2025 HCPCS code S2115
(Active) Effective Date: N/A Revision Date: N/A Surgery - Miscellaneous Provider Services and Supplies S0630-S3722 Temporary National Codes (Non-Medicare) S0012-S9999 Feed
Periacetabular osteotomy with internal fixation.
Documented evidence of hip dysplasia, instability, pain, or functional limitations that have not responded to conservative treatment. This code is not payable by Medicare, so medical necessity needs to meet requirements of other payers.
The surgeon performs the periacetabular osteotomy, including incisions, bone cuts, repositioning, and internal fixation.
- Temporary National Codes (Non-Medicare) S0012-S9999
- Temporary National Codes (Non-Medicare) S0012-S9999 > Miscellaneous Provider Services and Supplies S0630-S3722
In simple words: This procedure reshapes the hip socket to improve its fit with the thigh bone, using screws to hold the new shape in place.
Surgical procedure involving cutting the bone around the hip socket (acetabulum) and repositioning it, followed by fixation using internal hardware like screws.
Example 1: A young adult with hip dysplasia causing pain and instability undergoes a periacetabular osteotomy to improve joint congruency and prevent arthritis., A patient with a shallow hip socket following a childhood injury requires a periacetabular osteotomy to correct the deformity and relieve pain., An athlete with persistent hip pain and limited range of motion due to a malformed acetabulum undergoes a periacetabular osteotomy to restore function.
Preoperative imaging studies, operative report detailing the procedure, and postoperative care plan.
** This code is not recognized by Medicare.Check with individual payers for coverage policies.
- Payment Status: Not payable by Medicare
- Specialties:Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center