© Copyright 2025 American Medical Association. All rights reserved.
Bursae are specialized, fluid-filled sacs that serve to cushion and protect bony prominences and joints throughout the body. The procedure described by CPT® Code 27060 involves the excision of the ischial bursa, which is located over the ischial tuberosity, a bony prominence at the base of the pelvis. Injury to the ischial bursa often occurs due to trauma, such as a direct blow to the ischial tuberosity, leading to conditions like bursitis. This injury can result in inflammation, scarring, and the formation of bone spurs, which may cause pain and discomfort. During the excision procedure, an incision is made in the skin over the ischial bursa to expose it. The surgeon then carefully dissects the bursa from the surrounding tissues and removes it. Additionally, the ischial tuberosity is inspected for any bone spurs, which may also be excised if present. This procedure aims to alleviate pain and restore function by removing the inflamed bursa and any associated bony abnormalities.
© Copyright 2025 Coding Ahead. All rights reserved.
The excision of the ischial bursa, as described by CPT® Code 27060, is indicated for patients experiencing symptoms related to bursitis or other conditions affecting the ischial bursa. These indications may include:
The procedure for excising the ischial bursa involves several key steps, which are detailed as follows:
After the excision of the ischial bursa, patients are typically monitored for any immediate complications. Post-procedure care may include pain management, wound care instructions, and recommendations for activity modification. Patients are often advised to avoid sitting for prolonged periods and to gradually resume normal activities as tolerated. Follow-up appointments may be scheduled to assess healing and to determine if further interventions are necessary. Rehabilitation exercises may also be recommended to restore strength and flexibility in the affected area.
| Short Descr | REMOVAL OF ISCHIAL BURSA | Medium Descr | EXCISION ISCHIAL BURSA | Long Descr | Excision; ischial bursa | 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) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | 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 | 160 - Other therapeutic procedures on muscles and tendons |
| 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 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). | 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 | CR | Catastrophe/disaster related | 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) | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
|
Date
|
Action
|
Notes
|
|---|---|---|
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.