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2025 CPT code 27599

Unlisted procedure on the femur or knee.

Consult the latest CPT® guidelines and other payer-specific guidelines for proper coding and reimbursement.Adherence to local coverage determinations (LCDs) and medical policies is essential.

Modifiers may be applicable depending on the circumstances of the service.For example, modifier 50 (bilateral procedure) might be used if the procedure was performed on both knees or femurs.Other modifiers may be necessary depending on the specific situation.

The medical necessity must be clearly established in the documentation.This includes a comprehensive explanation of the patient's condition, why the procedure was necessary, and how it was the most appropriate treatment option given the clinical presentation and any comorbidities.

The surgeon performs the unlisted procedure on the femur or knee.

IMPORTANT If a similar code exists, it should be used instead of 27599.A detailed explanation for using this unlisted code, referencing similar codes, should be included with the claim submission.

In simple words: This code is for a surgery on the thigh bone (femur) or knee that doesn't have a specific code.Doctors use it when the surgery doesn't exactly match any of the existing codes.They need to give a very detailed explanation of what they did to get paid for the surgery.

This CPT code reports surgical procedures performed on the femur or knee that do not have a specific code available within the CPT code set.It is used when the procedure performed does not precisely match any existing, currently active code.The use of this code requires thorough documentation to support the medical necessity and justify the billed amount.The description of the procedure should be detailed and specific.

Example 1: A surgeon performs a novel arthroscopic technique to repair a complex meniscal tear in the knee that is not currently represented in the CPT code set. , A surgeon performs a minimally invasive technique to treat a rare type of femoral fracture that requires a unique surgical approach not yet included in the CPT code set. , A surgeon performs a revision surgery on a total knee replacement requiring the removal of significant bone and soft tissue followed by the replacement of a custom-designed implant.

* Detailed operative report describing the procedure, including specific techniques used.* Preoperative and postoperative imaging studies (X-rays, CT scans, MRI).* Thorough explanation for using unlisted code 27599, with comparison to similar procedures and codes.* Justification of medical necessity.

** When using an unlisted code, ensure all necessary documentation is submitted to avoid claim denials. Thorough and detailed documentation is critical for appropriate reimbursement.

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