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The procedure described by CPT® Code 27110 involves the surgical transfer of the iliopsoas muscle to the greater trochanter of the femur. This operation is typically indicated for patients suffering from congenital hip dislocation or paralysis affecting the hip adductor muscles. The iliopsoas muscle, which plays a crucial role in hip flexion and stabilization, is accessed through an anterolateral incision made over its insertion point on the lesser trochanter. During the procedure, the iliopsoas is carefully divided at its insertion, allowing for the creation of a notch in the wing of the ilium, situated between the anterior superior and anterior inferior iliac spines. This notch facilitates the passage of the iliopsoas muscle through the ilium and subsequently through a split in the gluteus medius and minimus muscles. Once properly positioned, the iliopsoas is secured to the greater trochanter or femoral neck, depending on the specific surgical approach. It is important to note that CPT® Code 27110 is specifically used when the iliopsoas is transferred to the greater trochanter, while CPT® Code 27111 is designated for transfers to the femoral neck.
© Copyright 2025 Coding Ahead. All rights reserved.
The transfer of the iliopsoas muscle to the greater trochanter is performed for specific clinical indications, primarily related to hip function and stability. The following conditions are explicitly mentioned as indications for this procedure:
The surgical procedure for transferring the iliopsoas muscle to the greater trochanter involves several detailed steps, each critical for the successful outcome of the surgery:
After the iliopsoas transfer procedure, patients typically require careful monitoring and post-operative care to ensure proper healing and recovery. Expected recovery may involve physical therapy to regain strength and mobility in the hip joint. The surgical site will need to be kept clean and dry, and any signs of infection or complications should be promptly addressed. Follow-up appointments will be necessary to assess the success of the procedure and to make any adjustments to the rehabilitation plan as needed.
| Short Descr | TRANSFER OF ILIOPSOAS MUSCLE | Medium Descr | TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR | Long Descr | Transfer iliopsoas; to greater trochanter of femur | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Device-intensive procedure added to ASC list in CY 2008 or later; paid at adjusted rate. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P3D - Major procedure, orthopedic - other | MUE | 1 | CCS Clinical Classification | 160 - Other therapeutic procedures on muscles and tendons |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2002-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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