How To Use CPT Code 27479

CPT 27479 describes a procedure known as epiphyseal arrest, which is used to stop the growth of the leg bones. 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 27479?

CPT 27479 is a code used to describe the procedure of epiphyseal arrest. This procedure involves stopping the growth of the leg bones, specifically the distal femur, proximal tibia, and fibula. It is typically performed by implanting screws into the epiphyseal area near the knee. Epiphyseal arrest is used when the growth of the leg bones needs to be halted, such as in cases of leg length discrepancy or certain bone deformities.

2. Official Description

The official description of CPT code 27479 is: ‘Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula.’

3. Procedure

1. The procedure begins with the patient under anesthesia and in the appropriate position.
2. The provider makes an incision over the epiphyseal area of the femur, tibia, and fibula near the knee.
3. Using fluoroscopy, the provider identifies the epiphysis and deepens the incision to the bone.
4. The appropriate layers of subcutaneous and fascial tissue are reflected to reach the periosteum.
5. The provider then performs epiphyseal arrest through epiphysiodesis, which involves implanting screws onto the epiphyseal growth plate.
6. This procedure is performed on the distal femur, proximal tibia, and fibula.
7. After successful implantation of the devices, the wound is closed in layers in an aseptic manner.

4. Qualifying circumstances

CPT 27479 is used in cases where there is a need to stop the growth of the leg bones, specifically the distal femur, proximal tibia, and fibula. This procedure is typically performed for patients with leg length discrepancy or certain bone deformities. It is important to note that this procedure should only be performed by a qualified healthcare professional with the necessary expertise and training.

5. When to use CPT code 27479

CPT code 27479 should be used when the provider performs epiphyseal arrest on the combined distal femur, proximal tibia, and fibula. It is important to ensure that the procedure is performed on the specified bones and not on other areas of the leg. This code should be used when the growth of the leg bones needs to be stopped, such as in cases of leg length discrepancy or certain bone deformities.

6. Documentation requirements

To support a claim for CPT code 27479, the healthcare professional must document the following information:

• Patient’s diagnosis and the need for epiphyseal arrest
• Details of the procedure performed, including the specific bones involved
• Date of the procedure
• Any additional procedures or interventions performed during the same session
• Signature of the healthcare professional performing the procedure

7. Billing guidelines

When billing for CPT code 27479, it is important to ensure that the procedure is performed on the combined distal femur, proximal tibia, and fibula. This code should not be reported with other codes that describe epiphyseal arrest on different bones. It is also important to follow any specific guidelines or requirements set by the payer when submitting the claim for reimbursement.

8. Historical information

CPT code 27479 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 leg length discrepancy undergoes epiphyseal arrest on the combined distal femur, proximal tibia, and fibula.
2. A child with a bone deformity undergoes epiphyseal arrest on the combined distal femur, proximal tibia, and fibula.
3. An adult with a history of leg length discrepancy undergoes epiphyseal arrest on the combined distal femur, proximal tibia, and fibula.
4. A patient with a bone deformity resulting from a previous injury undergoes epiphyseal arrest on the combined distal femur, proximal tibia, and fibula.
5. A teenager with a congenital bone deformity undergoes epiphyseal arrest on the combined distal femur, proximal tibia, and fibula.
6. A young athlete with a growth plate injury undergoes epiphyseal arrest on the combined distal femur, proximal tibia, and fibula.
7. A patient with a bone tumor undergoes epiphyseal arrest on the combined distal femur, proximal tibia, and fibula as part of their treatment plan.
8. An adult with a history of bone deformities undergoes epiphyseal arrest on the combined distal femur, proximal tibia, and fibula to improve their mobility and quality of life.
9. A child with a genetic condition that affects bone growth undergoes epiphyseal arrest on the combined distal femur, proximal tibia, and fibula to prevent further complications.
10. A patient with a history of multiple fractures undergoes epiphyseal arrest on the combined distal femur, proximal tibia, and fibula to stabilize their bones and prevent future injuries.