2025 CPT code 27519
(Active) Effective Date: N/A Revision Date: N/A Surgery - Fracture and/or Dislocation Treatment Musculoskeletal System Feed
Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation.
Modifiers such as 51 (multiple procedures), 54 (surgical care only), 76 (repeat procedure), and others may be applicable depending on the specific circumstances of the case. Consult the CPT manual for appropriate modifier use.
Medical necessity is established by the presence of a clinically significant distal femoral epiphyseal separation that compromises the integrity and function of the knee joint, requiring surgical intervention to restore proper alignment and prevent long-term complications such as growth disturbance or joint deformity. This would generally be supported by the clinical examination findings and radiographic evidence.
The orthopedic surgeon is responsible for the surgical procedure, including pre-operative planning, intraoperative management, and post-operative care.This involves making the incision, reducing the fracture, applying fixation devices if needed, and closing the incision.
In simple words: This code describes a surgery to fix a broken growth plate in the lower part of the thigh bone near the knee. The doctor makes an incision, realigns the broken bone, and may use pins, screws, or plates to hold it in place.
This CPT code, 27519, represents the open treatment of a distal femoral epiphyseal separation.The procedure involves surgical opening of the site to expose the fracture/dislocation, allowing for direct visualization and treatment. This may include internal or external fixation techniques to stabilize the separated epiphysis.The selection of internal or external fixation depends on the specifics of the fracture and the surgeon's judgment.
Example 1: A 10-year-old boy falls and sustains a distal femoral epiphyseal separation. The surgeon performs open reduction and internal fixation using screws to stabilize the fracture., A 12-year-old girl suffers a distal femoral epiphyseal separation in a sporting accident.Open reduction and external fixation are utilized to maintain stability during the healing process., An 8-year-old child presents with a complex distal femoral epiphyseal separation. Open reduction and a combination of internal and external fixation are necessary for optimal stabilization and healing.
Preoperative imaging (X-rays, possibly MRI), operative report detailing the surgical technique and fixation materials used, post-operative radiographs confirming the reduction and fixation, and any relevant physical therapy notes.
** Accurate coding requires detailed documentation of the procedure performed, including the type of fixation used and any additional procedures or services.Always refer to the most up-to-date CPT manual for guidance.
- Revenue Code: P3D (MAJOR PROCEDURE, ORTHOPEDIC - OTHER)
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- Payment Status: Active
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- Specialties:Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Outpatient Hospital