2025 CPT code 27750
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Musculoskeletal System Feed
Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation.
Modifiers may be applicable. Modifier 54 (Surgical Care Only) is appropriate if the provider applying the initial treatment will not be providing subsequent care.
Medical necessity for 27750 is established by the presence of a tibial shaft fracture, with or without fibular involvement, that is clinically determined to be treatable without manipulation. The documentation should support the decision for closed treatment without the need for realignment of the fractured bones.
The physician prepares the patient, applies a long leg cast or splint extending from the foot to above the knee, ensuring proper alignment to prevent displacement and promote healing. The procedure also addresses any associated fibular fracture.Follow-up care and reassessment are included in the global period.
In simple words: This procedure treats a simple break in the shinbone (tibia), sometimes also involving the smaller bone in the lower leg (fibula), without needing to realign the bones. A cast or splint is applied to keep the bones stable while they heal.
This code describes the closed treatment of a tibial shaft fracture, with or without an associated fibular fracture, when manipulation is not required.This typically involves the application of a cast, splint, or other immobilization device to stabilize the fracture and promote healing.
Example 1: A 25-year-old male sustains a nondisplaced tibial shaft fracture during a skiing accident. The fracture is confirmed via x-ray, and the physician applies a long leg cast for immobilization., A 70-year-old female falls at home and sustains a minimally displaced tibial shaft fracture, along with a fibular fracture.Due to the minimal displacement and the patient's overall health, the physician opts for closed treatment without manipulation, applying a long leg cast., A 30-year-old basketball player sustains a hairline fracture of the tibial shaft. The fracture is stable and doesn't require manipulation. The physician applies a splint for initial stabilization and later transitions to a cast.
Documentation should include details of the injury, x-ray findings confirming the fracture, type of immobilization device used (cast or splint), neurovascular assessment of the affected limb, and any associated injuries.
** Treatment of a fibular fracture, if present, is included in this code and should not be reported separately. Separate reporting is allowed for imaging studies (e.g., x-rays) and supplies.
- Revenue Code: P3D
- Global Days: 90 days
- Payment Status: Active
- Specialties:Orthopedic Surgery, Emergency Medicine
- Place of Service:Office, Emergency Room - Hospital, Outpatient Hospital, Inpatient Hospital