CPT Code: 27130
This estimate is for a 60-day episode of care. It includes related medical services from 30 days before and 30 days after the surgery such as office visits, pre- and post-op appointments, and physical therapy. It also includes all services related to the surgery such as surgeon fees and anesthesia. The services included in this estimate are provided by a variety of doctors and facilities. The estimate is attributed to the facility that was paid the most, usually the one where the surgery took place. The episode of care was created using the MEG grouper software and may include more than one related surgery. Estimates are for outpatient procedures.
Sometimes one type of general surgery can be identified by many CPT codes that have small variations from each other, for example, whether or not a biopsy is taken. For this procedure, episodes are identified by one of the following CPT codes: 27130, 27132, 27134, 27137, 27138