2025 CPT code 27364
Effective Date: N/A Revision Date: N/A Surgery - Musculoskeletal System Feed
Radical resection of a soft tissue tumor, measuring 5 cm or greater, located in the thigh or knee area.
Modifiers may be applicable to this code. Common modifiers used include: -22 (Increased Procedural Services): Used for significantly more complex procedures than typically encountered. -50 (Bilateral Procedure): Used if the procedure is performed on both thighs or knees. -59 (Distinct Procedural Service): Used to indicate that this procedure was separate and distinct from other services performed on the same day.
Medical necessity for radical resection is established by the diagnosis of a sarcoma or other aggressive soft tissue tumor where wide surgical excision is required for optimal treatment. This is supported by clinical findings, imaging studies, and pathology reports.
In simple words: This procedure involves the extensive surgical removal of a soft tissue tumor in the thigh or knee area. The tumor is removed along with a significant amount of the surrounding healthy tissue to minimize the risk of recurrence. The size of the tumor removed is 5 centimeters or larger.
Radical resection of tumor (e.g., sarcoma), soft tissue of thigh or knee area; 5 cm or greater. This includes the removal of the tumor along with a wide margin of healthy surrounding tissue. For radical resection of tumors of cutaneous origin (e.g., melanoma), see 11600-11606.
Example 1: A patient presents with a 6cm sarcoma located deep within the thigh muscles. The surgeon performs a radical resection, removing the tumor and a wide margin of surrounding muscle tissue., A patient has a recurrent soft tissue sarcoma, 5.5cm in size, in the knee area. A radical resection is performed, including removal of portions of affected fascia., A biopsy reveals a high-grade soft tissue sarcoma, 7cm in diameter, in the distal thigh. Due to the aggressive nature of the tumor, a radical resection is necessary to achieve clear margins.
Documentation should include the size and precise location of the tumor, the operative report detailing the extent of the resection and margins obtained, and the pathology report confirming the diagnosis. Pre-operative imaging studies and any relevant consultations should also be included.
- Specialties:Surgical Oncology, Orthopedic Oncology, General Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center