How To Use CPT Code 27265

CPT 27265 describes the closed treatment of post hip arthroplasty dislocation without anesthesia. 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 27265?

CPT 27265 is used to describe the closed treatment of post hip arthroplasty dislocation without anesthesia. It involves the provider using force to realign the hip joint that has previously undergone a total hip replacement. This procedure does not require the use of anesthesia.

2. Official Description

The official description of CPT code 27265 is the “Closed treatment of post hip arthroplasty dislocation; without anesthesia.”

3. Procedure

1. The provider prepares the patient for the procedure.
2. Using force, the provider applies pressure to the hip joint to realign it.
3. After the reduction, the provider applies traction to the leg to maintain the alignment.

4. Qualifying circumstances

CPT 27265 is performed on patients who have previously undergone a total hip joint replacement and have experienced a minor dislocation. The procedure is done without the use of anesthesia.

5. When to use CPT code 27265

CPT code 27265 should be used when a provider performs the closed treatment of post hip arthroplasty dislocation without anesthesia. It is important to note that this code represents a unilateral service, meaning it is performed on one side of the hip joint. If the procedure is performed bilaterally, the appropriate modifier should be appended.

6. Documentation requirements

To support a claim for CPT 27265, the provider must document the following information:

• Patient’s history of total hip joint replacement
• Details of the dislocation and the need for closed treatment
• Date and time of the procedure
• Procedure performed without anesthesia
• Any complications or additional procedures performed
• Signature of the provider

7. Billing guidelines

When billing for CPT 27265, ensure that the procedure was performed without anesthesia and that it is documented appropriately. If the procedure is performed bilaterally, the appropriate modifier should be appended. It is important to follow payer preferences regarding modifiers. Additionally, consider any specific guidelines provided by the payer for reporting this code.

8. Historical information

CPT 27265 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 who previously underwent a total hip joint replacement experiences a minor dislocation. The provider performs closed treatment without anesthesia to realign the hip joint.
2. Following a total hip replacement, a patient’s hip joint becomes dislocated. The provider uses force to reduce the dislocation without the need for anesthesia.
3. After a total hip arthroplasty, a patient presents with a dislocated hip joint. The provider performs closed treatment without anesthesia to restore the normal alignment.
4. A patient who has undergone a total hip joint replacement experiences a minor dislocation. The provider applies force to reduce the dislocation without the use of anesthesia.
5. Following a total hip arthroplasty, a patient’s hip joint becomes dislocated. The provider performs closed treatment without anesthesia to realign the hip joint.
6. After a total hip replacement, a patient presents with a dislocated hip joint. The provider applies force to reduce the dislocation without the need for anesthesia.
7. A patient who previously underwent a total hip joint replacement experiences a minor dislocation. The provider performs closed treatment without anesthesia to restore the normal alignment.
8. Following a total hip arthroplasty, a patient’s hip joint becomes dislocated. The provider uses force to reduce the dislocation without the use of anesthesia.
9. After a total hip joint replacement, a patient presents with a dislocated hip joint. The provider applies force to reduce the dislocation without anesthesia.
10. A patient who has undergone a total hip arthroplasty experiences a minor dislocation. The provider performs closed treatment without anesthesia to realign the hip joint.