CPT 27076 Pelvic Tumor Resection Reimbursement | OpenPayer

Summary & Overview

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

CPT code 27076 represents a radical surgical resection for tumors of the pelvis involving the ilium and acetabulum, potentially extending to the pubic rami or ischium. This complex orthopedic-oncologic procedure is clinically significant due to its scope, need for multidisciplinary perioperative management, and implications for surgical planning, reconstruction, and post-operative care. Nationally, procedures coded with CPT code 27076 are relevant for hospital surgical services, oncology programs, and payer coverage policies because they carry substantial resource use and clinical risk.

Key payers covered in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find context on the clinical intent of the code, typical sites of service, and the types of surgical services it represents. The publication outlines billing and coding context, common modifiers used with major payers, and how this code fits within orthopedic oncology service lines. It also summarizes typical clinical considerations tied to this procedure and indicates where input data were not provided. This brief equips program managers, coders, and policy analysts with a clear understanding of CPT code 27076’s clinical role and payer relevance at the national level.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareCPT 27076pelvic tumor resectionorthopedic oncologysurgical procedurehospital inpatientoperative codingoncologic surgerypelvis resection

Billing Code Overview

CPT code 27076 describes a radical resection of a pelvic tumor involving the ilium and the acetabulum, and may include excision of both pubic rami or the ischium with the acetabulum. The procedure entails removal of the tumor along with a margin of healthy tissue to achieve oncologic clearance.

Service Type: Surgical — Orthopedic/Oncologic Tumor Resection

Typical Site of Service: Hospital operating room or specialized surgical center

Clinical & Coding Specifications

Clinical Context

A 52-year-old patient presents with a high-grade primary bone tumor originating in the ilium with extension into the acetabulum. Preoperative evaluation includes cross-sectional imaging (MRI and CT) to define tumor margins, staging imaging to exclude distant metastasis, and a multidisciplinary tumor board review. Surgical planning involves orthopedic oncology and reconstructive teams for limb-sparing radical resection of the ilium and acetabulum with several centimeters of surrounding healthy tissue excised to achieve clear margins. Intraoperative steps include patient positioning on a radiolucent table, extensile pelvic exposure, vascular control as needed, en bloc resection of the ilium and acetabulum segment, hemostasis, and immediate reconstruction (pelvic reconstruction, endoprosthesis, or allograft) as indicated. Postoperative workflow includes intensive monitoring for blood loss and infection, pain management, physical therapy for mobilization, and follow-up oncologic surveillance. Typical site of service is an acute care hospital operating room with orthopedic oncology and reconstructive plastic surgery support. Service type: major surgical oncology of the pelvis (radical tumor resection). Typical patient scenario: adult with localized pelvic bone malignancy requiring en bloc resection with margin control and reconstructive planning.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work, time, and complexity substantially exceed usual for (document increased effort).

CPT 27067: Excision of Bone Cyst or Benign Tumor with Autograft Reconstruction

CPT-27075-RADICAL-RESECTION-PELVIC-BONE-TUMOR

CPT 27075: Radical Resection of Pelvic Bone Tumor

CPT-27070-SUPERFICIAL-PARTIAL-EXCISION-ILIUM-PUBIS-GREATER-TROCHANTER

CPT 27070: Superficial Partial Excision of Ilium, Pubis, Greater Trochanter

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

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

CPT-27047-PELVIC-HIP-SUBCUTANEOUS-SOFT-TISSUE-TUMOR-EXCISION-LESS-THAN-3CM

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

CPT-27066-EXCISION-BENIGN-BONE-LESION-ILIUM-TROCHANTER

CPT 27066: Excision of Deep Bone Cyst or Benign Tumor with Reconstruction

CPT-27045-PELVIS-HIP-INTRAMUSCULAR-SOFT-TISSUE-TUMOR-EXCISION-5CM-OR-GREATER

CPT 27045: Excision of Pelvis/Hip Intramuscular Soft Tissue Tumor ≥5 cm

CPT-27060-ISCHIAL-BURSA-EXCISION

CPT 27060: Excision of Ischial Bursa

CPT-27040-PELVIC-HIP-SUPERFICIAL-SOFT-TISSUE-BIOPSY

CPT 27040: Superficial Soft Tissue Biopsy of Pelvis and Hip

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

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

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27076

Taxonomy Code	Specialty	Notes
`2080S0002X`	Orthopaedic Oncology	Orthopedic surgeons specializing in musculoskeletal tumors commonly perform `27076`.
`2080P0226X`	Orthopaedic Surgery	General orthopaedic surgeons with pelvis reconstruction experience participate in resection and reconstruction.
`207X00000X`	General Surgery	Vascular or general surgeons may assist for major pelvic vascular control and soft-tissue management.
`2084P0800X`	Plastic Surgery	Reconstructive plastic surgeons perform soft-tissue coverage and complex wound reconstruction following pelvic resection.
`390200000X`	Radiology — Diagnostic	Interventional radiology or diagnostic radiology involved preoperatively for embolization or image guidance if applicable.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`C41.4`	Malignant neoplasm of pelvic bones, sacrum and coccyx	Primary malignant bone tumor of the ilium/acetabulum region commonly necessitating radical resection such as `27076`.
`C41.3`	Malignant neoplasm of pelvic bones	Overlapping code used for tumors involving ilium and adjacent pelvic bones requiring en bloc excision.
`C41.2`	Malignant neoplasm of sacrum	Tumors of the sacral/pelvic region that may extend to the ilium and influence surgical planning for radical pelvic resection.
`M85.8`	Other specified disorders of bone density and structure	Includes localized aggressive benign or uncertain-behavior lesions that sometimes require extensive resection when symptomatic or locally destructive.
`D16.4`	Benign neoplasm of pelvic bones, sacrum and coccyx	Benign pelvic bone tumors (e.g., large aggressive osteochondroma or giant cell tumor) that may be managed with radical resection for local control.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`27310`	Resection, hemipelvectomy (partial)	Alternative or adjacent major pelvic resection procedure; may be considered for more extensive disease than `27076`.
`27195`	Reconstruction, acetabular prosthesis; complex, with or without allograft or autograft	Common reconstructive procedure performed immediately after en bloc acetabular resection to restore hip stability and function following `27076`.
`20680`	Removal of implant; deep (e.g., buried); requiring incision and drainage when performed at time of resection	May be performed if prior hardware is present and must be removed during the pelvic tumor resection.
`27350`	Excision, pelvic tumor, deep (e.g., ilium, sacrum); extensive	Alternative pelvic tumor excision code that may be used depending on anatomic extent and coding guidance relative to `27076`.
`37620`	Ligation, open, of internal iliac artery for control of hemorrhage	Vascular control procedure that may be necessary intraoperatively for bleeding during radical pelvic resection.
`38230`	Bone marrow or marrow-derived tissue harvesting, iliac crest	May be performed at a separate session for grafting purposes in reconstruction following tumor resection.

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