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The CPT® Code 27067 refers to the excision of a bone cyst or benign tumor located in specific areas of the pelvis, including 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 vary in type. The unicameral or simple bone cyst is a common benign lesion, while the aneurysmal bone cyst is less common and characterized by vascular tissue surrounding a blood-filled cystic lesion. Additionally, benign bone tumors can include various forms such as giant cell tumors, chondromyxoid fibromas, and enchondromas. The procedure described by this code involves the excision of deeper lesions that necessitate a more extensive surgical approach, including the use of an autograft. An autograft is a surgical procedure where bone is harvested from a separate site on the patient to fill the defect left after the excision of the cyst or tumor. This procedure is critical for ensuring the structural integrity of the bone after the removal of the lesion and may involve a separate incision to obtain the graft. The detailed steps of the procedure, including the surgical techniques and considerations, are essential for accurate coding and billing in the medical field.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 27067 is indicated for the excision of bone cysts or benign tumors located in the wing of the ilium, symphysis pubis, or greater trochanter of the femur. These conditions may present with symptoms such as localized pain, swelling, or discomfort in the affected area, and may be identified through imaging studies or physical examination. The excision is performed when the cyst or tumor is symptomatic, has the potential for complications, or when there is a need for definitive diagnosis through histological examination.
The procedure for CPT® Code 27067 involves several critical steps to ensure the effective excision of the bone cyst or benign tumor. Initially, the surgeon makes an incision in the skin over the site of the lesion, allowing access to the underlying soft tissues. The soft tissues are carefully dissected to expose the lesion adequately. If a cystic lesion is present, the surgeon incises the bone to create a bone window, which facilitates access to the cyst. The fluid within the cyst is aspirated and sent for laboratory analysis, which is separately reportable. Following this, a curette is inserted through the bone window to remove the lining of the cystic cavity completely. In cases where a benign tumor is present, the lesion is excised along with a margin of surrounding healthy bone to ensure complete removal. After excision, the resulting bony defect may be left open or packed with a bone autograft. In the case of CPT® Code 27067, the autograft is obtained from a separate site, requiring an additional incision. This step is crucial for filling the defect left by the excised lesion, promoting healing and maintaining the structural integrity of the bone.
After the procedure, patients may require monitoring for any signs of complications, such as infection or excessive bleeding. The surgical site will need to be kept clean and dry, and patients may be advised on specific wound care instructions. Pain management is typically addressed with prescribed medications, and patients may need to limit weight-bearing activities on the affected limb for a specified period to promote healing. Follow-up appointments are essential to assess the healing process and to ensure that the bone graft is integrating properly. Additional imaging studies may be performed to evaluate the success of the procedure and the status of the bone healing.
| Short Descr | REMOVE/GRAFT HIP BONE LESION | Medium Descr | EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC | Long Descr | Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft requiring separate incision | 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) | 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 | Device-intensive procedure added to ASC list in CY 2008 or later; paid at adjusted rate. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P3D - Major procedure, orthopedic - other | 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. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | 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) | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2011-01-01 | Changed | Long description revised. |
| Pre-1990 | Added | Code added. |
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