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The procedure described by CPT® Code 27466 refers to osteoplasty of the femur, specifically focusing on lengthening the bone. Osteoplasty is a surgical intervention aimed at modifying the structure of bone, and in this case, it involves the femur, which is the long bone in the thigh. The primary goal of this procedure is to increase the length of the femur, which may be necessary for various clinical reasons, such as correcting limb length discrepancies or addressing certain orthopedic conditions. Prior to the surgical intervention, the physician utilizes radiographic studies to meticulously plan the procedure, determining the precise locations for bone cuts to achieve the desired lengthening effect. During the operation, the femur is surgically exposed, allowing the surgeon to access the bone directly. The procedure involves making specific cuts in the femur, followed by a process known as distraction, where the bone segments are gradually separated to promote lengthening. To facilitate this process, a bone autograft is often harvested from the iliac crest, which is the upper part of the pelvic bone. This harvested bone can be used to fill any defects created during the lengthening process. The surgical technique may involve the application of internal fixation devices, such as pins, screws, or plates, to ensure that the bone segments remain properly aligned during the healing process. Alternatively, an external fixation device may be utilized to stabilize the bone externally. Overall, CPT® Code 27466 encompasses a complex surgical procedure that requires careful planning and execution to achieve successful outcomes in femoral lengthening.
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The procedure described by CPT® Code 27466 is indicated for various conditions that necessitate the lengthening of the femur. These indications may include:
The procedure for CPT® Code 27466 involves several critical steps to achieve femoral lengthening. The following outlines the procedural steps:
After the completion of the lengthening procedure, the patient will require careful monitoring and follow-up care. Post-operative care typically includes pain management, physical therapy to promote mobility, and regular imaging studies to assess the healing process. The expected recovery time may vary based on individual patient factors and the extent of the procedure performed. It is crucial for the patient to adhere to the rehabilitation protocol to ensure optimal outcomes and to minimize complications during the healing phase.
| Short Descr | LENGTHENING OF THIGH BONE | Medium Descr | OSTEOPLASTY FEMUR LENGTHENING | Long Descr | Osteoplasty, femur; lengthening | 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 | 161 - Other OR therapeutic procedures on bone |
| 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. | 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. | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | CR | Catastrophe/disaster related | 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) | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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