How To Use CPT Code 27365

CPT 27365 describes the radical resection of a tumor in the femur or 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 27365?

CPT 27365 is used to describe the surgical procedure of removing a tumor from the femur or knee. This procedure is typically performed to treat cancer or to diagnose potential malignancies. The provider will remove the tumor along with some healthy tissues surrounding it for further analysis.

2. Official Description

The official description of CPT code 27365 is: ‘Radical resection of tumor, femur or knee.’

3. Procedure

1. The provider identifies the site of the tumor and makes an incision over it.
2. She dissects the surrounding periosteum and the neurovascular structures.
3. The provider excises the tumor along with some healthy tissues surrounding it.
4. The excised tumor is sent to pathology for further analysis.
5. The site is flushed with sterile saline, hemostasis is ensured, and the incision is closed with sutures in layers.

4. Qualifying circumstances

CPT 27365 is performed when there is a need to remove a tumor from the femur or knee. This procedure is typically done to treat cancer or to investigate potential malignancies. The patient must have a tumor in the femur or knee area, and the provider must perform a radical resection, which involves removing the tumor along with its vascular supply and surrounding tissues.

5. When to use CPT code 27365

CPT code 27365 should be used when a provider performs a radical resection of a tumor in the femur or knee. It is important to accurately document the procedure and ensure that it meets the criteria for this specific code.

6. Documentation requirements

To support a claim for CPT 27365, the provider must document the following information:

• Patient’s diagnosis and the need for tumor resection
• Details of the procedure, including the site of the tumor, incision, dissection, excision, and closure
• Pathology report confirming the presence of a tumor
• Use of sterile saline for flushing the site and ensuring hemostasis
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 27365, ensure that the procedure meets the criteria for a radical resection of a tumor in the femur or knee. It is important to accurately document the procedure and provide any necessary supporting documentation, such as pathology reports. Be aware of any specific billing guidelines or modifiers that may apply to this code.

8. Historical information

CPT 27365 was added to the Current Procedural Terminology system on January 1, 1990. There have been several historical changes to this code, including updates to the description and its inclusion or exclusion from the Inpatient Only (IPO) list.

9. Examples

1. A surgeon performs a radical resection of a tumor in the femur of a patient with bone cancer.
2. A orthopedic specialist removes a tumor from the knee of a patient to investigate potential malignancies.
3. A oncologist performs a radical resection of a tumor in the femur to treat a patient with metastatic cancer.
4. A pathologist analyzes a tumor that was excised from the knee of a patient to determine its nature.
5. A surgeon flushes the site and ensures hemostasis after performing a radical resection of a tumor in the femur.
6. A provider closes the incision with sutures in layers following a radical resection of a tumor in the knee.
7. A patient undergoes a radical resection of a tumor in the femur, which involves removing the tumor along with its vascular supply and surrounding tissues.
8. A surgeon performs a radical resection of a tumor in the knee, ensuring that all diseased tissue is removed.
9. A provider excises a tumor from the femur, leaving a sufficient margin of surrounding tissues to ensure complete removal.
10. A patient undergoes a radical resection of a tumor in the knee, which involves removing the tumor along with associated lymph nodes.