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CPT 26991: Incision and Drainage of Infected Hip Bursa
CPT code 26991 denotes incision and drainage of an infected bursa of the pelvis or hip joint — a targeted surgical procedure to evacuate purulent material and control local infection. Nationally, this code is relevant for surgical, emergency, and inpatient billing where prompt source control is required for septic bursitis or joint-associated infections. Proper coding affects reimbursement, quality reporting, and care coordination for musculoskeletal and infectious disease management.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for 26991, typical sites of service where the procedure is performed, and payer coverage considerations. The publication also outlines common billing modifiers and related administrative details when available, and it provides benchmarks and policy context useful for billing professionals, surgical departments, and revenue cycle teams.
This national summary focuses on clinical and billing fundamentals for 26991, helping readers understand where the code applies and what operational areas — such as ambulatory surgery, emergency care, and inpatient services — are most frequently involved. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 26991 describes an incision and drainage procedure of an infected bursa of the pelvis or hip joint. The procedure involves making a skin incision over the affected bursa or hip joint to drain pus and relieve an acute purulent infection.
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Service type: Surgical incision and drainage of infected bursa/hip joint
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Typical site of service: Ambulatory surgical center or hospital operating room, may also be performed in an emergency department setting depending on clinical urgency