule (MPFS) provides a comprehensive list of the reimbursement rates for CPT codes, including 27393. However, it is essential to verify the coverage and reimbursement details with your local Medicare Administrative Contractor (MAC), as they administer Medicare claims and can provide region-specific information. Always consult the MPFS and your MAC to ensure accurate and up-to-date reimbursement information for CPT code 27393.
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. With the ability to identify discrepancies for specific codes like 27393, you can ensure that your practice is receiving the full reimbursement it deserves. Schedule a demo today to see how RevFind can streamline your revenue recovery process.
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