How To Use CPT Code 27067

CPT 27067 describes the excision of a bone cyst or benign tumor from specific areas of the pelvis and hip joint, along with the use of an autograft obtained from another part of the patient’s body through a separate incision. This article will provide an overview of CPT code 27067, including its official description, the procedure involved, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 27067?

CPT 27067 is used to describe the surgical procedure in which a bone cyst or benign tumor is removed from specific areas of the pelvis and hip joint. The excised portion of the bone is then reconstructed using an autograft obtained from another part of the patient’s body through a separate incision. This code is used when the provider performs the excision and autograft requiring a separate incision.

2. Official Description

The official description of CPT code 27067 is: ‘Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft requiring separate incision.’

3. Procedure

1. The provider begins by making an incision in the skin over the targeted area of the pelvis or hip joint.
2. They carefully dissect through the soft tissue, ensuring the preservation of nerves and veins.
3. The periosteum, the outer covering of the bone, is reflected to expose the bone cyst or tumor.
4. The provider removes the diseased portion of the bone, including an appropriate margin of normal bone surrounding the lesion.
5. A separate incision is made at the site where the autograft will be obtained.
6. A cancellous bone graft is acquired from the donor site.
7. The defect created by the excision of the bone cyst or tumor is repaired using the cancellous bone graft.
8. Hemostasis is achieved at the surgical site, and the wound is closed by suturing the soft tissue layers.

4. Qualifying circumstances

CPT 27067 is performed on patients with bone cysts or benign tumors located in specific areas of the pelvis and hip joint, such as the wing of the ilium, symphysis pubis, or greater trochanter of the femur. The procedure involves the use of an autograft obtained from another part of the patient’s body through a separate incision. It is important to note that this code is used when the provider performs both the excision and the autograft requiring a separate incision.

5. When to use CPT code 27067

CPT code 27067 should be used when the provider performs the excision of a bone cyst or benign tumor from the specified areas of the pelvis and hip joint, along with the use of an autograft requiring a separate incision. It is important to ensure that the procedure meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT code 27067, the provider must document the following information:

• Patient’s diagnosis indicating the presence of a bone cyst or benign tumor
• Details of the procedure, including the specific areas of the pelvis and hip joint involved
• Description of the excision and autograft procedure, including the use of a separate incision for the autograft
• Date of the procedure
• Any additional relevant information, such as the size of the cyst or tumor and the margin of normal bone removed
• Signature of the provider

7. Billing guidelines

When billing for CPT code 27067, it is important to ensure that the procedure meets the specific criteria outlined in the code description. The provider should be performing both the excision and the autograft requiring a separate incision. It is also important to follow any additional guidelines provided by the payer or coding guidelines. It is recommended to review the specific billing guidelines for CPT code 27067 to ensure accurate reporting.

8. Historical information

CPT code 27067 was added to the Current Procedural Terminology system on January 1, 1990. The code description has undergone changes, including a code change on January 1, 2011, which clarified the inclusion of an autograft requiring a separate incision.

9. Examples

1. A provider performs the excision of a bone cyst from the wing of the ilium, along with an autograft requiring a separate incision.
2. A patient undergoes the excision of a benign tumor from the symphysis pubis, with reconstruction using an autograft obtained through a separate incision.
3. A provider performs the excision of a bone cyst from the greater trochanter of the femur, along with an autograft requiring a separate incision.
4. A patient undergoes the excision of a benign tumor from the wing of the ilium, with reconstruction using an autograft obtained through a separate incision.
5. A provider performs the excision of a bone cyst from the symphysis pubis, along with an autograft requiring a separate incision.
6. A patient undergoes the excision of a benign tumor from the greater trochanter of the femur, with reconstruction using an autograft obtained through a separate incision.