How To Use CPT Code 27187

CPT 27187 describes the prophylactic treatment of a defect in the femoral neck and proximal femur using fixation implants such as nails, plates, or screws, with or without the use of methylmethacrylate. 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 27187?

CPT 27187 can be used to describe the prophylactic treatment of a defect in the femoral neck and proximal femur. The procedure involves the use of fixation implants, such as nails, plates, or screws, to stabilize the bone and prevent future issues. The provider may also use methylmethacrylate, a type of bone cement, to provide additional stability.

2. Official Description

The official description of CPT code 27187 is: ‘Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proximal femur.’

3. Procedure

1. The provider prepares the patient and administers anesthesia.
2. An incision is made in the skin above the defect in the femur bone.
3. The provider dissects through the subcutaneous tissue to reach the bone.
4. The nerve and muscle tissue in the area are carefully retracted.
5. The provider uses fixation implants, such as nails, plates, or screws, to fix the defect in the bone and stabilize it.
6. If necessary, the provider may use methylmethacrylate, a type of bone cement, to fill the defect and provide additional stability.
7. Hemostasis is achieved at the surgical site.
8. The wound is closed by suturing the soft tissue in layers.

4. Qualifying circumstances

CPT 27187 is typically performed on patients with a defect in the femoral neck and proximal femur that requires prophylactic treatment. The procedure is performed by a qualified healthcare provider who is experienced in performing such treatments. The use of fixation implants and methylmethacrylate may vary depending on the specific circumstances of the patient’s condition.

5. When to use CPT code 27187

CPT code 27187 should be used when a provider performs prophylactic treatment on a defect in the femoral neck and proximal femur using fixation implants, with or without the use of methylmethacrylate. It is important to accurately document the specific details of the procedure to support the use of this code.

6. Documentation requirements

To support a claim for CPT code 27187, the provider must document the following information:

• Patient’s diagnosis and the need for prophylactic treatment
• Details of the procedure, including the use of fixation implants and methylmethacrylate
• Date of the procedure
• Start and end time of the procedure
• Any additional relevant information or complications
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 27187, ensure that the procedure meets the criteria outlined in the official description. It is important to accurately document the details of the procedure to support the billing. Additionally, be aware of any specific guidelines or requirements from insurance providers or Medicare regarding the use of this code.

8. Historical information

CPT code 27187 was added to the Current Procedural Terminology system on January 1, 1990. It has undergone changes in its status as an inpatient-only procedure, being removed from the list in 2021 but added back in 2022.

9. Examples

1. A surgeon performs prophylactic treatment on a defect in the femoral neck and proximal femur using fixation implants and methylmethacrylate.
2. A orthopedic specialist uses nails and plates to stabilize a defect in the femoral neck and proximal femur as a preventive measure.
3. A provider performs prophylactic treatment on a defect in the femoral neck and proximal femur using screws and methylmethacrylate.
4. A surgeon uses plates and screws to fix a defect in the femoral neck and proximal femur, providing prophylactic treatment to prevent future issues.
5. An orthopedic specialist performs prophylactic treatment on a defect in the femoral neck and proximal femur using nails and methylmethacrylate.
6. A provider uses screws and plates to stabilize a defect in the femoral neck and proximal femur, providing prophylactic treatment to a patient.
7. A surgeon performs prophylactic treatment on a defect in the femoral neck and proximal femur using fixation implants and methylmethacrylate.
8. An orthopedic specialist uses nails and plates to stabilize a defect in the femoral neck and proximal femur as a preventive measure.
9. A provider performs prophylactic treatment on a defect in the femoral neck and proximal femur using screws and methylmethacrylate.
10. A surgeon uses plates and screws to fix a defect in the femoral neck and proximal femur, providing prophylactic treatment to prevent future issues.