2025 CPT code 27244
(Active) Effective Date: N/A Revision Date: N/A Surgery - Fracture and/or Dislocation Procedures on the Femur (Thigh Region) Musculoskeletal System Feed
Open treatment of an intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture, stabilized with a plate/screw implant, which may include cerclage.
Modifiers such as 22 (Increased Procedural Services), 50 (Bilateral Procedure), 54 (Surgical Care Only), 76 (Repeat Procedure by Same Physician), and others may be applicable depending on the specific circumstances.
Medical necessity for this procedure is established by the presence of a fracture requiring surgical intervention for stability and healing.
The physician performs the surgical procedure, including incision, fracture reduction, implant placement, and wound closure.They also manage the patient's post-operative care.
- Musculoskeletal System
- 27200-27299: Fracture and/or Dislocation Procedures on the Femur (Thigh Region and Knee Region)
In simple words: This surgery fixes a broken thigh bone near the hip using a metal plate and screws.A wire or band may also be used to hold the bone pieces together.
This procedure addresses femoral fractures in the region between, around, or below the trochanters (bony prominences on the femur).The surgeon makes an incision to access the fracture site, reduces (re-aligns) the fracture fragments, and stabilizes them using a plate secured with screws. Cerclage, a wire or metal band, may be used for added fixation.This code includes the application and removal of the first cast, splint, or traction device.
Example 1: A 70-year-old female falls and sustains an intertrochanteric femoral fracture. Code 27244 is used for the open reduction and internal fixation with plate and screws., A 55-year-old male is involved in a motor vehicle accident resulting in a subtrochanteric femoral fracture. He undergoes open treatment with plate/screw fixation.Code 27244 is reported., A 30-year-old female sustains a peritrochanteric femoral fracture during a sporting event.Open reduction and internal fixation using a plate and screws, along with cerclage, is performed. Code 27244 is reported.
Documentation should include details of the fracture, operative report describing the procedure, type of implant used, and any complications encountered.
** For cases where the bone collapses and the hardware displaces post-operatively requiring a revision to an intramedullary implant, code 27245 would be used for the subsequent procedure with modifier 58 or 78.
- Revenue Code: P3A: MAJOR PROCEDURE, ORTHOPEDIC - HIP FRACTURE REPAIR
- Global Days : Global Days:90
- Payment Status: Active
- Modifier TC rule: Modifier TC (Technical Component) is not applicable to this code as it represents a surgical procedure.
- Fee Schedule : Consult historical fee schedules for past payment information.
- Specialties:Orthopedic Surgery, Trauma Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center