CPT code 27619 is used for excising a deep tumor in the leg or ankle that is less than 5 cm in size.
CPT code 27619 is used to describe the excision of a tumor located in the leg or ankle that is deep and measures less than 5 centimeters in size. This procedure involves the surgical removal of the tumor along with some surrounding tissue to ensure complete excision.
When billing for CPT code 27619, there are several modifiers that may be applicable depending on the specific circumstances of the procedure. Below is a list of potential modifiers that could be used along with the reasons for their application:
1. Modifier 50 - Bilateral Procedure
Used when the procedure is performed on both legs/ankles.
2. Modifier 51 - Multiple Procedures
Indicates that multiple procedures were performed during the same session.
3. Modifier 59 - Distinct Procedural Service
Used to indicate that a procedure is distinct or independent from other services performed on the same day.
4. Modifier LT - Left Side
Specifies that the procedure was performed on the left leg/ankle.
5. Modifier RT - Right Side
Specifies that the procedure was performed on the right leg/ankle.
6. Modifier 22 - Increased Procedural Services
Used when the procedure required significantly more work than typically required.
7. Modifier 76 - Repeat Procedure by Same Physician
Indicates that the same procedure was performed again by the same physician.
8. Modifier 78 - Unplanned Return to the Operating/Procedure Room
Used when a patient requires an unplanned return to the operating room for a related procedure.
9. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
Indicates that a procedure was performed that is unrelated to the original procedure during the postoperative period.
10. Modifier 27 - Multiple Encounters on the Same Date
Used when a patient has multiple encounters on the same date of service.
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 27619 is reimbursed by Medicare, but it is essential to verify the specific reimbursement rate and coverage 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, it is advisable to consult with your regional Medicare Administrative Contractor (MAC) to confirm any local coverage determinations or specific billing requirements that may apply to CPT code 27619.
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