© Copyright 2025 American Medical Association. All rights reserved.
The procedure described by CPT® Code 27087 involves the removal of a foreign body located in the pelvis or hip region, specifically targeting deep tissues that are either subfascial or intramuscular. The term "subfascial" refers to the area beneath the muscle fascia, while "intramuscular" indicates that the foreign body is situated within the muscle itself. This procedure is typically performed when a foreign object, which may have been introduced through trauma or other means, poses a risk of infection or other complications. The identification of the foreign body is achieved through palpation or, if necessary, through the use of radiographic imaging that is separately reportable. The surgical approach begins with the creation of a straight or elliptical incision in the skin, allowing access to the underlying tissues. Following the incision, the surgeon dissects through the subcutaneous tissue to reach the deeper layers where the foreign body is located. Once identified, the foreign body is removed using instruments such as a hemostat or grasping forceps. In some cases, additional dissection may be required 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 minimize the risk of infection, and the incision is subsequently closed. This procedure is essential for ensuring patient safety and preventing potential complications associated with retained foreign objects in deep tissue layers.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 27087 is indicated for the removal of foreign bodies located in the pelvis or hip region, particularly when these objects are situated in deep tissues, either subfascial or intramuscular. The following conditions may warrant this procedure:
The procedure for the removal of a foreign body from the pelvis or hip involves several critical steps, each designed to ensure the safe and effective extraction of the object.
After the procedure, patients may require monitoring for any signs of infection or complications related to the surgical site. Post-operative care typically includes instructions for wound care, pain management, and activity restrictions to promote healing. Patients should be advised to keep the incision clean and dry, and to report any unusual symptoms such as increased redness, swelling, or discharge from the wound. Follow-up appointments may be necessary to assess the healing process and to ensure that no residual foreign material remains.
| Short Descr | REMOVE HIP FOREIGN BODY | Medium Descr | REMOVAL FOREIGN BODY PELVIS/HIP DEEP | Long Descr | Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) | 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 | 160 - Other therapeutic procedures on muscles and tendons |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 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). | 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). | AG | Primary physician | 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) | 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 |
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| Pre-1990 | Added | Code added. |
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