CPT CODES

CPT Code 27049

CPT code 27049 is a medical billing code for the surgical removal of a hip or pelvic tumor smaller than 5 cm.

Table of Contents
What is CPT Code 27049
Does CPT 27049 Need a Modifier?
CPT Code 27049 Medicare Reimbursement
Are You Being Underpaid for 27049 CPT Code?
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What is CPT Code 27049

CPT code 27049 is used to describe a surgical procedure involving the resection, or removal, of a tumor located in the hip or pelvic region that measures less than 5 centimeters in size. This code is specifically applicable for cases where the tumor is relatively small, allowing for a targeted surgical approach to eliminate the tumor while preserving surrounding healthy tissue.

Does CPT 27049 Need a Modifier?

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CPT Code 27049 Medicare Reimbursement

CPT code 27049 is reimbursed by Medicare, but the reimbursement is subject to specific conditions outlined in the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services covered by Medicare and the corresponding payment rates. However, it is essential to verify the reimbursement status with your local Medicare Administrative Contractor (MAC), as they are responsible for processing Medicare claims and can provide detailed information on any regional variations or additional requirements that may apply. Always consult the MPFS and your MAC to ensure compliance and accurate reimbursement for CPT code 27049.

Are You Being Underpaid for 27049 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 RevFind, you can identify discrepancies related to CPT code 27049, ensuring you capture every dollar owed. Schedule a demo today to see how RevFind can optimize your revenue recovery process.

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