CPT Code 27818 | Description & Clinical Information
CPT 27818 describes the non-surgical realignment treatment provided by a healthcare professional for a closed fracture of all three malleoli of the ankle, including medial, lateral, and posterior malleoli.
Official Description
The CPT book defines CPT code 27818 as: “Closed treatment of trimalleolar ankle fracture; with manipulation”.
Clinical Information
The procedure described by CPT code 27818 involves the manipulation and reduction of the fragments of fractured malleoli – specifically the medial, lateral, and posterior bones – in a patient who has been appropriately prepped and anesthetized.
Before beginning the procedure, the provider will first perform a separately reportable X-ray to examine the fracture and determine the best course of action. Once the provider has a clear understanding of the fracture, they will begin repositioning the fragments of bone to their correct anatomical position. This is known as a reduction or adjustment to regain alignment.
After the reduction, the provider will then apply a cast, brace, or splint to help with the healing process. This will often involve immobilizing the affected area to prevent further movement and promote proper healing of the bones.
It may be necessary for the provider to take post-treatment X-rays to ensure the correct alignment of the bone. This is to ensure that the bones are healing properly and that there are no further complications that may arise as a result of the fracture.
Fractured malleoli can occur as a result of a range of different injuries. Common causes of fractures include falls, sports injuries, and car accidents. Depending on the severity of the fracture, surgery may be required in addition to non-surgical treatments like the one described by CPT code 27818.
It is important to note that this procedure should only be performed by a qualified healthcare provider who has the experience and expertise necessary to carry out the procedure safely and effectively. Patients who undergo this procedure may experience discomfort and pain during the healing process, but with proper care and follow-up, they can enjoy a full recovery.
In conclusion, the procedure described by CPT code 27818 is an essential treatment option for patients who have suffered a fractured malleoli. With the right care and attention, patients can expect to recover fully and resume their normal activities after healing.
