2025 CPT code 27254
(Active) Effective Date: N/A Revision Date: N/A Fracture and/or Dislocation Procedures on the Pelvis and Hip Joint - Musculoskeletal System Surgery Feed
Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal or external fixation.
Modifiers may be applicable, such as 54 (Surgical Care Only), 76 (Repeat Procedure by Same Physician), etc. depending on the specific circumstances of the case.
Medical necessity is established by the traumatic nature of the hip dislocation and associated fractures, requiring surgical intervention for proper realignment, stabilization, pain relief, and restoration of function.
The physician performs an open reduction of a traumatic hip dislocation with associated acetabular wall and femoral head fractures.This may involve internal or external fixation of the fracture(s) and dislocation to promote healing and stability.
In simple words: This procedure treats a dislocated hip and broken bones in the hip socket and top of the thigh bone caused by an injury. The surgeon makes an incision to put the hip back in place and may use metal hardware or an external brace to hold the bones together while they heal.
This code describes a surgical procedure for treating a traumatic hip dislocation accompanied by fractures of the acetabular wall and femoral head.The procedure involves open reduction of the dislocation and fracture(s), which may or may not include internal or external fixation.This means the surgeon opens the hip joint surgically to realign the bones and may use implants like screws, pins, or an external frame for stabilization.
Example 1: A patient dislocates their hip in a motor vehicle accident, also fracturing the acetabular wall and femoral head.Code 27254 is used for the open surgical treatment, including internal fixation of the fractures., A patient falls from a height and sustains a traumatic hip dislocation with an acetabular fracture and a femoral head fracture.They undergo open reduction and internal fixation of the fractures. 27254 is reported., An elderly patient falls and dislocates their hip, fracturing both the acetabular wall and femoral head.Due to the patient's fragility, external fixation is chosen for stabilization after open reduction. Code 27254 is appropriate.
Documentation should include details of the traumatic event, physical exam findings confirming the hip dislocation and associated fractures, imaging reports (X-rays, CT scans), operative report detailing the procedure (open reduction, type of fixation used), and any complications encountered.
- Revenue Code: P3D - MAJOR PROCEDURE, ORTHOPEDIC - OTHER
- Payment Status: Active
- Specialties:Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center