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The procedure described by CPT® Code 27086 involves the removal of a foreign body located in the pelvis or hip region, specifically within the subcutaneous tissue. Subcutaneous tissue is the layer of fat and connective tissue situated between the skin's dermis and the underlying muscle fascia. This procedure is typically indicated when a foreign object, which may have been introduced through trauma or other means, is present in this area. The identification of the foreign body can be achieved through physical examination, such as palpation, or through the use of radiographic imaging, which may be reported separately. The surgical approach begins with the creation of a straight or elliptical incision in the skin over the affected area. Following the incision, the surgeon dissects through the subcutaneous tissue to locate the foreign body. Once identified, the foreign body is removed using instruments such as a hemostat or grasping forceps. In some cases, additional dissection may be necessary to adequately free the foreign body from surrounding tissues. After successful removal, the wound is typically irrigated with normal saline or an antibiotic solution to reduce the risk of infection, and the incision is subsequently closed. This procedure is distinct from CPT® Code 27087, which involves deeper dissection into subfascial or intramuscular tissue for foreign body removal.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 27086 is indicated for the removal of foreign bodies located in the pelvis or hip region, specifically within the subcutaneous tissue. The presence of a foreign body may result from various circumstances, including trauma, surgical complications, or accidental insertion. Symptoms that may prompt this procedure include localized pain, swelling, or signs of infection at the site of the foreign body. Additionally, the procedure may be warranted when the foreign body is palpable or visible through imaging studies, necessitating surgical intervention for removal.
The procedure for the removal of a foreign body from the pelvis or hip region, as described by CPT® Code 27086, involves several key steps. Initially, the surgeon identifies the location of the foreign body through palpation or imaging studies. Once the site is determined, a straight or elliptical incision is made in the skin over the affected area. This incision allows access to the subcutaneous tissue, which is the layer of fat and connective tissue beneath the skin. The surgeon then carefully dissects through the subcutaneous tissue to locate the foreign body. Upon identification, the foreign body is grasped and removed using a hemostat or grasping forceps. In some instances, the surgeon may need to perform additional dissection around the foreign body to facilitate its removal, especially if it is embedded in surrounding tissues. After the foreign body has been successfully extracted, the wound is irrigated with normal saline or an antibiotic solution to minimize the risk of infection. Finally, the incision is closed, completing the procedure.
After the completion of the procedure, patients are typically monitored for any immediate complications, such as excessive bleeding or signs of infection. Post-procedure care may include instructions for wound care, which typically involves keeping the incision clean and dry. Patients may be advised to watch for any signs of infection, such as increased redness, swelling, or discharge from the incision site. Pain management may also be addressed, with recommendations for over-the-counter pain relief or prescribed medications as needed. Follow-up appointments may be scheduled to assess the healing process and ensure that no complications arise. It is essential for patients to adhere to the post-operative instructions provided by their healthcare provider to promote optimal recovery.
| Short Descr | REMOVE HIP FOREIGN BODY | Medium Descr | RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS | Long Descr | Removal of foreign body, pelvis or hip; subcutaneous tissue | Status Code | Active Code | Global Days | 010 - Minor Procedure | 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) | 0 - 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) | P6B - Minor procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 175 - Other OR therapeutic procedures on skin and breast |
| 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). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 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 | ET | Emergency services | 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 |
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