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CPT 27303: Incision of Bone Cortex, Upper Leg/Knee
CPT code 27303 defines a surgical incision of the bone cortex to relieve pain, pressure, or infection at a localized site in the upper leg or knee, commonly used for conditions such as osteomyelitis or a bone abscess. This code matters nationally because it captures a targeted orthopedic surgical intervention with implications for surgical utilization, infection management, and post-operative resource use across inpatient and ambulatory surgical settings. Payers commonly relevant to analyses of this service include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical intent and typical sites of service, plus what to expect in payer coverage context nationally. The publication summarizes benchmarks for utilization and reimbursement patterns where available, highlights policy and coding considerations that affect claims processing, and outlines the clinical context influencing service frequency. Data not available in the input for specific associated taxonomies, ICD-10 diagnoses, related codes, or service-line breakdowns is noted as unavailable. The piece is intended to inform coding professionals, billing teams, and policy analysts about the procedural scope and payer landscape for CPT code 27303 without clinical recommendations.
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Billing Code Overview
CPT code 27303 describes a surgical procedure in which the provider incises the bone cortex to relieve pain, pressure, or infection, for example in cases such as osteomyelitis or a localized bone abscess. The procedure targets a localized site on the upper leg or knee area.
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Service type: Surgical debridement/incision of bone cortex for relief of pain, pressure, or infection
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Typical site of service: Operating room or procedure suite for the upper leg or knee region