How To Use CPT Code 27047

CPT 27047 describes the excision of a tumor from the soft tissue of the pelvis and hip area at the subcutaneous level, with a size less than 3 cm. 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 27047?

CPT 27047 is used to describe the surgical procedure in which a healthcare provider removes a tumor from the soft tissue of the pelvis and hip area, specifically at the subcutaneous level. The size of the excised tumor is less than 3 cm. This code is used to report the surgical removal of small tumors in this specific anatomical region.

2. Official Description

The official description of CPT code 27047 is: ‘Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm.’

3. Procedure

1. During the procedure, the healthcare provider prepares the patient and administers anesthesia.
2. An incision is made in the skin over the tumor in the pelvis and hip area.
3. The provider carefully dissects down to the subcutaneous tissue level to access the tumor.
4. The tumor is identified and dissected from its base, ensuring complete removal.
5. Hemostasis is achieved at the surgical site, and the wound is closed by suturing the layers of soft tissue.
6. In some cases, a drain may be left in place.

4. Qualifying circumstances

CPT 27047 is used when a tumor is located in the soft tissue of the pelvis and hip area at the subcutaneous level, and its size is less than 3 cm. The procedure is performed by a healthcare provider who is qualified to perform excisions. It is important to note that this code is specific to tumors in this particular anatomical region and size range.

5. When to use CPT code 27047

CPT code 27047 should be used when a healthcare provider performs an excision of a tumor from the soft tissue of the pelvis and hip area, specifically at the subcutaneous level, and the size of the tumor is less than 3 cm. It is important to accurately document the size of the tumor and its location to support the use of this code.

6. Documentation requirements

To support a claim for CPT code 27047, the healthcare provider must document the following information:

• Size of the excised tumor, which should be less than 3 cm
• Location of the tumor in the soft tissue of the pelvis and hip area
• Details of the surgical procedure, including the incision, dissection, removal of the tumor, and closure of the wound
• Any additional procedures performed, such as the placement of a drain
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT code 27047, ensure that the excision is performed on a tumor in the soft tissue of the pelvis and hip area at the subcutaneous level, with a size less than 3 cm. It is important to accurately document the details of the procedure and meet the documentation requirements. There are no specific guidelines regarding reporting this code with other codes, but it is important to follow any applicable bundling or unbundling rules.

8. Historical information

CPT code 27047 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A surgeon performs an excision of a 2 cm tumor from the subcutaneous tissue of the pelvis and hip area.
2. A healthcare provider removes a 1.5 cm tumor from the soft tissue of the pelvis and hip area using CPT code 27047.
3. An oncologist performs an excision of a 2.5 cm tumor from the subcutaneous tissue of the pelvis and hip area.
4. A surgeon removes a 2.8 cm tumor from the soft tissue of the pelvis and hip area using CPT code 27047.
5. A healthcare provider performs an excision of a 2.2 cm tumor from the subcutaneous tissue of the pelvis and hip area.
6. An oncologist removes a 2.7 cm tumor from the soft tissue of the pelvis and hip area using CPT code 27047.
7. A surgeon performs an excision of a 2.9 cm tumor from the subcutaneous tissue of the pelvis and hip area.
8. A healthcare provider removes a 1.8 cm tumor from the soft tissue of the pelvis and hip area using CPT code 27047.
9. An oncologist performs an excision of a 2.3 cm tumor from the subcutaneous tissue of the pelvis and hip area.
10. A surgeon removes a 2.5 cm tumor from the soft tissue of the pelvis and hip area using CPT code 27047.