CPT® Code 27075

Radical resection of a tumor, as described by CPT® Code 27075, is a surgical procedure primarily indicated for the removal of malignant neoplasms, although it may also be necessary for benign tumors or tumors of indeterminate nature. This procedure involves a significant surgical intervention where a skin incision is made directly over the site of the bone tumor, or alternatively, a skin flap may be created and elevated to provide access. The surgical team meticulously dissects the overlying tissue to expose the tumor, ensuring that all affected bone and cartilage in the wing of the ilium, a single pubic or ischial ramus, or the symphysis pubis is completely resected. The tumor is excised en bloc, meaning it is removed in one piece along with a wide margin of surrounding healthy tissue to ensure complete removal of the malignancy. This radical approach also necessitates the excision of all involved soft tissues, which may encompass muscles, tendons, fat, blood vessels, lymph vessels, nerves, and any tissues surrounding the joints. 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 all margins are confirmed to be clear of tumor cells. Post-surgery, drains may be placed as necessary, and the surgical wound can be closed in layers, or additional reconstructive procedures may be performed as required.