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The closed treatment of distal femoral epiphyseal separation, as described by CPT® Code 27516, refers to a specific orthopedic procedure aimed at addressing a separation of the growth plate, or epiphysis, located at the distal end of the femur. The epiphysis is a critical area for bone growth, and any separation in this region can lead to significant complications, including the potential cessation of bone growth and resultant leg length discrepancies. This procedure is indicated when a nondisplaced separation occurs, meaning that the bone fragments remain in their normal anatomical position and do not require manipulation to realign them. The treatment involves immobilizing the affected leg using a long leg or hip spica cast, which helps to stabilize the area and promote healing. It is important to note that separate radiographs are obtained to assess the extent of the epiphyseal injury, ensuring that the condition is accurately evaluated prior to treatment. This procedure is distinct from CPT® Code 27517, which involves the treatment of a minimally displaced distal epiphyseal separation that necessitates closed reduction techniques to realign the bone fragments.
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The closed treatment of distal femoral epiphyseal separation (CPT® Code 27516) is indicated for the following conditions:
The procedure for closed treatment of distal femoral epiphyseal separation involves several key steps:
After the closed treatment procedure, the patient will typically require follow-up care to monitor the healing process. The immobilization cast will need to remain in place for a specified duration, as determined by the physician, to ensure that the growth plate heals properly. Regular follow-up appointments may include additional radiographs to assess the healing of the epiphyseal separation and to ensure that there are no complications, such as displacement or growth disturbances. Patients may also receive instructions on activity restrictions and signs of complications to watch for during the recovery period.
| Short Descr | TREAT THIGH FX GROWTH PLATE | Medium Descr | CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ | Long Descr | Closed treatment of distal femoral epiphyseal separation; without manipulation | 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) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6B - Minor procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 146 - Treatment, fracture or dislocation of hip and femur |
| 54 | Surgical care only: when 1 physician or other qualified health care professional performs a surgical procedure and another provides preoperative and/or postoperative management, surgical services may be identified by adding modifier 54 to the usual procedure number. | 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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| Pre-1990 | Added | Code added. |
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