2025 CPT code 27619
Excision of a subfascial soft tissue tumor of the leg or ankle area, measuring less than 5 cm.
Modifiers may be applicable, such as 54 (Surgical Care Only), 76 (Repeat Procedure by Same Physician), or 77 (Repeat Procedure by Another Physician).
Medical necessity should be established by documenting the symptoms and clinical findings related to the tumor, impacting the patient's function or causing pain or discomfort. Benign tumors with a risk of malignancy, or those interfering with normal anatomical structures, can justify medical necessity.
The surgeon prepares the patient, administers anesthesia, makes an incision, dissects through tissue layers to reach the tumor, excises the tumor along with a margin of healthy tissue, controls bleeding, and closes the incision.
In simple words: The doctor removes a lump from your leg or ankle area that's located deeper than the skin surface. The lump is smaller than 2 inches and is removed through a cut in your skin. This is done to treat non-cancerous growths.
Excision, tumor, soft tissue of leg or ankle area, subfascial (e.g., intramuscular); less than 5 cm. This code describes the excision of a tumor located within or below the deep fascia of the leg or ankle, but not involving bone.The tumor is typically benign and resected with minimal removal of surrounding normal tissue.The size is determined by measuring the largest diameter of the tumor plus the necessary margin for complete excision, measured at the time of the procedure.
Example 1: A patient presents with a 3 cm intramuscular lipoma in the calf. The surgeon excises the mass using code 27619., A patient has a 4 cm benign fibrous histiocytoma within the deep fascia of the ankle. The surgeon removes the tumor, reporting code 27619., A patient with a painful 2 cm schwannoma in the lower leg undergoes excision.Code 27619 is used for this procedure.
Documentation should include the size and location of the tumor, operative report detailing the excision procedure, confirmation of margins, and pathology report.
** Complex wound closure, extensive vessel exploration, neuroplasty, or adjacent tissue transfers should be reported separately.Ensure documentation accurately describes the location and size of the lesion to support correct code selection.
- Specialties:Orthopedic Surgery, General Surgery, Plastic Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Physician's Office