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CPT 27625: Ankle Synovectomy, Open Surgical Procedure
CPT code 27625 represents an open ankle synovectomy — incision of the ankle joint with removal of the synovial membrane for diagnostic and therapeutic purposes. This surgical code is significant nationally because it captures a definitive operative intervention for inflammatory or mechanical ankle disorders that require direct intra-articular access. Use of this code has implications for surgical utilization, facility resource planning, and post-operative care pathways.
Key payers considered in this analysis 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, payer coverage patterns, and common billing considerations. The publication outlines national benchmarks where available, recent policy or coding clarifications affecting surgical coding and documentation, and the clinical context that justifies use of this code versus alternative procedures.
This summary is intended for clinicians, billing specialists, and policy professionals seeking a clear, national-level reference on when CPT code 27625 is used, what it denotes clinically, and which payers commonly adjudicate claims for this service. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 27625 describes an open surgical procedure in which the provider incises the ankle joint and removes synovial membrane. The service is performed to both diagnose and treat intra-articular pathology of the ankle, such as synovitis, inflammatory disease, or mechanical derangements identified by clinical evaluation.
Service Type: Open surgical synovectomy of the ankle joint
Typical Site of Service: Hospital operating room or ambulatory surgery center (inpatient or outpatient surgical setting)