CPT® Code 27175

1. Indications

The procedure described by CPT® Code 27175 is indicated for the treatment of slipped capital femoral epiphysis (SCFE). This condition typically presents in adolescents and may manifest through various symptoms, including:

• Hip Pain Pain in the hip region, which may be persistent or intermittent.
• Limited Range of Motion Difficulty in moving the hip joint, particularly in internal rotation.
• Limping An observable limp or altered gait due to discomfort or instability in the hip.
• Referred Pain Pain that may radiate to the knee or thigh, complicating the diagnosis.

2. Procedure

The procedure for treating SCFE using CPT® Code 27175 involves several key steps, which are detailed as follows:

• Step 1: Preparation The patient is positioned appropriately, and the affected leg is prepared for the procedure. This includes ensuring that the area is sterile and that the patient is comfortable.
• Step 2: Insertion of Traction Pin A traction pin is inserted through the tibial tubercle. This pin serves as an anchor point for the traction that will be applied to the leg.
• Step 3: Application of Traction The leg is then suspended, and longitudinal traction is applied. Weights are used to create a pulling force that gradually helps to realign the slipped epiphysis.
• Step 4: Maintenance of Traction Traction is maintained for a specified duration, allowing the slipped epiphysis to return to its proper anatomical position. Continuous monitoring is essential during this phase to ensure effectiveness and patient safety.

3. Post-Procedure

After the procedure, the patient will require careful monitoring and follow-up care. The expected recovery process includes rest and limited weight-bearing on the affected leg to allow for healing. Pain management strategies may be implemented to ensure patient comfort. Follow-up appointments are necessary to assess the alignment of the femoral head and to determine if further intervention is needed. Rehabilitation exercises may also be introduced gradually to restore strength and mobility in the hip joint.