CPT code 27598 is used to describe the procedure of amputating the lower leg at the knee, facilitating accurate billing and documentation.
CPT code 27598 is used to describe the surgical procedure of amputating the lower leg at the knee joint. This code specifically indicates that the amputation is performed at the level of the knee, which may be necessary due to various medical conditions such as severe trauma, infection, or vascular disease.
When reporting the CPT code 27598 for amputation of the lower leg at the knee, 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. -50: Bilateral Procedure
Use this modifier if the procedure is performed on both legs.
2. -RT: Right Side
Use this modifier to indicate that the procedure was performed on the right leg.
3. -LT: Left Side
Use this modifier to indicate that the procedure was performed on the left leg.
4. -59: Distinct Procedural Service
Use this modifier if the procedure is performed separately from other procedures on the same day.
5. -76: Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional
Use this modifier if the procedure is repeated on the same leg by the same provider.
6. -78: Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period
Use this modifier if a related procedure is performed during the postoperative period.
7. -79: Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period
Use this modifier if a different procedure is performed during the postoperative period.
8. -XU: Unusual Non-Overlapping Service
Use this modifier to indicate that the service is distinct or independent from other services performed on the same day.
Each of these modifiers serves to provide additional context for the procedure, ensuring accurate billing and compliance with coding guidelines.
CPT code 27598 is reimbursed by Medicare, but the reimbursement is subject to specific conditions outlined in the Medicare Physician Fee Schedule (MPFS). To determine the exact reimbursement rate and any applicable guidelines, healthcare providers should consult the MPFS.
Additionally, it is essential to verify with the respective Medicare Administrative Contractor (MAC) for any regional variations or additional requirements that may apply to the reimbursement of CPT code 27598.
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 RevFind, you can identify discrepancies for specific services, such as CPT code 27598, ensuring you receive the full reimbursement you deserve. Schedule a demo today to see how RevFind can streamline your revenue recovery process.
Get paid in full by bringing clarity to your revenue cycle
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox
