CPT® Code 27045

The CPT® Code 27045 refers to the excision of a tumor located in the soft tissue of the pelvis and hip area, specifically when the tumor is subfascial, meaning it is situated beneath the fascia, which is a layer of connective tissue. This procedure is applicable for tumors that measure 5 cm or greater. Soft tissues encompass a variety of structures, including subcutaneous fat, connective tissue, fascia, muscles, tendons, blood vessels, lymph vessels, nerves, and the tissues surrounding joints. Tumors found in these soft tissues can be either benign or malignant. Typically, benign tumors are treated through excision, while small malignant or indeterminate tumors may also be excised if they have well-defined margins. The surgical approach may involve incising the skin directly over the tumor or creating and elevating a skin flap, depending on the tumor's location. During the procedure, the overlying tissue is carefully dissected to expose the soft tissue mass, which is then excised along with a margin of healthy tissue to ensure complete removal. In some cases, a frozen section may be performed to verify that all margins are free of tumor cells, which is crucial for ensuring that the tumor has been completely removed. After the excision, drains may be placed as necessary, and the surgical wound is typically closed in layers to promote proper healing. For smaller tumors or those located in different tissue layers, specific codes such as 27047 and 27043 are used for excisions of less than 3 cm and 3 cm or greater, respectively, while code 27048 is designated for excisions of subfascial tumors that are less than 5 cm.