2025 CPT code 27228
(Active) Effective Date: N/A Surgery - Fracture and/or Dislocation Procedures on the Pelvis and Hip Joint Surgery Feed
Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both column fracture with complete articular detachment, or single column or transverse fracture with associated acetabular wall fracture, with internal fixation.
Modifiers may be applicable, such as 50 (Bilateral Procedure), 52 (Reduced Services), 54 (Surgical Care Only), 59 (Distinct Procedural Service), 76 (Repeat Procedure or Service by Same Physician), 77 (Repeat Procedure by Another Physician), 78 (Unplanned Return to the Operating/Procedure Room), 79 (Unrelated Procedure or Service by the Same Physician During the Postoperative Period), 80 (Assistant Surgeon), 81 (Minimum Assistant Surgeon), 82 (Assistant Surgeon – when qualified resident surgeon not available), or 99 (Multiple Modifiers).
Medical necessity for 27228 is established by documenting the instability of the acetabular fracture, the need for surgical intervention, and the expected functional improvement after surgery.
The surgeon is responsible for the entire surgical process, from the initial incision and fracture reduction to implant placement and wound closure.
In simple words: This procedure treats a complex break in the hip socket. The surgeon makes an incision to access the broken bone, puts the pieces back together, and then uses metal plates and screws to hold the bones in place while they heal.
This code describes a surgical procedure to treat complex acetabular fractures. The acetabulum, the socket of the hip joint, can be fractured in various ways, and this code covers those involving both the anterior and posterior columns (two columns), including T-fractures, both-column fractures with complete articular detachment, single-column fractures, or transverse fractures with an associated acetabular wall fracture.The procedure involves open reduction and internal fixation, meaning the fracture is surgically exposed, realigned, and stabilized using implants like plates, screws, or other fixation devices.
Example 1: A patient sustains a T-shaped fracture of the acetabulum in a motor vehicle accident. CPT 27228 is reported for the open reduction and internal fixation of the fracture., A patient falls and suffers a both-column acetabular fracture with complete articular detachment. CPT 27228 is used to describe the surgical stabilization of the fracture., A patient presents with a transverse acetabular fracture and an associated wall fracture. The surgeon performs an open procedure with internal fixation, using 27228 to document the procedure.
Documentation should include details of the fracture type, location, and displacement, operative report detailing the procedure performed, type of implants used, and any associated injuries or complications.
** It's crucial to consult the latest CPT manual and payer guidelines for the most current and accurate information regarding this code.
- Revenue Code: P3D - MAJOR PROCEDURE, ORTHOPEDIC - OTHER
- Payment Status: Active
- Specialties:Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center