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The procedure described by CPT® Code 27284 refers to arthrodesis of the hip joint, which is a surgical technique aimed at fusing the hip joint to alleviate pain and restore function. This procedure is typically indicated for specific patient populations, such as young individuals engaged in heavy labor or those who have experienced unsuccessful outcomes from hip replacement surgeries. The surgical approach involves making a lateral incision over the hip joint to access the femoral head and acetabulum. During the procedure, the femoral head is dislocated from the acetabulum, allowing the surgeon to thoroughly debride the articular surfaces down to the bleeding cancellous bone, which is essential for promoting bone healing and fusion. To facilitate the fusion process, an additional incision is made over the iliac crest to harvest cancellous bone, which is then prepared and packed into the joint space. This grafting material plays a crucial role in stimulating bone growth and ensuring a successful fusion. After the cancellous bone is placed, the femoral head is repositioned into the hip socket, and a plate and screw device is applied to stabilize the joint. This stabilization is vital as it allows the bones to heal together, ultimately leading to the obliteration of the joint and the fusion of the femoral head with the acetabulum. It is important to note that this code is specifically used for hip joint arthrodesis performed without subtrochanteric osteotomy, which is a separate procedure indicated by CPT® Code 27286 when additional osteotomy is performed. Overall, arthrodesis of the hip joint is a complex surgical intervention that requires careful planning and execution to achieve optimal outcomes for patients with specific indications for the procedure.
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The indications for performing hip joint arthrodesis (CPT® Code 27284) include the following:
The procedure for hip joint arthrodesis involves several critical steps, which are detailed as follows:
Post-procedure care for patients undergoing hip joint arthrodesis typically involves monitoring for signs of healing and managing pain. Patients may require physical therapy to aid in recovery and to maintain mobility in adjacent joints. The expected recovery period can vary, but it generally involves a gradual return to normal activities as the bones heal and fuse together. It is important for healthcare providers to provide clear instructions regarding weight-bearing restrictions and rehabilitation exercises to ensure optimal outcomes following the procedure.
| Short Descr | ARTHRODESIS HIP JOINT | Medium Descr | ARTHRODESIS HIP JOINT W/OBTAINING GRAFT | Long Descr | Arthrodesis, hip joint (including obtaining graft); | 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) | 2 - Payment restriction for assistants at surgery does not apply 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 | 162 - Other OR therapeutic procedures on joints |
This is a primary code that can be used with these additional add-on codes.
| 20705 | Add-on Code MPFS Status: Active Code APC N Removal of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure) |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 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. | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2024-01-01 | Changed | Short Description changed. |
| 2010-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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