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CPT 27045: Excision of Pelvis/Hip Intramuscular Soft Tissue Tumor ≥5 cm
CPT code 27045 denotes surgical excision of a subfascial or intramuscular soft tissue tumor of 5 centimeters or greater in the pelvis and hip region. This code captures a higher-complexity, deep-tissue oncologic or benign tumor procedure that typically requires operative theater resources, intraoperative imaging or navigation in some cases, and multidisciplinary perioperative care. Nationally, accurate use of this code is important for procedure classification, surgical quality measurement, and appropriate resource allocation for complex soft tissue tumor management.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context and coding intent for deep pelvic and hip soft tissue tumor excisions, plus coverage and billing considerations relevant to major national payers. The publication also outlines benchmarks for service utilization, common billing modifiers and coding relationships, and policy or documentation factors that affect claim review and payment determinations. Data not available in the input for specific payor policies, associated taxonomies, ICD-10 diagnoses, and related codes is noted where relevant.
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Billing Code Overview
CPT code 27045 describes the excision of a subfascial or intramuscular soft tissue tumor measuring 5 centimeters or greater from the pelvis and hip region. The service involves surgical removal of a deep-seated soft tissue mass located beneath the fascial plane or within muscle tissue.
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Service type: Surgical excision of a large deep soft tissue tumor
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Typical site of service: Operating room or ambulatory surgery center for pelvic and hip soft tissue tumor resection