CPT® Code 27059

The CPT® Code 27059 refers to the radical resection of a tumor located in the soft tissue of the pelvis and hip area, specifically when the tumor measures 5 cm or greater. Soft tissues encompass a variety of structures, including muscles, tendons, fat, blood vessels, lymph vessels, nerves, and the tissues that surround joints. Tumors that arise in these soft tissues can be classified as either benign or malignant. However, radical resection is predominantly indicated for malignant neoplasms, such as sarcomas, which are a type of cancer that originates in the connective tissues. In some cases, benign tumors or those of uncertain nature may also necessitate a radical resection. The procedure typically begins with the creation of a skin incision directly over the tumor site in the pelvis and hip region, or alternatively, a skin flap may be elevated to access the tumor. The surgeon meticulously dissects the overlying tissue to expose the tumor, which is then excised en bloc, meaning it is removed in one piece along with a wide margin of surrounding healthy tissue. This approach is critical to ensure that all involved soft tissue is excised, which may include adjacent muscles, nerves, and blood vessels. To confirm that the surgical margins are free of tumor cells, a separately reportable frozen section may be performed during the procedure. If any margins are found to contain malignancy, additional tissue will be excised until clear margins are achieved. Post-operatively, drains may be placed as necessary to manage fluid accumulation, and the surgical wound can be closed in layers. In some instances, separate reconstructive procedures may be performed to restore the area after the tumor removal. The code 27059 is specifically designated for the radical resection of soft tissue tumors that are 5 cm or larger in the pelvis and hip region.