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CPT 27057: Unilateral Hip/Buttock Fasciotomy with Debridement
CPT code 27057 denotes a unilateral fasciotomy of the pelvic or buttock compartment with removal of dead or damaged tissue. Clinically, the procedure is performed to relieve compartment pressure in the hip/buttock region and to restore blood flow, often in settings of traumatic injury, ischemia, or acute compartment syndrome. Nationally, this code matters for surgical billing, hospital utilization, and acute care reimbursement because it represents a time-sensitive, resource-intensive intervention that may occur in both inpatient and outpatient surgical settings.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context and service type, typical sites of service, and the principal billing considerations tied to this surgical procedure. The publication outlines relevant benchmarks and utilization patterns where available, highlights recent policy updates affecting surgical coding and hospital billing, and explains clinical scenarios that commonly drive use of the code. Data not available in the input is noted where applicable. The content is intended for coding professionals, surgical clinicians, and policy analysts seeking a practical, national-level summary of how CPT code 27057 is used and reimbursed.
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Billing Code Overview
CPT code 27057 describes a surgical fasciotomy of the pelvic or buttock compartment on one side, with debridement of necrotic or nonviable tissue. The procedure involves an incision through the fascia surrounding the hip/buttock compartment to relieve compartmental pressure and restore tissue perfusion.
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Service type: Surgical fasciotomy with debridement
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Typical site of service: Operating room or other surgical suite, inpatient or outpatient surgical center depending on clinical urgency and patient condition