How To Use CPT Code 27520

CPT 27520 describes the closed treatment of a patellar fracture 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 27520?

CPT 27520 can be used to describe the closed treatment of a patellar fracture without manipulation. This code is used when the provider performs a procedure to ensure a stable position of the patella without making a surgical incision.

2. Official Description

The official description of CPT code 27520 is: ‘Closed treatment of patellar fracture, without manipulation.’

3. Procedure

1. The provider begins by appropriately prepping and anesthetizing the patient.
2. Radiologic images are obtained to confirm the type of fracture.
3. A long leg cast or splint is applied to gain immobilization and stabilization at the knee.
4. The cast or splint is typically worn for three to four weeks to allow for proper healing.

4. Qualifying circumstances

Patients eligible to receive CPT 27520 services are those with a patellar fracture that can be treated without the need for surgical incision or manipulation. The provider must confirm the type of fracture through radiologic images and determine that closed treatment is appropriate for the patient’s condition.

5. When to use CPT code 27520

CPT code 27520 should be used when the provider performs a closed treatment of a patellar fracture without manipulation. It is important to note that this code should not be used if the provider performs an open reduction and internal fixation of the patellar fracture or any other additional procedures.

6. Documentation requirements

To support a claim for CPT 27520, the provider must document the following information:

• Type of patellar fracture confirmed through radiologic images
• Description of the closed treatment procedure performed
• Date of the procedure
• Duration of immobilization and stabilization with a long leg cast or splint

7. Billing guidelines

When billing for CPT 27520, ensure that the procedure performed meets the criteria for closed treatment of a patellar fracture without manipulation. It is important to accurately document the procedure and follow any additional guidelines provided by the payer. Be aware of any modifiers that may be required for proper billing.

8. Historical information

CPT 27520 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 of a patellar fracture without manipulation for a patient who fell and injured their knee.
2. A patient presents with a patellar fracture, and the provider applies a long leg cast to immobilize and stabilize the knee.
3. A provider treats a patellar fracture without manipulation using a splint to ensure proper healing.
4. A patient sustains a patellar fracture during a sports activity, and the provider performs closed treatment without manipulation.
5. A provider treats a patellar fracture without manipulation for a patient involved in a motor vehicle accident.
6. A patient with a patellar fracture undergoes closed treatment without manipulation to promote healing and stability.
7. A provider applies a long leg cast to a patient with a patellar fracture to immobilize the knee and facilitate healing.
8. A patient presents with a patellar fracture, and the provider performs closed treatment without manipulation to ensure proper alignment.
9. A provider treats a patellar fracture without manipulation using a splint to provide stability and support.
10. A patient sustains a patellar fracture and undergoes closed treatment without manipulation to promote healing and prevent further damage.