How To Use CPT Code 27347

CPT 27347 describes the excision of a lesion, such as a cyst or ganglion, from the meniscus or capsule of the knee. 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 27347?

CPT 27347 can be used to describe the excision of a lesion, such as a cyst or ganglion, from the meniscus or capsule of the knee. This code is used when the provider removes the lesion to alleviate pain and improve the patient’s condition.

2. Official Description

The official description of CPT code 27347 is: ‘Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee.’

3. Procedure

1. The provider prepares the patient and administers anesthesia.
2. Using appropriate surgical techniques, the provider identifies the site of the lesion and makes an incision over it in the knee joint.
3. The provider carefully dissects the surrounding structures and removes the lesion from the meniscus or capsule.
4. The site is flushed with sterile saline to ensure cleanliness.
5. The provider ensures hemostasis and closes the incision with sutures in layers.

4. Qualifying circumstances

Patients eligible for CPT 27347 are those with a lesion, such as a cyst or ganglion, in the meniscus or capsule of the knee that causes pain and requires excision. The procedure must be performed by a qualified provider and is typically done to improve the patient’s condition and alleviate symptoms.

5. When to use CPT code 27347

CPT code 27347 should be used when a provider performs the excision of a lesion from the meniscus or capsule of the knee. It is appropriate to bill this code when the procedure is performed on one knee. If the provider performs the procedure on both knees, modifiers 50, RT, and LT may be appended based on payer preference.

6. Documentation requirements

To support a claim for CPT 27347, the provider must document the following information:

• Patient’s diagnosis and the need for excision of the lesion
• Specific details of the procedure, including the site of the lesion and the surgical approach
• Date of the procedure
• Start and end time of the procedure
• Details of the lesion, such as its size and characteristics
• Any complications or additional procedures performed
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 27347, ensure that the procedure is performed by a qualified provider and that the documentation supports the medical necessity of the excision. Append modifiers 50, RT, and LT if the procedure is performed on both knees. It is important to follow payer guidelines and consider any additional coding requirements or restrictions.

8. Historical information

CPT 27347 was added to the Current Procedural Terminology system on January 1, 1999. There have been no updates to the code since its addition.

9. Examples

1. A provider performs an excision of a cyst from the meniscus of a patient’s knee to alleviate pain and improve mobility.
2. During a surgical procedure, a provider removes a ganglion from the capsule of a patient’s knee to relieve discomfort and restore joint function.
3. A patient undergoes an excision of a lesion from the meniscus of their knee to address chronic pain and improve their quality of life.
4. A provider performs an excision of a cyst from the capsule of a patient’s knee to prevent further complications and alleviate symptoms.
5. During a surgical procedure, a provider removes a ganglion from the meniscus of a patient’s knee to restore normal joint function and reduce discomfort.
6. A patient undergoes an excision of a lesion from the capsule of their knee to improve their range of motion and alleviate pain.
7. A provider performs an excision of a cyst from the meniscus of a patient’s knee to address recurrent pain and improve their overall knee health.
8. During a surgical procedure, a provider removes a ganglion from the capsule of a patient’s knee to prevent further complications and restore joint function.
9. A patient undergoes an excision of a lesion from the meniscus of their knee to alleviate chronic pain and improve their ability to engage in daily activities.
10. A provider performs an excision of a cyst from the capsule of a patient’s knee to alleviate discomfort and improve their knee function.