How To Use CPT Code 27752

CPT 27752 describes the closed treatment of a fracture in the tibial shaft, with or without a fibular fracture. 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 27752?

CPT 27752 can be used to describe the closed treatment of a fracture in the tibial shaft, with or without a fibular fracture. This code is used when the provider manipulates the fracture to keep it in alignment and prevent displacement while it heals. The procedure may also involve the use of skeletal traction and the application of a long leg cast or splint.

2. Official Description

The official description of CPT code 27752 is: ‘Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction.’

3. Procedure

1. The provider prepares the patient for the procedure and administers anesthesia.
2. The provider manipulates the fracture to reduce it and bring the two fragments into correct anatomical position.
3. If necessary, the provider applies skeletal traction to bring the fragments into proper alignment.
4. The provider applies a long leg cast or splint, which also treats any fibular fracture that may be present.
5. X-rays may be taken post-treatment to ensure correct alignment.

4. Qualifying circumstances

Patients eligible to receive CPT 27752 treatment are those with a fracture in the tibial shaft, with or without a fibular fracture. The provider must manipulate the fracture and may use skeletal traction to align the fragments properly. The procedure is performed to keep the fracture in alignment, prevent displacement, and relieve pain.

5. When to use CPT code 27752

CPT code 27752 should be used when the provider performs closed treatment of a fracture in the tibial shaft, with or without a fibular fracture. This code should not be used if the fracture is treated without manipulation. Other codes should be used for percutaneous pin or screw fixation, open treatment with plate and screws, or open treatment with intramedullary nail or rod.

6. Documentation requirements

To support a claim for CPT 27752, the provider must document the following information:

• Type of fracture and whether a fibular fracture is present
• Description of the manipulation and skeletal traction, if used
• Type of cast or splint applied
• Date of the procedure
• Any post-treatment X-rays taken

7. Billing guidelines

When billing for CPT 27752, ensure that the procedure meets the requirements of closed treatment of a fracture in the tibial shaft, with or without a fibular fracture, with manipulation, and with or without skeletal traction. Report any additional services separately, such as imaging or supplies. Be aware of the global period and do not report further reassessment separately.

8. Historical information

CPT 27752 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 tibial shaft fracture with manipulation and skeletal traction.
2. A patient undergoes closed treatment of a tibial shaft fracture with manipulation and a long leg cast.
3. A provider treats a tibial shaft fracture with manipulation and a splint.
4. A patient receives closed treatment for a tibial shaft fracture with manipulation and skeletal traction, followed by the application of a long leg cast.
5. A provider performs closed treatment of a tibial shaft fracture with manipulation and a removable brace.
6. A patient undergoes closed treatment of a tibial shaft fracture with manipulation and a walking boot.
7. A provider treats a tibial shaft fracture with manipulation and a cast that extends from the foot to above the knee.
8. A patient receives closed treatment for a tibial shaft fracture with manipulation and a splint that immobilizes the leg.
9. A provider performs closed treatment of a tibial shaft fracture with manipulation and a cast that allows for partial weight-bearing.
10. A patient undergoes closed treatment of a tibial shaft fracture with manipulation and a cast that extends from the foot to the mid-thigh.