How To Use CPT Code 27062

CPT 27062 describes the surgical excision of the trochanteric bursa, a fluid-filled sac located on the outer side of the hip at the level of the greater trochanter. 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 27062?

CPT 27062 is used to describe the surgical excision of the trochanteric bursa, which is a fluid-filled sac that reduces friction between tissues in the hip joint. This procedure is performed to alleviate the symptoms of trochanteric bursitis, a condition characterized by inflammation of the bursa and resulting in buttock pain. The provider makes an incision in the skin over the lateral side of the hip, dissects through the subcutaneous tissue, removes the inflamed bursa from the trochanteric tuberosity, and closes the wound with sutures.

2. Official Description

The official description of CPT code 27062 is: ‘Excision; trochanteric bursa or calcification.’ It is important to note that for arthrocentesis or needling of the bursa, CPT code 20610 should be used instead.

3. Procedure

1. The provider prepares the patient for the procedure and administers anesthesia.
2. An incision is made in the skin over the lateral side of the hip.
3. The provider dissects through the subcutaneous tissue to reach the trochanteric bursa.
4. The inflamed bursa is carefully dissected out from the trochanteric tuberosity.
5. The provider sutures the tissues in layers to close the wound.

4. Qualifying circumstances

CPT 27062 is performed on patients with trochanteric bursitis, a condition characterized by inflammation of the trochanteric bursa. The procedure is indicated when conservative treatments have failed to alleviate the patient’s symptoms. It is important to note that CPT 27062 is specifically for the excision of the trochanteric bursa and should not be used for other bursa excisions or procedures.

5. When to use CPT code 27062

CPT code 27062 should be used when the provider performs a surgical excision of the trochanteric bursa. It is important to ensure that the patient has a documented diagnosis of trochanteric bursitis and that conservative treatments have been attempted before resorting to surgical intervention.

6. Documentation requirements

To support a claim for CPT 27062, the provider must document the following information:

• Patient’s diagnosis of trochanteric bursitis
• Details of the procedure, including the incision site and technique used
• Any additional findings, such as the presence of calcification in the bursa
• Details of the closure technique
• Any complications or unexpected events during the procedure
• Signature of the performing provider

7. Billing guidelines

When billing for CPT 27062, ensure that the procedure performed is the excision of the trochanteric bursa. It is important to use the appropriate CPT code for other bursa excisions or procedures. Additionally, it is crucial to follow any specific billing guidelines provided by the payer or Medicare to ensure accurate reimbursement.

8. Historical information

CPT 27062 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 patient with trochanteric bursitis undergoes surgical excision of the trochanteric bursa to alleviate buttock pain.
2. A provider performs the excision of the trochanteric bursa on a patient who has failed to respond to conservative treatments for trochanteric bursitis.
3. A patient with severe trochanteric bursitis undergoes surgical intervention, including the excision of the trochanteric bursa, to improve their quality of life.
4. A provider performs the excision of the trochanteric bursa on a patient who has persistent symptoms despite non-surgical treatments for trochanteric bursitis.
5. A patient with trochanteric bursitis undergoes surgical excision of the trochanteric bursa to relieve pain and improve mobility.
6. A provider performs the excision of the trochanteric bursa on a patient who has developed complications from trochanteric bursitis.
7. A patient with chronic trochanteric bursitis undergoes surgical intervention, including the excision of the trochanteric bursa, to achieve long-term relief.
8. A provider performs the excision of the trochanteric bursa on a patient who has failed to respond to multiple non-surgical treatments for trochanteric bursitis.
9. A patient with trochanteric bursitis undergoes surgical excision of the trochanteric bursa to improve their overall function and quality of life.
10. A provider performs the excision of the trochanteric bursa on a patient who has experienced a recurrence of symptoms despite previous treatments for trochanteric bursitis.