CPT® Code 27176

1. Indications

The procedure coded as CPT® 27176 is indicated for the treatment of slipped capital femoral epiphysis (SCFE). This condition typically presents in adolescents and is characterized by the displacement of the femoral head due to slippage of the growth plate. The indications for performing this procedure include:

• Slipped Capital Femoral Epiphysis (SCFE) The primary indication for this procedure is the presence of SCFE, which can lead to hip pain, limited range of motion, and potential complications if left untreated.

2. Procedure

The procedure for CPT® 27176 involves several critical steps to ensure the effective treatment of SCFE. The steps are as follows:

• Step 1: Intraoperative Radiographs The surgical team begins by obtaining intraoperative radiographs to accurately identify the center of the slipped femoral epiphysis. These images are crucial for determining the appropriate pin insertion sites and angles, which are then marked on the patient's skin to guide the surgical intervention.
• Step 2: Incision and Guidewire Placement A small incision is made at the first designated pin entry point. Through this incision, a guidewire is carefully placed. The guidewire is advanced into the bone using gentle tapping or drilling techniques to ensure proper placement.
• Step 3: Confirmation of Guidewire Position Once the guidewire is in place, its position is confirmed radiographically to ensure it is correctly positioned within the bone. This step is critical to avoid complications during the subsequent placement of pins or screws.
• Step 4: Pin or Screw Placement After confirming the guidewire's position, it is removed, and a pin or screw is inserted into the tract created by the guidewire. This step is repeated as necessary, with additional pins or screws being placed using the same technique to provide adequate stabilization of the femoral head.
• Step 5: Closure of Incisions Once the required pins or screws are in place, the entry incisions are closed with sutures to complete the procedure.

3. Post-Procedure

Post-procedure care following CPT® 27176 involves monitoring the patient for any signs of complications, such as infection or improper healing. Patients may require follow-up imaging to assess the position of the pins or screws and the alignment of the femoral head. Rehabilitation and physical therapy may also be recommended to restore mobility and strength in the hip joint. The expected recovery time can vary based on the individual patient's condition and adherence to post-operative care instructions.