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CPT 28055: Bursal Excision with Nerve Dissection/Neurectomy
CPT code 28055 represents a surgical procedure that removes inflamed bursal tissue and dissects a peripheral nerve, dividing it at an upper point to relieve pain. This code captures targeted soft-tissue surgery often used when bursitis and associated nerve irritation produce refractory pain. Nationally, accurate coding for this procedure affects clinical documentation, reimbursement, and quality monitoring for surgical management of painful soft-tissue conditions.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical intent and typical settings for the service, plus guidance on where benchmarking and policy review are most relevant. The publication outlines common modifiers reported with this service, the typical service line and sites of care, and the clinical context for use of the code.
This summary prepares clinicians, coders, and policy analysts to understand the billing implications of performing bursal excision with nerve dissection, where it is commonly performed, and which payers are most likely to adjudicate claims for the service. Data not available in the input are noted where applicable, and the content focuses on national applicability rather than state-specific policy.
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Billing Code Overview
CPT code 28055 describes a surgical procedure in which the provider excises inflamed bursal tissue and dissects a peripheral nerve, dividing it at an upper point to relieve pain. This procedure is a targeted soft-tissue surgery intended to remove a pathologic bursa and perform neurolysis/neurectomy of the affected nerve to reduce symptomatic pain.
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Service type: Surgical excision with nerve dissection/neurectomy
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Typical site of service: Ambulatory surgical center or hospital operating room
Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.