How To Use CPT Code 27230

CPT 27230 describes the closed treatment of a femoral fracture in the proximal end of the femur without manipulation. 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 27230?

CPT 27230 is used to describe the closed treatment of a femoral fracture in the upper end of the femur without manipulation. This means that the provider stabilizes the fracture without adjusting or manipulating the broken bone.

2. Official Description

The official description of CPT code 27230 is: ‘Closed treatment of femoral fracture, proximal end, neck; without manipulation.’

3. Procedure

1. The provider confirms the fracture using X-rays.
2. They stabilize the fracture and provide guidance on pain management.
3. Treatment for a stable fracture may involve bed rest, traction, or the use of crutches for mobility.
4. The provider may immobilize the leg with a brace or cast.
5. Regular X-ray examinations are performed to monitor the fracture and ensure proper alignment.

4. Qualifying circumstances

CPT 27230 is used for patients with a femoral fracture in the proximal end of the femur that does not require manipulation. The provider may use braces, casts, or other methods to stabilize the fracture. This code should not be used if manipulation or internal fixation is performed.

5. When to use CPT code 27230

CPT code 27230 should be used when a provider performs a closed treatment of a femoral fracture in the proximal end of the femur without manipulation. It should not be used if manipulation or internal fixation is performed.

6. Documentation requirements

To support a claim for CPT 27230, the provider must document the following information:

• Confirmation of the fracture through X-rays
• Details of the treatment provided, including stabilization methods
• Guidance on pain management
• Documentation of regular X-ray examinations to monitor the fracture

7. Billing guidelines

When billing for CPT 27230, ensure that the treatment performed does not involve manipulation or internal fixation. It is important to accurately document the procedure and provide the necessary supporting documentation. CPT code 27230 should not be reported with codes for manipulation or internal fixation procedures.

8. Historical information

CPT 27230 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A patient sustains a femoral fracture in the proximal end of the femur and receives closed treatment without manipulation.
2. A provider stabilizes a femoral fracture in the upper end of the femur using a brace, without manipulating the broken bone.
3. A patient with a femoral fracture undergoes closed treatment without manipulation, and regular X-ray examinations are performed to monitor the fracture.
4. A provider immobilizes a femoral fracture in the proximal end of the femur with a cast, without manipulating the fracture.
5. A patient receives closed treatment for a femoral fracture in the upper end of the femur, using traction and without manipulation.
6. A provider stabilizes a femoral fracture in the proximal end of the femur using a splint, without manipulating the broken bone.
7. A patient with a femoral fracture undergoes closed treatment without manipulation, and regular X-ray examinations are performed to ensure proper alignment.
8. A provider immobilizes a femoral fracture in the upper end of the femur with a brace, without manipulating the fracture.
9. A patient receives closed treatment for a femoral fracture in the proximal end of the femur, using crutches for mobility and without manipulation.
10. A provider stabilizes a femoral fracture in the upper end of the femur using a cast, without manipulating the broken bone.