2025 CPT code 27506

Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, with or without cerclage and/or locking screws.

Follow CPT guidelines for fracture and dislocation treatment, including definitions of open, closed, and percutaneous treatment, as well as guidelines for reporting external fixation and manipulation.

Modifiers such as 22 (Increased Procedural Services), 54 (Surgical Care Only), 76 (Repeat Procedure by Same Physician), 77 (Repeat Procedure by Another Physician), and others may be applicable depending on the specific circumstances.

Medical necessity is established by the presence of a femoral shaft fracture requiring surgical intervention for stability and proper healing. Documentation should support the need for open reduction and internal fixation.

The physician is responsible for the surgical treatment of the femoral shaft fracture, including the open reduction, insertion of the intramedullary implant, application of any external fixation, cerclage wires, or locking screws, and post-operative care.

In simple words: This procedure treats a broken thigh bone. The surgeon makes an incision to access the broken bone and puts the pieces back together. A metal rod is inserted into the center of the bone to hold it in place. Sometimes, additional hardware like pins, screws, or external supports may be used for added stability.

This procedure involves open reduction of a femoral shaft fracture.The fractured bone is surgically exposed, and the fragments are manually aligned and stabilized using an intramedullary implant (a rod or nail inserted into the marrow cavity of the bone).External fixation (pins and rods outside the body) may be used in addition to or instead of the intramedullary implant. Cerclage wires (wires wrapped around the bone) and/or locking screws may also be used to further secure the fracture.

Example 1: A 25-year-old male sustains a comminuted femoral shaft fracture in a motorcycle accident. Open reduction and internal fixation with an intramedullary nail and cerclage wires are performed (27506)., A 70-year-old female falls and sustains a spiral femoral shaft fracture. Due to osteoporosis, the bone is fragile, and external fixation is applied in addition to an intramedullary nail (27506)., A 10-year-old child falls from a tree and fractures their femoral shaft. Open reduction and internal fixation with a flexible intramedullary nail are performed (27506).

Documentation should include details of the fracture (location, type, displacement), operative report detailing the procedure (type of implant, use of cerclage or screws, any complications), and post-operative care plan.

  • Revenue Code: P3D - MAJOR PROCEDURE, ORTHOPEDIC - OTHER
  • Payment Status: Active
  • Specialties:Orthopedic Surgery, Trauma Surgery
  • Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center
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