CPT 27047 Pelvis/Hip Excision Reimbursement | OpenPayer

Summary & Overview

CPT 27047: Excision of Soft Tissue Tumor, Pelvis/Hip Subcutaneous <3 cm

CPT code 27047 denotes surgical excision of a soft-tissue tumor located in the pelvis or hip subcutaneous tissues with a lesion size under 3 cm. Nationally, this code is used to document and bill for targeted, superficial soft-tissue tumor removals in ambulatory and outpatient surgical settings. Accurate use of this code affects clinical documentation, surgical billing, and encounter classification for a commonly performed minor oncologic or benign tumor procedure.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, typical sites of service, and the service type associated with the code. The publication also presents billing and utilization benchmarks where available, common modifier interactions as noted in input, and policy or coverage considerations that impact claim adjudication and coding practice.

The content is intended to help coding professionals, surgical teams, and revenue cycle staff understand the clinical scope and billing context of CPT code 27047, including how it maps to outpatient surgical workflows and documentation expectations. Data not available in the input is noted where relevant in detailed sections.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicare27047CPTsoft-tissue-excisionpelvis-hipoutpatient-surgerysurgical-codingoncologic-procedureprocedure-billing

Billing Code Overview

CPT code 27047 describes excision of a tumor from the soft tissue of the pelvis and hip area at the subcutaneous tissue level, with an excised lesion size less than 3 cm. This procedure involves removal of a localized soft-tissue mass located superficially in the pelvic or hip subcutaneous tissues.

Service type: Surgical excision of soft tissue tumor (superficial/subcutaneous)
Typical site of service: Outpatient surgical suite, ambulatory surgery center, or hospital outpatient department

Clinical & Coding Specifications

Clinical Context

A 52-year-old patient presents with a painless, mobile subcutaneous mass over the lateral hip present for several months. Clinical assessment and ultrasound imaging suggest a benign soft tissue tumor (likely lipoma) measuring 2.5 cm in greatest dimension located in the subcutaneous tissues of the pelvic/hip region. The provider schedules an outpatient excision under local anesthesia in an ambulatory surgical center. The workflow includes pre-procedure history and focused exam, informed consent, surgical site marking, sterile prep, local infiltration with anesthetic, elliptical incision, blunt and sharp dissection to remove the intact lesion with minimal margins, hemostasis, layered closure, application of dressing, and brief post-procedure recovery with discharge instructions. Pathology may be submitted if the specimen's appearance warrants histologic confirmation. Typical site of service is an ambulatory surgical center or office-based procedure room for minor soft tissue excisions. Service type is soft tissue tumor excision, subcutaneous, pelvis/hip, lesion size less than 3 cm, consistent with 27047.

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier; standard reporting	Use when no special modifier applies for the service.

Related Codes

CPT-27060-ISCHIAL-BURSA-EXCISION

CPT 27060: Excision of Ischial Bursa

CPT-27048-PELVIC-HIP-SUBFASCIAL-SOFT-TISSUE-TUMOR-EXCISION-<5CM

CPT 27048: Pelvic/Hip Subfascial Soft-Tissue Tumor Excision, <5 cm

CPT-27043-PELVIC-HIP-SUBCUTANEOUS-SOFT-TUMOR-EXCISION-3CM-PLUS

CPT 27043: Excision of Subcutaneous Soft Tissue Tumor, Pelvis/Hip ≥3 cm

CPT-27076-PELVIC-TUMOR-RADICAL-RESECTION-ILIUM-ACETABULUM

CPT 27076: Radical Resection of Pelvic Tumor (Ilium/Acetabulum)

CPT-27062-TROCHANTERIC-BURSA-EXCISION

CPT 27062: Excision of Trochanteric Bursa

CPT-27077-RADICAL-RESECTION-INNOMINATE-BONE-TUMOR

CPT 27077: Radical Resection of Innominate Bone Tumor

CPT-27057-HIP-BUTTOCK-COMPARTMENT-FASCIOTOMY-DEBRIDEMENT

CPT 27057: Unilateral Hip/Buttock Fasciotomy with Debridement

CPT-27078-RADICAL-RESECTION-ISCHIAL-TUBEROSITY-GREATER-TROCHANTER

CPT 27078: Radical Resection of Ischial Tuberosity and Greater Trochanter

CPT-27071-DEEP-PARTIAL-EXCISION-ILIUM-PUBIS-GREATER-TROCHANTER

CPT 27071: Deep Partial Excision of Ilium, Pubis, or Greater Trochanter

CPT-27080-COCCYGECTOMY-REMOVAL-OF-TAIL-BONE

CPT 27080: Coccygectomy, Removal of Coccyx

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Taxonomy Code	Specialty	Notes
`207P00000X`	General Surgery	General surgeons commonly perform soft tissue tumor excisions in ambulatory settings.
`207L00000X`	Plastic Surgery	Plastic surgeons frequently manage excisions where cosmesis and layered closure are important.
`207K00000X`	Orthopedic Surgery	Orthopedic surgeons perform soft tissue tumor excisions in the hip/pelvic region when musculoskeletal involvement is suspected.
`2080P0017X`	Dermatology	Dermatologists perform subcutaneous lesion excisions, particularly for superficial soft tissue tumors.
`208D00000X`	Surgical Oncology	Surgical oncologists manage excisions when malignancy is suspected or for definitive oncologic resection.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`D17.5`	Benign lipomatous neoplasm of lower limb, including hip	Common benign soft tissue tumor removed via subcutaneous excision in the hip/pelvic region.
`D23.6`	Other benign neoplasm of skin of lower limb, including hip	Includes benign cutaneous/subcutaneous lesions that may be excised for diagnosis or symptom relief.
`M79.6`	Pain in limb	Symptom code used when the lesion causes localized pain prompting excision.
`R22.32`	Localized swelling, mass and lump, left lower limb	Used to report a localized subcutaneous mass on the left hip/pelvic area.
`R22.31`	Localized swelling, mass and lump, right lower limb	Used to report a localized subcutaneous mass on the right hip/pelvic area.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`13131`	Repair, complex, trunk, arms, legs; 2.6 cm to 7.5 cm	Used when closure after excision requires complex layered or flap closure techniques beyond simple primary repair.
`12032`	Repair, intermediate, wounds of trunk, arms, or legs; 2.6 cm to 7.5 cm	May be reported when the excision site requires intermediate closure (deep dermal and subcutaneous layers) following `27047`.
`11100`	Biopsy of skin; single lesion	Performed when an incisional or punch biopsy is used instead of complete excision for diagnostic purposes prior to definitive excision.
`20220`	Excision, lesion of nose; deeper structure	Example of lesion excision in adjacent anatomic coding; included as a general reference for lesion removal techniques (not specific to pelvis).
`88305`	Level IV surgical pathology, gross and microscopic examination	Reported when the excised specimen is submitted for histopathologic evaluation after `27047`.
`99024`	Postoperative follow-up visit, global period, routine	Reported for routine postoperative follow-up when required by payor rules in the global surgical period.