2025 CPT code 27259
Effective Date: N/A Surgery - Hip and Thigh Musculoskeletal System Feed
Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); with femoral shaft shortening
Modifiers such as 50 (bilateral procedure), LT (left side), and RT (right side) may be applicable.
Medical necessity is established by imaging studies confirming the dislocation and indicating failed conservative treatment options or a condition requiring surgical intervention. The documentation should support the need for open reduction and femoral shortening.
The surgeon makes an incision, opens the hip joint, separates specific muscles, widens the socket of the hip joint, realigns the hip, shortens the thigh bone, secures the hip with a plate and screws, and closes the incision.
In simple words: The surgeon treats a dislocated hip by making an incision, putting the ball of the hip joint back into its socket, and sometimes shortening the thigh bone. This procedure is done when the hip is dislocated due to a condition present from birth, a disease, or other developmental issues.
This procedure addresses spontaneous hip dislocation, which can be developmental, congenital, or pathological. It involves open reduction of the hip, placing the femoral head back into the acetabulum.The procedure may include tenotomy and femoral shaft shortening to improve stability and function.
Example 1: A 2-year-old child with developmental dysplasia of the hip (DDH) undergoes open reduction and femoral shortening to correct the persistent dislocation., A 10-year-old child with cerebral palsy and a pathologic hip dislocation undergoes this procedure to improve hip stability and function., A 50-year-old with a history of hip arthritis and a subsequent spontaneous dislocation requires open reduction, femoral shortening, and stabilization.
Documentation should include the diagnosis (developmental, congenital, or pathological), the reason for the dislocation, operative details, including any tenotomy performed, and confirmation of femoral shaft shortening.
- Revenue Code: P3D
- Specialties:Orthopedic Surgery, Pediatric Orthopedics
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center