This info is listed to assist Dr. W. with coding procedures.
Pelvis and Hip Joint (26990-27299)
Including head and neck of femur.
Incision (26990-27036)
(For incision and drainage procedures, superficial, see 10040 10060 10061 10080 10081 10120 10121 10140 -10160)
26990 Incision and drainage, pelvis or hip joint area; deep abscess or hematoma
26991 Incision and drainage, pelvis or hip joint area; infected bursa
26992 Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess)
27000 Tenotomy, adductor of hip, percutaneous (separate procedure)
27001 Tenotomy, adductor of hip, open
27003 Tenotomy, adductor, subcutaneous, open, with obturator neurectomy
27005 Tenotomy, hip flexor(s), open (separate procedure)
27006 Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)
27025 Fasciotomy, hip or thigh, any type
27030 Arthrotomy, hip, with drainage (eg, infection)
27033 Arthrotomy, hip, including exploration or removal of loose or foreign body
27035 Denervation, hip joint, intrapelvic or extrapelvic intra-articular branches of sciatic, femoral, or obturator nerves
(For obturator neurectomy, see 64763, 64766)
27036 Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie, gluteus medius, gluteus minimus, tensor fascia latae, rectus femoris, sartorius, iliopsoas)
Excision (27040-27080)
27040 Biopsy, soft tissue of pelvis and hip area; superficial
27041 Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular
(For needle biopsy of soft tissue, use 20206)
27047 Excision, tumor, pelvis and hip area; subcutaneous tissue
27048 Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular
27049 Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm)
27050 Arthrotomy, with biopsy; sacroiliac joint
27052 Arthrotomy, with biopsy; hip joint
27054 Arthrotomy with synovectomy, hip joint
27060 Excision; ischial bursa
27062 Excision; trochanteric bursa or calcification
(For arthrocentesis or needling of bursa, see 20610)
27065 Excision of bone cyst or benign tumor; superficial (wing of ilium, symphysis pubis, or greater trochanter of femur) with or without autograft
27066 Excision of bone cyst or benign tumor; deep, with or without autograft
27067 Excision of bone cyst or benign tumor; with autograft requiring separate incision
27070 Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial (eg, wing of ilium, symphysis pubis, or greater trochanter of femur)
27071 Partial excision (craterization, saucerization) (eg, osteomyelitis or bone abscess); deep (subfascial or intramuscular)
27075 Radical resection of tumor or infection; wing of ilium, one pubic or ischial ramus or symphysis pubis
27076 Radical resection of tumor or infection; ilium, including acetabulum, both pubic rami, or ischium and acetabulum
27077 Radical resection of tumor or infection; innominate bone, total
27078 Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur
27079 Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur, with skin flaps
27080 Coccygectomy, primary
(For pressure (decubitus) ulcer, see 15920, 15922 and 15931 15933 15934 15935 15936 15937 15940 15941 15944 15945 15946 15950 15951 15952 15953 15956 -15958)
Introduction or Removal (27086-27096)
27086 Removal of foreign body, pelvis or hip; subcutaneous tissue
27087 Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular)
27090 Removal of hip prosthesis; (separate procedure)
27091 Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer
27093 Injection procedure for hip arthrography; without anesthesia
(For radiological supervision and interpretation, see 73525. Do not report 76003 in addition to 73525)
27095 Injection procedure for hip arthrography; with anesthesia
(For radiological supervision and interpretation, see 73525. Do not report 76003 in addition to 73525)
27096 Injection procedure for sacroiliac joint arthrography and/or anesthetic/steroid
(27096 is to be used only with imaging confirmation of intra-articular needle positioning)
(For radiological supervision and interpretation of sacroiliac joint arthrography, use 73542)
(For fluoroscopic guidance without formal arthrography, use 76005)
(Code 27096 is a unilateral procedure. For bilateral procedure, use modifier ‘-50’)
Repair, Revision, and/or Reconstruction (27097-27187)
27097 Release or recession, hamstring, proximal
27098 Transfer, adductor to ischium
27100 Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)
27105 Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)
27110 Transfer iliopsoas; to greater trochanter of femur
27111Transfer iliopsoas; to femoral neck
27120 Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)
27122 Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)
27125 Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)
Partial Hip Replacement with or without Bipolar Prosthesis
(For prosthetic replacement following fracture of the hip, use 27236)
27130 Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft
27132 Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft
27134 Revision of total hip arthroplasty; both components, with or without autograft or allograft
27137 Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft
27138 Revision of total hip arthroplasty; femoral component only, with or without allograft
