2025 CPT code 27752
(Active) Effective Date: N/A Revision Date: N/A Surgery - Fracture and Dislocation Treatment Musculoskeletal System Feed
Closed treatment of a tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction.
Modifiers may be applicable depending on the circumstances.For example, modifier 76 (repeat procedure) may be added if the same physician or qualified healthcare professional performs a subsequent reduction of the same fracture. Modifier 54 (surgical care only) may be used if the initial treating physician is not performing subsequent treatment.
Medical necessity for this procedure is established when a closed tibial shaft fracture is present, and manipulation is required to achieve satisfactory alignment for healing. The use of a cast or splint is medically necessary to provide stability and reduce pain.
The orthopedic surgeon or qualified healthcare professional is responsible for the reduction (manipulation) of the fracture, application of traction (if necessary), and the application of the cast or splint to ensure proper alignment and immobilization of the fracture. Post-operative x-rays may be used to verify proper alignment.
- Musculoskeletal System
- Musculoskeletal System > Surgical Procedures on the Musculoskeletal System > Fracture and Dislocation Treatment
In simple words: This code covers fixing a broken bone in the shin (tibia), possibly also involving a smaller bone nearby (fibula). The doctor will carefully move the broken pieces back into place and might use a pulling device to help.Finally, a cast or splint will hold the bone steady while it heals.
This CPT code encompasses the closed treatment of a tibial shaft fracture, which may or may not involve a fibular fracture.The procedure involves manipulation to achieve reduction (realigment) of the fracture fragments, and may include the application of skeletal traction.The fracture is then stabilized, typically with a cast or splint.Any associated fibular fracture is addressed within this procedure, and does not require separate coding.The treatment aims to maintain alignment and prevent displacement while the fracture heals, thereby alleviating pain.
Example 1: A patient presents with a displaced tibial shaft fracture following a high-energy motor vehicle accident. The orthopedic surgeon performs closed reduction with manipulation, applying skeletal traction to facilitate realignment. A long leg cast is then applied to stabilize the fracture., A young athlete sustains a tibial shaft fracture during a sporting event.The fracture is displaced, requiring closed reduction with manipulation. The orthopedic surgeon applies a long leg cast, and the patient is instructed on weight-bearing restrictions., An elderly patient falls and fractures their tibia. The fracture is minimally displaced, and the orthopedic surgeon performs closed reduction with manipulation and applies a short leg cast. Weight-bearing as tolerated is recommended.
** Accurate coding of this procedure requires detailed documentation of the treatment provided, including whether manipulation and/or traction were used.The presence or absence of a fibular fracture should also be documented, even if not treated separately.
- Revenue Code: P3D (MAJOR PROCEDURE, ORTHOPEDIC - OTHER)
- RVU: This information is not available in the provided sources.Consult the current CPT codebook or relevant payer fee schedules for RVU data.
- Global Days: The global period for this procedure is 90 days.Subsequent related services during this period are typically not separately reported, except for items like additional castings, splinting, radiographs, and supplies.
- Payment Status: Active
- Modifier TC rule: This information is not provided in the source documents.Refer to the official CPT guidelines for the correct modifier usage.
- Fee Schedule: Historical fee schedule information is not available in the provided source documents.Consult historical CPT codebooks or relevant payer fee schedules.
- Specialties:Orthopedic Surgery
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Ambulatory Surgical Center