2025 CPT code 27076
Effective Date: N/A Revision Date: N/A Surgery - Musculoskeletal System Feed
Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum.
Medical necessity for this procedure is established by the presence of a tumor requiring radical resection for optimal treatment. Documentation must support the diagnosis and justify the extent of resection, considering the tumor's type, size, location, and potential for recurrence or metastasis. The medical record should reflect shared decision-making with the patient, outlining treatment options and the rationale for choosing radical resection.
In simple words: The surgeon removes a tumor from the hip bone, taking out the tumor and some healthy tissue around it to ensure it's all gone. The specific part of the hip bone involved could be the ilium (the largest part of the hip bone), the acetabulum (the socket where the hip joint fits), the ischium (the lower, back part of the hip bone), or the pubic rami (the front parts of the hip bone that join at the pubic symphysis).
This procedure involves the radical resection of a tumor located in the ilium, including the acetabulum, both pubic rami, or the ischium and acetabulum. Radical resection entails removing the tumor along with a margin of healthy tissue surrounding it.
Example 1: A patient presents with a malignant tumor affecting the ilium and acetabulum. The surgeon performs a radical resection to remove the entire tumor and a margin of healthy bone and soft tissue., A patient is diagnosed with a large, aggressive benign tumor involving both pubic rami. The surgeon performs a radical resection to prevent recurrence., A patient with a sarcoma involving the ischium and acetabulum undergoes radical resection to remove the tumor and surrounding tissue, followed by reconstruction.
Documentation should include details of the tumor's size, location, and characteristics (benign or malignant). Operative reports must describe the extent of resection, including margins, and any reconstruction performed. Diagnostic imaging reports, such as CT or MRI scans, confirming the diagnosis and guiding the surgical plan are essential.
- Specialties:Orthopedic Oncology, Surgical Oncology
- Place of Service:Inpatient Hospital