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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.
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:
The surgical procedure for epiphyseal arrest by epiphysiodesis or stapling involves several critical steps to ensure effective treatment. The following outlines the procedural steps:
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 |
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2002-01-01 | Changed | Code description changed. |
Pre-1990 | Added | Code added. |