Open surgical excision of the trochanteric bursa or calcific deposit at the greater trochanter of the femur.

Verified May 8, 2026 · 8 sources ↓

Medicare: $432.88
Total RVUs: 12.96
Global, days: 90
Region: Hip

Drawn from CMSMdclarityAAPCPayerpriceNIH

Documentation requirements

What must appear in the operative or office note to support the claim.

Source · Editorial brief grounded in 8 cited references ↓

Operative note must name the specific structure excised — trochanteric bursa, calcific deposit, or both — not just 'lesion removal'.
Document failure of conservative treatment (injections, PT, NSAIDs) to support medical necessity.
Describe the surgical approach explicitly: IT band incision, interval used, and depth of dissection to the bursa.
If calcification is excised, note its location, approximate size, and whether it was sent to pathology.
Record laterality (left vs. right) in both the operative note and the procedure header.
If 27025 is billed concurrently for IT band lengthening, the operative note must separately describe the fasciotomy as a distinct, additional step.

Applicable modifiers

Modifiers commonly billed with this code.

Source · AMA CPT modifier descriptors · CMS NCCI Policy Manual

22 Increased complexity 24 Unrelated E/M during global 50 Bilateral procedure 51 Multiple procedures 59 Distinct service 78 Unplanned return — related 79 Unrelated during global LT Left side RT Right side

What this code covers

Source · Editorial summary grounded in 8 cited references ↓

CPT 27062 covers open excision of the trochanteric bursa or a calcific deposit located at the greater trochanter of the femur. The surgeon incises down through subcutaneous tissue, splits or incises the iliotibial band to access the bursa or calcification, and excises the abnormal tissue. The procedure is performed when conservative management — injections, physical therapy — has failed to resolve chronic lateral hip pain or mechanical symptoms.

The code sits in the pelvis and hip joint excision family alongside 27060 (ischial bursectomy) and 27065–27066 (bone cyst or benign tumor excision, superficial and deep). When open IT band lengthening is performed at the same session, 27025 (fasciotomy, hip or thigh) is reported separately; per PMC hip preservation coding literature, that combination carries a substantially higher combined RVU than 27062 alone. Do not confuse 27062 with 27065 or 27066 — those codes address bone cysts and benign tumors of the greater trochanter, not bursal or calcific soft tissue excision.

The global period is 90 days. That window covers the day-before preoperative visit, the operative day, and all routine postoperative care through day 90. Unrelated E/M services in that period need modifier 24. If the patient returns to the OR for a related complication during the global, append modifier 78. An unrelated surgical procedure in the same global window takes modifier 79.

RVU & reimbursement

Component RVUs and Medicare national rate. Actual payment varies by GPCI locality.

Source · CMS Physician Fee Schedule, RVU26A · January 2026

Work RVU	5.61
Practice expense RVU	6.23
Malpractice RVU	1.12
Total RVU	12.96
Medicare national rate	$432.88
Global period	90 days

Payment by site of service

Medicare pays different rates by setting. HOPD typically pays substantially more than ASC for the same procedure.

Source · CMS OPPS Addendum B·ASC HCPCS payment rates·2026

Setting	Medicare rate (national)
Office (PFS non-facility) Procedure performed in physician's office	$432.88
HOPD (APC 5113) Hospital outpatient department	$3,342.87
ASC (PI A2) Ambulatory surgical center (freestanding)	$1,644.87

Common denial reasons

The recurring reasons claims for CPT 27062 get rejected.

Source · Editorial brief grounded in CMS NCCI edits, AAOS coding appeals, and cited references ↓

Medical necessity not established — no documented failure of conservative therapy prior to surgery.
Laterality missing from the claim; payers require LT or RT when the procedure is unilateral.
Operative report describes only 'lesion excision' without specifying trochanteric bursa or calcification, causing coding mismatch.
27062 bundled against a same-day hip arthroscopy without modifier 59 establishing it as a distinct open procedure.
Global period violation — postoperative E/M billed without modifier 24 when unrelated to the hip surgery.

Frequently asked questions

Source · Generated from the editorial pipeline, verified against 8 cited references ↓

01Can 27062 and 27025 be billed together?

Yes. When open IT band lengthening is performed as a separate, distinct step during the same session, report 27025 with modifier 51. The operative note must describe the fasciotomy independently. Per hip preservation coding literature, the combination carries significantly more RVU weight than 27062 alone.

02What is the global period for 27062?

90 days. The global covers the day-before preoperative visit, the day of surgery, and all routine postoperative care through day 90. Unrelated E/M visits in that window need modifier 24; an unrelated surgical return needs modifier 79.

03When does 27062 apply versus 27065 or 27066?

27062 is for bursal or calcific soft-tissue excision at the greater trochanter. 27065 and 27066 are for bone cysts or benign bone tumors at the same site — superficial and deep (subfascial), respectively. The pathology drives the code selection; audit teams look for diagnostic imaging and pathology reports to confirm.

04Do I need LT or RT on every 27062 claim?

Yes for unilateral procedures. Most payers require laterality modifiers on hip codes. Omitting LT or RT is a common clean-claim failure. Use modifier 50 only if the bursa is excised bilaterally in a single session — that is rare for this procedure.

05What ICD-10 diagnoses typically support 27062?

M70.60–M70.62 (trochanteric bursitis), M61.251–M61.252 (calcification of muscle, thigh), and M70.70–M70.72 (other bursitis of hip) are the most commonly accepted diagnoses. Confirm that the ICD-10 laterality matches the LT or RT modifier on the CPT line.

06Is pathology required after trochanteric bursectomy?

Not universally required for billing, but many payers and audit programs expect excised tissue to be sent. If the specimen is not sent to pathology, document the clinical rationale in the operative note. Absence of a pathology report can raise questions during post-payment review.

Sources & references

Editorial content was developed using the following public sources. Last verified May 8, 2026.

Mira AI Scribe

Mira's AI scribe captures the structure excised (bursa vs. calcific deposit), the IT band approach, depth of dissection, and laterality directly from the surgeon's dictation. It also flags whether a concurrent fasciotomy was performed as a distinct step, preventing the most common denial trigger — a vague operative note that doesn't justify 27062 over a lower-value code or support a separately reported 27025.

See how Mira captures CPT 27062 documentation