How To Use CPT Code 27275

CPT 27275 describes a procedure involving the manipulation of the hip joint under general anesthesia. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 27275?

CPT 27275 involves the manipulation of the hip joint under general anesthesia. The provider performs passive movement and stretching of the hip joint to break up fibrous and scar tissue, aiming to relieve pain and improve range of motion.

2. Official Description

The official description of CPT code 27275 is the manipulation of the hip joint under anesthesia. It involves the provider passively moving or stretching the hip joint in the direction of restricted range of motion. General anesthesia is used to reduce pain, spasm, and reflex muscle guarding. The procedure helps break joint adhesions and soft tissue adhesions, resulting in improved range of motion.

3. Procedure

1. The patient is appropriately prepped and anesthetized.
2. The provider passively moves or stretches the hip joint in the direction of restricted range of motion.
3. General anesthesia is used to reduce pain, spasm, and reflex muscle guarding.
4. The provider breaks joint adhesions and soft tissue adhesions, resulting in improved range of motion of the hip joint.

4. Qualifying circumstances

CPT 27275 is performed on patients who require manipulation of the hip joint under general anesthesia. This procedure is typically indicated for patients with restricted range of motion and pain in the hip joint due to fibrous and scar tissue. The provider must ensure that the patient is an appropriate candidate for the procedure and that the benefits outweigh the risks.

5. When to use CPT code 27275

CPT code 27275 should be used when the provider performs manipulation of the hip joint under general anesthesia. It is important to ensure that the procedure is medically necessary and appropriate for the patient’s condition. This code should not be used for other types of hip joint procedures or manipulations that do not involve general anesthesia.

6. Documentation requirements

To support a claim for CPT 27275, the provider must document the following information:

• Patient’s diagnosis and the need for hip joint manipulation
• Details of the procedure, including the specific techniques used
• Date and duration of the procedure
• Any complications or adverse events that occurred during or after the procedure
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 27275, ensure that the procedure involves the manipulation of the hip joint under general anesthesia. It is important to follow the specific guidelines provided by the payer and use the appropriate modifiers if required. Be aware of any bundling or unbundling issues and ensure accurate coding and documentation to support the claim.

8. Historical information

CPT 27275 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient with restricted range of motion and pain in the hip joint undergoes manipulation of the hip joint under general anesthesia to break up adhesions and improve mobility.
2. A provider performs manipulation of the hip joint under general anesthesia for a patient with hip osteoarthritis, aiming to relieve pain and increase range of motion.
3. A patient with a history of hip trauma undergoes manipulation of the hip joint under general anesthesia to address joint stiffness and improve function.
4. A provider performs manipulation of the hip joint under general anesthesia for a patient with hip impingement syndrome, aiming to alleviate symptoms and improve hip joint mechanics.
5. A patient with a hip joint contracture undergoes manipulation of the hip joint under general anesthesia to release adhesions and improve joint mobility.
6. A provider performs manipulation of the hip joint under general anesthesia for a patient with hip synovitis, aiming to reduce inflammation and restore normal joint function.
7. A patient with hip joint stiffness and limited range of motion undergoes manipulation of the hip joint under general anesthesia to break up adhesions and improve mobility.
8. A provider performs manipulation of the hip joint under general anesthesia for a patient with avascular necrosis of the hip, aiming to alleviate pain and improve joint function.
9. A patient with hip joint instability undergoes manipulation of the hip joint under general anesthesia to address joint laxity and improve stability.
10. A provider performs manipulation of the hip joint under general anesthesia for a patient with hip labral tear, aiming to alleviate symptoms and improve joint mechanics.