How To Use CPT Code 27228
CPT 27228 describes the open treatment of a complex fracture of the acetabulum, which is the cup-shaped socket of the hip joint. 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 27228?
CPT 27228 can be used to describe the open treatment of a complex fracture of the acetabulum. This code is used when a provider performs a surgical procedure to repair a fracture involving the anterior and posterior columns of the acetabulum, including T-fractures, both column fractures with complete articular detachment, or single column or transverse fractures with associated acetabular wall fractures. The procedure involves internal fixation using implants such as plates, screws, nails, or wires.
2. Official Description
The official description of CPT code 27228 is: ‘Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both column fracture with complete articular detachment, or single column or transverse fracture with associated acetabular wall fracture, with internal fixation.’
3. Procedure
- The provider prepares the patient for surgery and administers anesthesia.
- An incision is made over the hip joint, and the provider carefully dissects through the subcutaneous tissue to expose the acetabulum.
- The provider manipulates the fractured bones to realign them and restore proper alignment.
- Internal fixation devices, such as plates, screws, nails, or wires, are used to secure the fractured bones in place.
- The provider may perform additional repairs for associated fractures, such as T-fractures or transverse wall fractures.
- The incision is closed, and the patient’s leg may be placed in a brace or traction as necessary.
- An X-ray examination may be performed to confirm the reduction of the fracture.
