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The CPT® Code 27067 refers to the excision of a bone cyst or benign tumor located in specific areas of the pelvis, including the wing of the ilium, symphysis pubis, or greater trochanter of the femur. A bone cyst is defined as a fluid-filled space within the bone, which can vary in type. The unicameral or simple bone cyst is a common benign lesion, while the aneurysmal bone cyst is less common and characterized by vascular tissue surrounding a blood-filled cystic lesion. Additionally, benign bone tumors can include various forms such as giant cell tumors, chondromyxoid fibromas, and enchondromas. The procedure described by this code involves the excision of deeper lesions that necessitate a more extensive surgical approach, including the use of an autograft. An autograft is a surgical procedure where bone is harvested from a separate site on the patient to fill the defect left after the excision of the cyst or tumor. This procedure is critical for ensuring the structural integrity of the bone after the removal of the lesion and may involve a separate incision to obtain the graft. The detailed steps of the procedure, including the surgical techniques and considerations, are essential for accurate coding and billing in the medical field.
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