How To Use CPT Code 27510

CPT 27510 describes the closed treatment of a femoral fracture at the distal end, specifically involving the medial or lateral condyle, with 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 27510?

CPT 27510 is used to describe the closed treatment of a femoral fracture at the distal end, specifically involving the medial or lateral condyle, with manipulation. This procedure is performed to ensure the correct alignment and stability of the medial and lateral condyles of the femur.

2. Official Description

The official description of CPT code 27510 is: ‘Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation.’

3. Procedure

1. The provider begins by assessing the patient’s condition and obtaining X-rays to locate the exact site of the fracture.
2. Once the fracture site is identified, the provider manually manipulates the fracture fragments to align them in the normal anatomical position.
3. Skeletal traction may be applied by attaching weight at the distal end of the tibia to gradually reduce and maintain stability.

4. Qualifying circumstances

CPT 27510 is used for patients with a femoral fracture at the distal end, specifically involving the medial or lateral condyle, that requires closed treatment with manipulation. The procedure must be performed by a qualified healthcare provider and involve the correct alignment and stability of the fracture fragments.

5. When to use CPT code 27510

CPT code 27510 should be used when a patient has a femoral fracture at the distal end, specifically involving the medial or lateral condyle, and the provider performs closed treatment with manipulation to ensure correct alignment and stability. This code should not be used for fractures at other locations or when open reduction is performed.

6. Documentation requirements

To support a claim for CPT 27510, the provider must document the following information:

• Patient’s diagnosis of a femoral fracture at the distal end, involving the medial or lateral condyle
• Details of the closed treatment procedure, including manipulation and any use of skeletal traction
• Date of the procedure
• Any additional procedures or services performed during the same encounter
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 27510, ensure that the procedure meets the criteria for closed treatment of a femoral fracture at the distal end, involving the medial or lateral condyle, with manipulation. It is important to follow the correct coding guidelines and modifiers, if applicable, when reporting this code. Additionally, consider any additional supplies or services provided during the same encounter that may need to be reported separately.

8. Historical information

CPT 27510 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 provider performs closed treatment with manipulation for a patient with a femoral fracture involving the medial condyle.
2. A patient presents with a femoral fracture at the distal end, specifically involving the lateral condyle, and the provider performs closed treatment with manipulation.
3. A provider treats a patient with a femoral fracture at the distal end, involving both the medial and lateral condyles, using closed treatment with manipulation.
4. A patient undergoes closed treatment with manipulation for a femoral fracture at the distal end, involving the medial condyle, performed by a qualified healthcare provider.
5. A provider performs closed treatment with manipulation for a patient with a femoral fracture involving the lateral condyle, ensuring correct alignment and stability.
6. A patient with a femoral fracture at the distal end, specifically involving the medial condyle, undergoes closed treatment with manipulation by a qualified healthcare provider.
7. A provider performs closed treatment with manipulation for a patient with a femoral fracture involving the lateral condyle, ensuring proper alignment and stability.
8. A patient presents with a femoral fracture at the distal end, involving both the medial and lateral condyles, and undergoes closed treatment with manipulation by a qualified healthcare provider.
9. A provider performs closed treatment with manipulation for a patient with a femoral fracture involving the medial condyle, ensuring correct alignment and stability.
10. A patient with a femoral fracture at the distal end, specifically involving the lateral condyle, undergoes closed treatment with manipulation by a qualified healthcare provider to ensure proper alignment and stability.