CPT code 27052 represents an open surgical biopsy of soft tissue in the hip joint. This code is used when a provider makes an incision to access the hip and removes tissue for diagnostic testing, typically to evaluate infection, malignancy, or unexplained inflammatory conditions. Nationally, accurate coding for open hip biopsies affects clinical documentation, hospital and ambulatory surgery center billing, and diagnostic workflows.

Key payers commonly involved in coverage and reimbursement decisions include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for surgical hip biopsy, typical sites of service, and the major payer landscape. The publication also summarizes common billing considerations, benchmarks and utilization patterns where available, and policy issues relevant to coverage and prior authorization. This resource is intended to clarify code definition and operational implications for clinicians, coding professionals, and policy analysts working at a national level.