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The procedure described by CPT® Code 27052 refers to an arthrotomy with biopsy of the hip joint. This surgical intervention involves making an incision to access the hip joint for the purpose of obtaining tissue samples. These samples are crucial for evaluating various medical conditions that may affect the hip joint, including pain, inflammatory diseases, infections, lesions, or tumors. The procedure begins with a skin incision made over the lateral aspect of the hip joint, allowing the surgeon to divide the soft tissues and open the joint capsule. Once the joint is accessed, a thorough examination of the bone and joint surfaces is conducted to identify any abnormalities. If necessary, biopsies of lesions, synovial tissue, cartilage, and/or bone are collected for further analysis. These tissue samples are then sent for laboratory analysis, which is reported separately. After the biopsy is completed, the hip joint is typically flushed with a saline solution to ensure cleanliness, and the surgical wound is closed in layers to promote proper healing.
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The arthrotomy with biopsy of the hip joint, as described by CPT® Code 27052, is indicated for several specific conditions and symptoms that warrant further investigation. These include:
The procedure for performing an arthrotomy with biopsy of the hip joint involves several critical steps, each designed to ensure proper access and sampling of the joint tissue. The steps are as follows:
After the arthrotomy with biopsy of the hip joint is completed, post-procedure care is essential for ensuring optimal recovery. Patients may be monitored for any signs of complications, such as infection or excessive bleeding. Pain management strategies will be implemented to address any discomfort following the procedure. Additionally, patients may be advised on activity restrictions to allow for proper healing of the surgical site. Follow-up appointments will be necessary to review the results of the laboratory analysis of the biopsied tissue and to assess the patient's recovery progress.
| Short Descr | BIOPSY OF HIP JOINT | Medium Descr | ARTHROTOMY W/BIOPSY HIP JOINT | Long Descr | Arthrotomy, with biopsy; hip joint | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P3D - Major procedure, orthopedic - other | MUE | 1 | CCS Clinical Classification | 159 - Other diagnostic procedures on musculoskeletal system |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| Pre-1990 | Added | Code added. |
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