How To Use CPT Code 27562

CPT 27562 describes the closed treatment of patellar dislocation, which requires anesthesia. 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 27562?

CPT 27562 is used to describe the closed treatment of patellar dislocation, a procedure that requires anesthesia. This code is used when the healthcare provider moves the patella back into place without breaking the skin. The procedure involves extending the knee beyond its range of motion (hyperextension) and moving it in the reverse direction to relocate the patella into the patellofemoral groove. X-ray imaging may be used to confirm the proper placement of the patella after treatment.

2. Official Description

The official description of CPT code 27562 is: ‘Closed treatment of patellar dislocation; requiring anesthesia.’

3. Procedure

1. The healthcare provider administers anesthesia to the patient.
2. While keeping the distal femur stabilized, the provider performs closed treatment by extending the knee beyond its range of motion (hyperextension) and moving it in the reverse direction to relocate the patella into the patellofemoral groove.
3. X-ray imaging may be used to check the placement of the patella after treatment.
4. The provider may apply traction to maintain proper alignment of the bones, using the muscles as internal splints.

4. Qualifying circumstances

CPT 27562 is used for patients who require closed treatment of patellar dislocation under anesthesia. This procedure is performed when the patella needs to be relocated into the patellofemoral groove without surgical exposure of the knee. It is important to note that this code should not be reported if anesthesia is not administered during the procedure.

5. When to use CPT code 27562

CPT code 27562 should be used when the healthcare provider performs closed treatment of patellar dislocation under anesthesia. It is important to ensure that anesthesia is administered during the procedure to accurately report this code.

6. Documentation requirements

To support a claim for CPT 27562, the healthcare provider must document the following information:

• Administration of anesthesia
• Description of the closed treatment procedure performed
• Confirmation of proper placement of the patella through X-ray imaging
• Application of traction, if applicable

7. Billing guidelines

When billing for CPT 27562, it is important to ensure that anesthesia is administered during the procedure. This code should not be reported if anesthesia is not used. Additionally, it is important to follow any specific guidelines provided by the payer regarding the use of this code. It is also important to note that CPT code 27560 should be reported instead of 27562 if anesthesia is not administered during the procedure.

8. Historical information

CPT code 27562 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 healthcare provider administers anesthesia to a patient and performs closed treatment to relocate the patella into the patellofemoral groove.
2. During the procedure, the provider extends the knee beyond its range of motion and moves it in the reverse direction to relocate the patella, confirming the proper placement through X-ray imaging.
3. The provider applies traction to maintain proper alignment of the bones after the closed treatment.
4. Another healthcare provider administers anesthesia to a different patient and performs closed treatment to relocate the patella into the patellofemoral groove.
5. During the procedure, the provider uses hyperextension and reverse movement of the knee to relocate the patella, ensuring proper placement through X-ray imaging.
6. Traction is applied by the provider to maintain alignment of the bones after the closed treatment.
7. A third healthcare provider administers anesthesia to a patient and performs closed treatment to relocate the patella into the patellofemoral groove.
8. The provider utilizes hyperextension and reverse movement of the knee to relocate the patella, confirming proper placement through X-ray imaging.
9. Traction is applied to maintain alignment of the bones after the closed treatment.
10. Another healthcare provider administers anesthesia to a different patient and performs closed treatment to relocate the patella into the patellofemoral groove.
11. The provider uses hyperextension and reverse movement of the knee to relocate the patella, ensuring proper placement through X-ray imaging.