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The procedure described by CPT® Code 27215 involves the open treatment of fractures located in the iliac spine, tuberosity avulsion, or iliac wing, specifically on one side of the pelvis. The ilium, a key component of the pelvic girdle, consists of several anatomical regions, including the anterior iliac spine, posterior iliac spine, iliac tuberosity, and iliac wing. This procedure is indicated for fractures that do not disrupt the pelvic ring, which is crucial for maintaining the structural integrity of the pelvis. During the open reduction process, a surgical incision is made directly over the fracture site to allow for direct visualization and access to the bone. The fracture is then carefully cleaned of any debris and realigned to restore its normal anatomical position. Internal fixation methods, such as screws or plates, are employed to stabilize the fracture and promote healing. Following the fixation, the surgical site is irrigated to reduce the risk of infection, and the incision is closed with sutures to facilitate recovery.
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The open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s) is indicated for specific conditions related to pelvic bone fractures. These indications include:
The procedure for the open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s) involves several critical steps:
After the procedure, patients are typically monitored for any signs of complications, such as infection or improper healing. Post-operative care may include pain management, physical therapy, and follow-up appointments to assess the healing process. Patients are advised on activity restrictions to ensure proper recovery and to avoid stress on the surgical site. The expected recovery time may vary depending on the individual and the extent of the injury, but adherence to post-operative instructions is crucial for optimal outcomes.
| Short Descr | TREAT PELVIC FRACTURE(S) | Medium Descr | OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD | Long Descr | Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral, for pelvic bone fracture patterns that do not disrupt the pelvic ring, includes internal fixation, when performed | Status Code | Not Valid for Medicare Purposes | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Non-Covered Service, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P3D - Major procedure, orthopedic - other | MUE | 0 | CCS Clinical Classification | 148 - Other fracture and dislocation procedure |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 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. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | GC | This service has been performed in part by a resident under the direction of a teaching physician | 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) | SG | Ambulatory surgical center (asc) facility service |
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| 2009-01-01 | Changed | Code description changed |
| 1993-01-01 | Added | First appearance in code book in 1993. |
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