How To Use CPT Code 27282

CPT 27282 describes the surgical procedure known as arthrodesis of the symphysis pubis joint. 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 27282?

CPT 27282 is used to describe a surgical procedure that involves the immobilization of the symphysis pubis joint in the pelvis. During this procedure, the provider uses fixation devices to surgically fuse the joint and induce artificial bone generation using a graft obtained from another part of the patient’s body.

2. Official Description

The official description of CPT code 27282 is: ‘Arthrodesis, symphysis pubis (including obtaining graft).’ This procedure involves surgically immobilizing the symphysis pubis joint using fixation devices and obtaining a graft from another part of the patient’s body to promote bone fusion.

3. Procedure

1. The provider begins by making an incision in the skin over the symphysis pubis joint.
2. They then dissect through the subcutaneous tissue, being careful to preserve the nerves and veins.
3. Next, the provider reflects the attachment of the abdominal muscle to gain access to the joint.
4. Using an osteotome, they remove the cartilage between the two pubic bones.
5. The provider then fuses the symphysis pubis joint using fixation devices such as K wires, powered staples, plates, or headless screws.
6. A graft is obtained from nearby bone, typically the iliac crest, and is used to pack the joint being fused.
7. Hemostasis is achieved at the surgical site, and the wound is closed by suturing the soft tissue layers.

4. Qualifying circumstances

CPT 27282 is performed on patients who require surgical immobilization of the symphysis pubis joint. This procedure is typically indicated for individuals experiencing pain and dysfunction in the joint. The provider must use fixation devices and obtain a graft from another part of the patient’s body to promote bone fusion.

5. When to use CPT code 27282

CPT code 27282 should be used when a provider performs arthrodesis of the symphysis pubis joint, including obtaining a graft. This code is appropriate for cases where surgical immobilization and bone fusion of the joint are necessary. It should not be used for other procedures or conditions.

6. Documentation requirements

To support a claim for CPT 27282, the provider must document the following information:

• Patient’s diagnosis and the need for symphysis pubis joint arthrodesis
• Details of the surgical procedure, including the use of fixation devices and graft acquisition
• Date of the procedure
• Any additional relevant information or complications encountered during the surgery
• Signature of the performing provider

7. Billing guidelines

When billing for CPT 27282, ensure that the procedure meets the criteria for symphysis pubis joint arthrodesis and graft acquisition. It is important to follow the specific documentation requirements and guidelines set forth by the payer. Additionally, be aware of any applicable modifiers or bundling rules that may affect reimbursement for this procedure.

8. Historical information

CPT code 27282 was added to the Current Procedural Terminology system on January 1, 1990. It has undergone changes in its status as an inpatient-only procedure, with removal and subsequent re-addition to the list in different years.

9. Examples

1. A patient with chronic pelvic pain undergoes symphysis pubis joint arthrodesis to alleviate their symptoms.
2. A professional athlete sustains a severe injury to the symphysis pubis joint and requires surgical immobilization and fusion.
3. A patient with a history of pelvic trauma develops instability in the symphysis pubis joint and undergoes arthrodesis for stabilization.
4. A patient with a congenital abnormality of the symphysis pubis joint undergoes surgical fusion to improve their mobility and reduce pain.
5. A patient with a history of failed non-surgical treatments for symphysis pubis joint dysfunction opts for arthrodesis to achieve long-term relief.
6. A patient with a history of multiple pregnancies experiences chronic symphysis pubis joint pain and undergoes surgical fusion for symptom management.
7. A patient with a history of inflammatory arthritis develops severe symphysis pubis joint degeneration and undergoes arthrodesis to improve their quality of life.
8. A patient with a history of trauma to the pelvis experiences persistent symphysis pubis joint instability and undergoes surgical fusion for stability and pain relief.
9. A patient with a history of failed conservative treatments for symphysis pubis joint dysfunction undergoes arthrodesis to restore normal joint function.
10. A patient with a history of chronic symphysis pubis joint pain undergoes surgical fusion to alleviate their symptoms and improve their overall well-being.