How To Use CPT Code 27110

CPT 27110 describes the transfer of the iliopsoas muscle from the lesser trochanter of the femur to the greater trochanter to compensate for weak hip abductor muscles. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 27110?

CPT 27110 can be used to describe the transfer of the iliopsoas muscle from the lesser trochanter of the femur to the greater trochanter. This procedure is performed to improve the lateral stability of the hip joint by strengthening the hip abductor muscles. The lesser trochanter is a bony prominence on the inner side of the femur, while the greater trochanter is a bony projection on the outer and upper side of the femur.

2. Official Description

The official description of CPT code 27110 is: ‘Transfer iliopsoas; to greater trochanter of femur.’

3. Procedure

1. The provider makes an incision in the skin extending from the iliac region to the middle of the thigh.
2. He then dissects down through the subcutaneous tissue, protecting the femoral nerve and vessels.
3. The provider exposes the lateral trochanter at the insertion of the iliopsoas muscle.
4. He resects or isolates the insertion along with the lesser trochanter.
5. The provider transfers the iliopsoas tendon through a large window in the ilium near the sacroiliac joint.
6. He passes the tendon through a tunnel in the greater trochanter and secures it with multiple sutures.
7. The provider obtains hemostasis at the surgical site and closes the wound by suturing the soft tissue in layers.
8. He places the hip in a cast for a period of four to six weeks to allow for proper healing.

4. Qualifying circumstances

CPT 27110 is performed when there is a need to strengthen the hip abductor muscles due to weak lateral stability of the hip joint. This procedure is typically indicated for patients with conditions such as hip dysplasia, hip dislocation, or hip abductor muscle weakness. The provider must assess the patient’s condition and determine the appropriateness of the procedure based on the individual’s specific circumstances.

5. When to use CPT code 27110

CPT code 27110 should be used when the provider performs the transfer of the iliopsoas muscle from the lesser trochanter to the greater trochanter. It is important to ensure that the procedure is medically necessary and meets the criteria for reimbursement. This code should not be used for any other procedures or interventions.

6. Documentation requirements

To support a claim for CPT code 27110, the provider must document the following information:

• Patient’s diagnosis and the need for the transfer of the iliopsoas muscle
• Details of the procedure, including the incision, dissection, exposure, resection, transfer, and suturing techniques
• Date of the procedure and the duration of the surgery
• Any complications or unexpected findings during the procedure
• Post-operative care instructions and follow-up plans
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 27110, ensure that the procedure meets the necessary criteria for reimbursement. It is important to accurately code and document the procedure to avoid any potential billing errors or denials. CPT code 27110 should not be reported with other codes unless there are additional procedures or interventions performed during the same surgical session that meet the criteria for separate reporting.

8. Historical information

CPT code 27110 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient with hip dysplasia undergoes a transfer of the iliopsoas muscle from the lesser trochanter to the greater trochanter to improve hip stability.
2. A patient with a history of hip dislocation undergoes a transfer of the iliopsoas muscle to strengthen the hip abductor muscles.
3. A patient with weak lateral stability of the hip joint undergoes a transfer of the iliopsoas muscle to enhance hip function and stability.
4. A patient with hip abductor muscle weakness undergoes a transfer of the iliopsoas muscle to improve their ability to walk and perform daily activities.
5. A patient with recurrent hip subluxation undergoes a transfer of the iliopsoas muscle to prevent further dislocations and improve hip stability.
6. A patient with hip pain and limited range of motion undergoes a transfer of the iliopsoas muscle to address the underlying muscle weakness and improve hip function.
7. A patient with hip abductor muscle atrophy undergoes a transfer of the iliopsoas muscle to restore muscle strength and improve hip stability.
8. A patient with hip joint instability due to muscle weakness undergoes a transfer of the iliopsoas muscle to enhance joint stability and function.
9. A patient with hip abductor muscle imbalance undergoes a transfer of the iliopsoas muscle to correct the muscle imbalance and improve hip function.
10. A patient with hip abductor muscle deficiency undergoes a transfer of the iliopsoas muscle to restore muscle strength and improve hip stability.