How To Use CPT Code 27267

CPT 27267 describes the closed treatment of a femoral fracture at the proximal end, specifically the head of the thigh bone, 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 27267?

CPT 27267 is used to describe the closed treatment of a femoral fracture at the proximal end, specifically the head of the thigh bone, without manipulation. This means that the provider treats the fracture without making an incision or manipulating the bones or muscles using their hands.

2. Official Description

The official description of CPT code 27267 is: ‘Closed treatment of femoral fracture, proximal end, head; without manipulation.’

3. Procedure

1. The provider begins by examining the hip and taking X-rays to assess the alignment of the fractured bone.
2. If the alignment is satisfactory, the provider prescribes activity restrictions and analgesic medication for pain relief.
3. No incision or manipulation of the fractured bone is performed.
4. The provider may immobilize the fracture using splinting techniques to provide symptomatic relief and prevent further injury to the local soft tissues.

4. Qualifying circumstances

CPT 27267 is used when the provider treats a femoral fracture at the proximal end, specifically the head of the thigh bone, without manipulation. This code is applicable when there is no incision made or manipulation of the fractured bone. It is important to note that the provider must assess the neurologic and vascular status of the patient and document it in the medical record.

5. When to use CPT code 27267

CPT code 27267 should be used when the provider performs closed treatment of a femoral fracture at the proximal end, specifically the head of the thigh bone, without manipulation. It should not be used if an incision is made or if the provider manipulates the fractured bone. It is important to accurately document the procedure performed to ensure proper coding and billing.

6. Documentation requirements

To support a claim for CPT code 27267, the provider must document the following information:

• Assessment of the hip and X-ray findings
• Confirmation of satisfactory alignment of the fractured bone
• Prescription of activity restrictions and analgesic medication
• Documentation of any splinting techniques used for immobilization
• Assessment of neurologic and vascular status

7. Billing guidelines

When billing for CPT code 27267, ensure that the procedure performed meets the criteria for closed treatment of a femoral fracture at the proximal end without manipulation. It is important to accurately document the procedure and any additional services provided. Modifier 57, Decision for surgery, may be used if the provider makes a decision for surgery based on the evaluation and management (E/M) service provided. It is also important to report any additional supplies of casting materials used.

8. Historical information

CPT code 27267 was added to the Current Procedural Terminology system on January 1, 2008. There have been no updates to the code since its addition.

9. Examples

1. A patient presents with a femoral fracture at the head of the thigh bone. The provider performs closed treatment without manipulation, prescribing activity restrictions and analgesic medication for pain relief.
2. After assessing the alignment of a femoral fracture at the proximal end, the provider determines that no manipulation is necessary. The patient is given splinting techniques for immobilization and prescribed analgesic medication.
3. A femoral fracture at the head of the thigh bone is diagnosed in a patient. The provider performs closed treatment without manipulation, providing activity restrictions and prescribing analgesic medication for pain management.
4. During an examination, a femoral fracture at the proximal end is identified. The provider determines that closed treatment without manipulation is appropriate, prescribing activity restrictions and analgesic medication for pain relief.
5. A patient presents with a femoral fracture at the head of the thigh bone. The provider performs closed treatment without manipulation, providing splinting techniques for immobilization and prescribing analgesic medication.
6. After assessing the alignment of a femoral fracture at the proximal end, the provider determines that no manipulation is necessary. The patient is given activity restrictions and prescribed analgesic medication for pain relief.
7. A femoral fracture at the head of the thigh bone is diagnosed in a patient. The provider performs closed treatment without manipulation, providing activity restrictions and prescribing analgesic medication for pain management.
8. During an examination, a femoral fracture at the proximal end is identified. The provider determines that closed treatment without manipulation is appropriate, prescribing activity restrictions and analgesic medication for pain relief.
9. A patient presents with a femoral fracture at the head of the thigh bone. The provider performs closed treatment without manipulation, providing splinting techniques for immobilization and prescribing analgesic medication.
10. After assessing the alignment of a femoral fracture at the proximal end, the provider determines that no manipulation is necessary. The patient is given activity restrictions and prescribed analgesic medication for pain relief.