The fracture must be severe enough to warrant surgical intervention and stabilization with an intramedullary implant, with or without interlocking screws and/or cerclage.
#Cpt code intramedullary nail intertrochanteric fracture code#
Patients eligible to receive CPT code 27245 services are those with an intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture requiring open treatment with an intramedullary implant. An X-ray examination may be performed to confirm the reduction of the fracture.The patient’s leg is placed in a brace or splint for four to six weeks.The wound is closed by reattaching muscles and suturing tissue layers together.Cerclage, a wire loop or metal band, may be used to hold the fracture fragments in place.Interlocking screws may be drilled through the holes in the nail and into the femoral head.The intramedullary nail is placed through the upper fractured fragment and passed through the medullary canal into the shaft of the femur.An intramedullary implant is used to stabilize the reduced fracture fragments.The provider reduces the fractured fragments or dislocated bones to their normal alignment.
Muscles are retracted or detached to expose the fracture.Subcutaneous tissue is dissected, protecting nerves and vessels.
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