27140 Osteotomy and transfer of greater trochanter of femur (separate procedure)
27146 Osteotomy, iliac, acetabular or innominate bone;
27147 Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip
27151 Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy
27156 Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip
27158 Osteotomy, pelvis, bilateral (eg, congenital malformation)
27161 Osteotomy, femoral neck (separate procedure)
27165 Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast
27170 Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)
27175 Treatment of slipped femoral epiphysis; by traction, without reduction
27176 Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ
27177 Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)
27178 Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning
27179 Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)
27181 Open treatment of slipped femoral epiphysis; osteotomy and internal fixation
27185 Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur
27187 Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proximal femur
Fracture and/or Dislocation (27193-27266)
New codes as of 1/1/17:
27197 – Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or dislocation(s) of the pubic symphysis and/or superior/inferior rami, unilateral or bilateral; without manipulation
27198 – Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or dislocation(s) of the pubic symphysis and/or superior/inferior rami, unilateral or bilateral; with manipulation, requiring more than local anesthesia (i.e. general anesthesia, moderate sedation, spinal/epidural)
27200 Closed treatment of coccygeal fracture
27202 Open treatment of coccygeal fracture
27215 Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s) (eg, pelvic fracture(s) which do not disrupt the pelvic ring), with internal fixation
27216 Percutaneous skeletal fixation of posterior pelvic ring fracture and/or dislocation (includes ilium, sacroiliac joint and/or sacrum)
27217 Open treatment of anterior ring fracture and/or dislocation with internal fixation, (includes pubic symphysis and/or rami)
27218 Open treatment of posterior ring fracture and/or dislocation with internal fixation (includes ilium, sacroiliac joint and/or sacrum)
27220 Closed treatment of acetabulum (hip socket) fracture(s); without manipulation
27222 Closed treatment of acetabulum (hip socket) fracture(s); with manipulation, with or without skeletal traction
27226 Open treatment of posterior or anterior acetabular wall fracture, with internal fixation
27227 Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversely across the acetabulum, with internal fixation
27228 Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both column fracture with complete articular detachment, or single column or transverse fracture with associated acetabular wall fracture, with internal fixation
27230 Closed treatment of femoral fracture, proximal end, neck; without manipulation
27232 Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction
27235 Percutaneous skeletal fixation of femoral fracture, proximal end, neck
27236 Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement
27238 Closed treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; without manipulation
27240 Closed treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with manipulation, with or without skin or skeletal traction
27244 Treatment of intertrochanteric, pertrochanteric or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage
27245 Treatment of intertrochanteric, pertrochanteric or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage
27246 Closed treatment of greater trochanteric fracture, without manipulation
27248 Open treatment of greater trochanteric fracture, with or without internal or external fixation
27250 Closed treatment of hip dislocation, traumatic; without anesthesia
27252 Closed treatment of hip dislocation, traumatic; requiring anesthesia
27253 Open treatment of hip dislocation, traumatic, without internal fixation
27254 Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal or external fixation
27256 Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; without anesthesia, without manipulation
27257 Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia
27258 Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc);
27259 Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); with femoral shaft shortening
27265 Closed treatment of post hip arthroplasty dislocation; without anesthesia
27266 Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia
Manipulation (27275-27275)
27275 Manipulation, hip joint, requiring general anesthesia
Arthrodesis (27280-27286)
27280 Arthrodesis, sacroiliac joint (including obtaining graft)
27282 Arthrodesis, symphysis pubis (including obtaining graft)
27284 Arthrodesis, hip joint (including obtaining graft);
27286 Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy
Amputation (27290-27295)
27290 Interpelviabdominal amputation (hindquarter amputation)
27295 Disarticulation of hip
Other Procedures (27299-27299)
27299 Unlisted procedure, pelvis or hip joint
