How To Use CPT Code 27045

CPT 27045 describes the excision of a subfascial soft tissue tumor in the pelvis and hip area, measuring 5 centimeters or greater. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 27045?

CPT 27045 is used to describe the surgical procedure of removing a subfascial soft tissue tumor in the pelvis and hip area that measures 5 centimeters or larger. This code is specifically for tumors located within the muscle, below the fascia, and requires excision to ensure complete removal.

2. Official Description

The official description of CPT code 27045 is: ‘Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater.’

3. Procedure

1. The surgeon begins by making an incision over the tumor area, ensuring the patient is properly prepped and anesthetized.
2. They then dissect down into the subfascial tissue, carefully navigating through the layers.
3. Once the muscle is reached, the surgeon makes an incision to access the tumor.
4. The tumor is identified and carefully dissected off the muscle, along with a small margin of surrounding soft tissue to ensure complete removal.
5. During the procedure, the surgeon ligates any small feeding blood vessels to minimize bleeding.
6. After the tumor is removed, the wound is thoroughly irrigated to wash out any debris or remaining tumor cells.
7. The surgeon then closes the incision by suturing the layers of tissue together, ensuring proper wound closure and healing.

4. Qualifying circumstances

CPT 27045 is used for patients who have a subfascial soft tissue tumor in the pelvis and hip area that measures 5 centimeters or larger. The tumor must be located within the muscle, below the fascia. This procedure is performed by a surgeon to completely remove the tumor and surrounding soft tissue.

5. When to use CPT code 27045

CPT code 27045 should be used when a surgeon performs an excision of a subfascial soft tissue tumor in the pelvis and hip area that measures 5 centimeters or greater. It is important to accurately measure the size of the tumor to determine if it meets the criteria for this code. If the tumor is smaller than 5 centimeters, a different code should be used.

6. Documentation requirements

To support a claim for CPT code 27045, the surgeon must document the following information:

• Patient’s diagnosis and the presence of a subfascial soft tissue tumor in the pelvis and hip area
• Size of the tumor, confirming it is 5 centimeters or larger
• Details of the surgical procedure, including the incision, dissection, tumor removal, and closure
• Any additional procedures performed, such as ligation of blood vessels
• Any complications or unexpected findings during the procedure
• Signature of the surgeon performing the excision

7. Billing guidelines

When billing for CPT code 27045, ensure that the excision is performed by a qualified surgeon and that the tumor meets the size criteria of 5 centimeters or greater. It is important to accurately document the procedure and any additional services provided. CPT code 27045 should not be reported if the tumor is smaller than 5 centimeters. It is also important to review any specific payer guidelines or requirements for reporting this code.

8. Historical information

CPT code 27045 was added to the Current Procedural Terminology system on January 1, 2010. There have been no updates or changes to the code since its addition.

9. Examples

1. A surgeon performs an excision of a 6-centimeter subfascial soft tissue tumor in the pelvis and hip area.
2. During surgery, a 7-centimeter subfascial soft tissue tumor is completely removed from the pelvis and hip area.
3. A patient undergoes an excision of a 5.5-centimeter subfascial soft tissue tumor in the pelvis and hip area.
4. A surgeon performs an excision of a 9-centimeter subfascial soft tissue tumor in the pelvis and hip area.
5. During surgery, a 6.5-centimeter subfascial soft tissue tumor is completely removed from the pelvis and hip area.
6. A patient undergoes an excision of a 5.2-centimeter subfascial soft tissue tumor in the pelvis and hip area.
7. A surgeon performs an excision of a 7.5-centimeter subfascial soft tissue tumor in the pelvis and hip area.
8. During surgery, a 5.8-centimeter subfascial soft tissue tumor is completely removed from the pelvis and hip area.
9. A patient undergoes an excision of a 6.7-centimeter subfascial soft tissue tumor in the pelvis and hip area.
10. A surgeon performs an excision of an 8.2-centimeter subfascial soft tissue tumor in the pelvis and hip area.