2025 CPT code 27236
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Fracture and/or Dislocation Procedures on the Pelvis and Hip Joint Musculoskeletal System Feed
Open treatment of a femoral neck fracture, proximal end, involving internal fixation or prosthetic replacement.
Modifiers 50 (bilateral procedure), 51 (multiple procedures), 76 (repeat procedure), and others may be applicable depending on the circumstances.
Medical necessity is established by the presence of a symptomatic femoral neck fracture requiring surgical intervention for fracture reduction and fixation or prosthetic replacement to restore functional mobility and prevent complications such as avascular necrosis.
The orthopedic surgeon is responsible for performing the surgical procedure, including pre-operative planning, intraoperative fracture reduction and fixation (or prosthetic replacement), and post-operative care instructions.
- Musculoskeletal System
- Surgical Procedures on the Musculoskeletal System > Surgical Procedures on the Pelvis and Hip Joint > Fracture and/or Dislocation Procedures on the Pelvis and Hip Joint
In simple words: This code covers open surgery to repair a broken bone in the upper part of the thigh bone (femur neck).The doctor makes an incision to fix the broken bone using screws, plates, or other implants. If the bone is severely damaged, the doctor may replace part of the bone with an artificial implant.
This CPT code reports the open surgical treatment of a fracture in the neck of the femur (proximal end). The procedure involves direct surgical exposure of the fracture site. Treatment includes reduction of the fracture fragments and internal fixation using implants such as screws, pins, plates, or nails.If the bone damage is extensive, a prosthetic replacement may be necessary.The code encompasses the surgical steps involved in exposing the fracture, reducing the fragments, and stabilizing them with internal fixation or prosthetic replacement.Additional procedures like vessel exploration or neuroplasty are reported separately.
Example 1: A 70-year-old female falls and sustains a displaced femoral neck fracture.Open reduction and internal fixation (ORIF) with a cannulated hip screw is performed., An 85-year-old male with osteoporosis suffers a comminuted femoral neck fracture.A hemiarthroplasty (partial hip replacement) is performed due to the severity of the fracture., A 60-year-old male sustains a femoral neck fracture in a motor vehicle accident.The fracture is reduced and fixed using a dynamic hip screw.Post-operative rehabilitation is indicated.
* Pre-operative diagnostic imaging (X-rays, CT scans) demonstrating the fracture.* Operative report detailing the surgical approach, fracture reduction technique, implants used, and estimated blood loss.* Post-operative imaging confirming fracture reduction and implant placement.* Pathology report (if applicable, e.g., bone biopsy).* Anesthesia record.
** This code is used for open treatment of femoral neck fractures.Closed treatment, percutaneous fixation, and other treatment modalities have their own distinct codes.The selection of the appropriate code depends on the specific surgical technique and the extent of the fracture.
- Revenue Code: P3A (Major Procedure, Orthopedic - Hip Fracture Repair)
- RVU: The RVUs for this code vary based on geographic location, facility type (inpatient vs. outpatient), and other factors.Consult a reliable RVU database for current values.
- Global Days : The global period for this procedure is dependent on the specific services performed. Check the payer's guidelines to determine the applicable global period.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule : Historical fee schedule data is not available in the provided sources. Refer to a medical billing resource for historical fee information.
- Specialties:Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Outpatient Hospital