© Copyright 2025 American Medical Association. All rights reserved.
The CPT® Code 27065 refers to the excision of a bone cyst or benign tumor located in specific areas of the pelvis or proximal femur, namely the wing of the ilium, symphysis pubis, or greater trochanter of the femur. A bone cyst is defined as a fluid-filled space within the bone, which can be benign in nature. Among the various types of bone cysts, the unicameral or simple bone cyst is the most common, while the aneurysmal bone cyst, characterized by vascular tissue surrounding a blood-filled cystic lesion, is less frequently encountered. Additionally, benign bone tumors can include giant cell tumors, chondromyxoid fibromas, and enchondromas. The procedure described by CPT® Code 27065 involves the surgical removal of a superficial bone cyst or benign tumor. This is achieved through an incision made over the lesion, followed by dissection of the soft tissues to expose the affected area. If a cystic lesion is identified, the surgeon creates a bone window to access the cyst, aspirating the fluid for laboratory analysis. The lining of the cystic cavity is then meticulously removed using a curette. In cases where benign tumors are present, the excision involves removing the tumor along with a margin of healthy bone. The resulting defect may either be left open or filled with a bone autograft, which is harvested from the local healthy bone through the same incision. This procedure is essential for addressing superficial bone lesions while ensuring the integrity of surrounding structures.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 27065 is indicated for the excision of bone cysts or benign tumors located in specific anatomical areas. The following conditions may warrant this surgical intervention:
The procedure for CPT® Code 27065 involves several critical steps to ensure the effective excision of the bone cyst or benign tumor:
Post-procedure care following the excision of a bone cyst or benign tumor involves monitoring the surgical site for signs of infection, ensuring proper wound healing, and managing any pain or discomfort. Patients may be advised on activity restrictions to allow for adequate recovery. Follow-up appointments are typically scheduled to assess healing and to determine if any further interventions are necessary. The use of a bone autograft may require additional considerations for recovery, as the graft site will also need time to heal. Overall, the post-procedure phase is critical for ensuring successful outcomes and minimizing complications.
| Short Descr | REMOVE HIP BONE LES SUPER | Medium Descr | EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL | Long Descr | Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial, includes autograft, when performed | 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) | P5B - Ambulatory procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 142 - Partial excision bone |
| 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. | 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) | 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). | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code 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 | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2013-01-01 | Changed | Medium Descriptor changed. |
| 2011-01-01 | Changed | Long description revised. Medium description changed. Short description changed. |
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.