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Official Description

Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

Epiphyseal arrest of the greater trochanter of the femur is a surgical procedure aimed at treating or preventing excessive growth of the greater trochanter, a bony prominence located on the femur (thigh bone). This overgrowth can lead to complications such as impaired hip movement and altered gait, which can significantly affect a patient's mobility and quality of life. The procedure involves making an incision on the lateral side of the hip to access the greater trochanter. Once the area is exposed, the surgeon performs epiphyseal arrest through a technique known as epiphysiodesis. This technique entails drilling across the growth plate (physis) of the greater trochanter and subsequently placing screws into the drilled holes or applying staples around the epiphyseal plate to halt further growth. After the surgical intervention, the incision is meticulously closed in layers to promote proper healing and minimize scarring.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure of epiphyseal arrest by epiphysiodesis or stapling at the greater trochanter of the femur is indicated for specific conditions related to abnormal growth patterns. The following are the primary indications for this surgical intervention:

  • Overgrowth of the Greater Trochanter This condition can lead to functional impairments, including limited hip movement and altered gait mechanics.
  • Hip Dysplasia In cases where hip dysplasia is present, epiphyseal arrest may be necessary to correct or prevent further complications associated with abnormal growth.
  • Leg Length Discrepancy If there is a significant difference in leg lengths due to overgrowth, this procedure may be performed to help equalize the lengths and improve overall function.

2. Procedure

The surgical procedure for epiphyseal arrest by epiphysiodesis or stapling involves several critical steps to ensure effective treatment. The following outlines the procedural steps:

  • Step 1: Incision The procedure begins with the surgeon making an incision over the lateral aspect of the hip. This incision allows access to the underlying structures, including the greater trochanter.
  • Step 2: Dissection Following the incision, the soft tissues surrounding the greater trochanter are carefully dissected. This step is crucial for exposing the greater trochanter adequately while minimizing damage to surrounding tissues.
  • Step 3: Epiphyseal Arrest Once the greater trochanter is exposed, the surgeon performs epiphyseal arrest. This is achieved through epiphysiodesis, which involves drilling across the physis of the greater trochanter. After drilling, screws are placed into the drilled holes, or staples are applied around the epiphyseal plate to halt further growth.
  • Step 4: Closure After the epiphyseal arrest is completed, the incision is closed in layers. This layered closure technique is essential for promoting optimal healing and reducing the risk of complications.

3. Post-Procedure

Post-procedure care following epiphyseal arrest by epiphysiodesis or stapling is critical for recovery. Patients are typically monitored for any signs of complications, such as infection or improper healing. Pain management strategies are implemented to ensure patient comfort. Rehabilitation may be recommended to restore hip function and strength gradually. Patients are advised to follow up with their healthcare provider to assess the success of the procedure and to monitor for any potential issues related to growth or mobility.

Short Descr REVISION OF FEMUR EPIPHYSIS
Medium Descr EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR
Long Descr Epiphyseal arrest by epiphysiodesis or stapling, 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) 1 - Statutory payment restriction for assistants at surgery applies 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 Inpatient Procedures, not paid under OPPS
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P3D - Major procedure, orthopedic - other
MUE 1
CCS Clinical Classification 146 - Treatment, fracture or dislocation of hip and femur
Date
Action
Notes
2002-01-01 Changed Code description changed.
Pre-1990 Added Code added.
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