CPT® Code 27047

The CPT® Code 27047 refers to the excision of a tumor located in the soft tissue of the pelvis and hip area, specifically when the tumor is subcutaneous and measures less than 3 cm. 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 that arise 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 procedure involves making an incision in the skin over the tumor or creating and elevating a skin flap, depending on the tumor's location. The surgeon dissects the overlying tissue 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 separately reportable frozen section may be performed during the procedure to confirm that all margins are free of tumor cells. After the excision, drains may be placed as necessary, and the surgical wound is closed in layers. For coding purposes, CPT® Code 27047 is specifically used for the excision of tumors in the subcutaneous fat or connective tissue that are less than 3 cm in size, while other codes are designated for larger tumors or those located deeper within the fascia.