How To Use CPT Code 27358

CPT 27358 describes the excision or curettage of a bone cyst or benign tumor of the femur, along with the application of internal fixation devices for added stability. 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 27358?

CPT 27358 is used to describe the excision or curettage of a bone cyst or benign tumor of the femur, with the additional application of internal fixation devices to provide extra stability. This code is used when the provider removes the cyst or tumor and then applies screws, plates, or other fixation devices to ensure the bone remains stable during the healing process.

2. Official Description

The official description of CPT code 27358 is: ‘Excision or curettage of bone cyst or benign tumor of femur; with internal fixation (List in addition to code for primary procedure).’ This code is an add-on code and should be used in conjunction with the primary procedure code, such as 27355, 27356, or 27357.

3. Procedure

1. After the removal of the bone cyst or benign tumor, the provider prepares and drapes the patient for the procedure.
2. Internal fixation devices, such as screws, plates, or nails, are then applied to the femur to provide additional stability.
3. This procedure helps to ensure that the bone heals properly and reduces the risk of complications or fractures.

4. Qualifying circumstances

CPT 27358 is used for patients who require the excision or curettage of a bone cyst or benign tumor of the femur, along with the application of internal fixation devices. The procedure is typically performed when the cyst or tumor is causing pain, compromising the structural integrity of the bone, or affecting the patient’s mobility. The provider must document the medical necessity for the procedure and ensure that the patient meets the criteria for surgery.

5. When to use CPT code 27358

CPT code 27358 should be used when the provider performs the excision or curettage of a bone cyst or benign tumor of the femur and applies internal fixation devices for added stability. This code should only be reported in conjunction with the primary procedure code, such as 27355, 27356, or 27357.

6. Documentation requirements

To support a claim for CPT 27358, the provider must document the following information:

• The diagnosis of the bone cyst or benign tumor
• The need for excision or curettage
• The specific internal fixation devices used
• The date of the procedure
• The start and end time of the procedure
• Any additional details or complications encountered during the procedure
• The signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 27358, ensure that the procedure meets the qualifying circumstances and is performed in conjunction with the primary procedure code, such as 27355, 27356, or 27357. Payers will not reimburse for CPT 27358 if it is reported without an appropriate primary code. It is important to follow the specific guidelines provided by the payer and include any necessary modifiers or additional documentation to support the claim.

8. Historical information

CPT 27358 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 undergoes excision of a bone cyst on the femur, and internal fixation devices are applied for added stability.
2. A provider performs curettage of a benign tumor on the femur and applies screws to ensure proper healing.
3. During a surgical procedure, a bone cyst is excised from the femur, and plates are used to provide additional support.
4. A patient with a benign tumor on the femur undergoes excision, and nails are inserted for increased stability.
5. A provider removes a bone cyst from the femur and applies screws and plates to promote proper bone healing.
6. During surgery, a benign tumor is curetted from the femur, and internal fixation devices are used to ensure the bone remains stable.
7. A patient undergoes excision of a bone cyst on the femur, and screws are inserted to provide added stability.
8. A provider performs curettage of a benign tumor on the femur and applies plates for increased support.
9. During a surgical procedure, a bone cyst is excised from the femur, and nails are used to promote proper bone healing.
10. A patient with a benign tumor on the femur undergoes excision, and screws and plates are inserted for added stability.