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CPT 27054: Open Synovectomy of Hip
CPT code 27054 represents an open synovectomy of the hip — an operative procedure in which a surgeon opens the hip joint, inspects the interior, and removes inflamed synovial membrane. Nationally, this code captures a distinct set of invasive orthopedic procedures used for inflammatory or degenerative synovial disease when joint preservation requires direct debridement. The code is relevant across hospital and surgical practice settings and has implications for surgical care pathways, coverage policies, and payment validation.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, expected sites of service, and the scope of services represented by the code. The publication outlines common billing practices and coding considerations, typical sites where the procedure is performed, and payer coverage patterns.
This summary provides the framework for benchmarks and policy updates affecting surgical coding and reimbursement, plus clinical context that clarifies when the procedure is reported. Data not available in the input for specific diagnosis pairings, associated taxonomies, or related codes are noted in relevant sections.
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Billing Code Overview
CPT code 27054 describes an open surgical procedure in which the provider makes an incision to access the hip joint, explores the joint space, and removes the inflamed synovial membrane lining the joint. This procedure is a synovectomy of the hip performed through an open approach.
Service Type: Open surgical synovectomy
Typical Site of Service: Inpatient or outpatient surgical operating room