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The CPT® Code 27216 refers to the procedure known as percutaneous skeletal fixation of a posterior pelvic bone fracture and/or dislocation. This procedure is specifically indicated for fracture patterns that disrupt the pelvic ring on a unilateral basis, which includes the ipsilateral ilium, sacroiliac joint, and/or sacrum. Posterior pelvic ring fractures typically involve injuries to the ilium and/or sacrum, and they may also include dislocation or fracture dislocation injuries affecting the sacroiliac joints. To accurately assess the extent of the injury, a radiographic study of the pelvis is performed, which is separately reportable. During the procedure, the fracture or dislocation is reduced by applying traction along the femoral axis on the affected side while simultaneously restraining the contralateral leg and trunk to prevent any movement. Once proper anatomical alignment is achieved, a threaded guiding pin is inserted under radiographic guidance to ensure the correct placement for subsequent screw insertion. A bone drill is then utilized to prepare the bone for the placement of cannulated screws, which are inserted percutaneously through the fracture site in either the ilium or sacrum. In cases where a fracture dislocation of the sacroiliac joint is present, the screws are strategically placed from the ilium, through the sacroiliac joint, and into the sacrum to provide optimal stabilization and support for the fractured area.
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The procedure described by CPT® Code 27216 is indicated for specific conditions related to posterior pelvic bone fractures and dislocations. The following are the explicitly provided indications for performing this procedure:
The procedure for CPT® Code 27216 involves several critical steps to ensure effective treatment of the posterior pelvic bone fracture or dislocation. The following procedural steps are outlined:
Post-procedure care following the implementation of CPT® Code 27216 typically involves monitoring the patient for any complications and ensuring proper recovery. Patients may require follow-up imaging to assess the stability of the fixation and the healing process of the fracture. Pain management and rehabilitation may also be necessary to restore function and mobility. The healthcare team will provide specific instructions regarding weight-bearing activities and physical therapy to facilitate recovery and prevent further injury.
| Short Descr | TREAT PELVIC RING FRACTURE | Medium Descr | PERQ SKELETAL FIXATION PST PELVIC BONE FX&/DIS | Long Descr | Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum) | 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 |
| 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. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | 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) |
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Notes
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| 2013-01-01 | Changed | Medium Descriptor changed. |
| 2009-01-01 | Changed | Code description changed |
| 1993-01-01 | Added | First appearance in code book in 1993. |
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