CPT® Code 27076

Radical resection of a tumor in the ilium, including the acetabulum, both pubic rami, or ischium and acetabulum, is a surgical procedure primarily indicated for the removal of malignant neoplasms. However, it may also be necessary for benign tumors or tumors of indeterminate nature. The procedure begins with the creation of a skin incision directly over the tumor site, or alternatively, a skin flap may be elevated to provide access. The surgeon meticulously dissects the overlying tissue to expose the tumor, ensuring that all affected bone and cartilage in the specified areas are resected. This comprehensive approach involves the removal of the tumor en bloc, which means the tumor is excised along with a wide margin of surrounding healthy tissue to ensure complete removal. The radical resection process also encompasses the excision of all involved soft tissues, which can include muscles, tendons, fat, blood vessels, lymph vessels, nerves, and any tissues surrounding the joints. To confirm that all 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-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.