How To Use CPT Code 27780

CPT 27780 describes the closed treatment of a proximal fibula or shaft 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 27780?

CPT 27780 is used to describe the closed treatment of a proximal fibula or shaft fracture without manipulation. This code is used when a healthcare provider applies a long leg cast to treat the fracture, without making a surgical incision or manipulating the bones. It is typically used for the treatment of hairline fractures.

2. Official Description

The official description of CPT code 27780 is: ‘Closed treatment of proximal fibula or shaft fracture; without manipulation.’

3. Procedure

1. The healthcare provider prepares and anesthetizes the patient.
2. The provider applies a long leg cast to treat the fractured proximal fibula or shaft without manipulating the bones.

4. Qualifying circumstances

CPT 27780 is used for the closed treatment of a proximal fibula or shaft fracture without manipulation. It is typically used for hairline fractures that do not require surgical intervention or bone manipulation. The procedure is performed by a healthcare provider who applies a long leg cast to treat the fracture.

5. When to use CPT code 27780

CPT code 27780 should be used when a healthcare provider performs the closed treatment of a proximal fibula or shaft fracture without manipulation. It should not be used when manipulation of the bones is required. This code is used for the treatment of hairline fractures that do not require surgical intervention.

6. Documentation requirements

To support a claim for CPT 27780, the healthcare provider must document the following information:

• Patient’s diagnosis of a proximal fibula or shaft fracture
• Procedure performed, including the application of a long leg cast
• Date of the procedure

7. Billing guidelines

When billing for CPT 27780, ensure that the procedure performed is the closed treatment of a proximal fibula or shaft fracture without manipulation. This code should not be reported if manipulation of the bones is performed. It is important to follow the specific documentation requirements for this code to support the claim.

8. Historical information

CPT 27780 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 patient presents with a hairline fracture of the proximal fibula. The healthcare provider applies a long leg cast to treat the fracture without manipulating the bones.
2. A patient sustains a non-displaced fracture of the fibula shaft. The healthcare provider performs closed treatment by applying a long leg cast without manipulating the bones.
3. A patient fractures their proximal fibula due to repetitive strain. The healthcare provider applies a long leg cast to treat the hairline fracture without manipulation.
4. A patient fractures their proximal fibula in a sports-related injury. The healthcare provider performs closed treatment by applying a long leg cast without manipulating the bones.
5. A patient presents with a hairline fracture of the fibula shaft. The healthcare provider applies a long leg cast to treat the fracture without manipulating the bones.
6. A patient sustains a non-displaced fracture of the proximal fibula. The healthcare provider performs closed treatment by applying a long leg cast without manipulating the bones.
7. A patient fractures their proximal fibula due to repetitive strain. The healthcare provider applies a long leg cast to treat the hairline fracture without manipulation.
8. A patient fractures their proximal fibula in a sports-related injury. The healthcare provider performs closed treatment by applying a long leg cast without manipulating the bones.
9. A patient presents with a hairline fracture of the fibula shaft. The healthcare provider applies a long leg cast to treat the fracture without manipulating the bones.
10. A patient sustains a non-displaced fracture of the proximal fibula. The healthcare provider performs closed treatment by applying a long leg cast without manipulating the bones.