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CPT 27048: Pelvic/Hip Subfascial Soft-Tissue Tumor Excision, <5 cm
CPT code 27048 denotes the surgical excision of a subfascial soft-tissue tumor in the pelvis or hip with a lesion size under 5 centimeters. This code captures a focused oncologic or general surgical intervention performed in the deep soft tissues beneath the fascial layer and is used in billing for operating-room or ambulatory surgical center services. Nationally, accurate coding of these procedures affects procedure-level utilization counts, complication tracking, and payment for surgical oncology and orthopedics.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of how the code is defined and when it applies clinically, typical service settings, common modifiers used with this procedure, and payer relevance for coverage and claims processing. The publication also outlines benchmark considerations and policy items relevant to billing and classification of subfascial pelvic/hip soft-tissue tumor excisions. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 27048 describes the surgical excision of a soft tissue tumor located in the pelvis or hip region at the subfascial level, with a specimen size of less than 5 centimeters. This procedure involves removal of a discrete neoplasm from the deep soft tissues beneath the fascial plane in the pelvic/hip soft-tissue compartment.
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Service type: Surgical excision of soft tissue tumor (subfascial), < 5 cm
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Typical site of service: Operating room or ambulatory surgical center for pelvic/hip soft-tissue tumor resection