What is the CPT code for left femur intramedullary nailing?

What is the CPT code for left femur intramedullary nailing?

You stated that the physician placed an IM in the femur: 27506 would be correct if its a shaft fracture. If the fracture is intergrochanteric see 27245.

Is a sliding hip screw or IM nail the preferred implant for intertrochanteric fracture fixation?

Approximately 50% of these fractures are extracapsular and are referred to as intertrochanteric or pertrochanteric fractures. Historically, a sliding hip screw (SHS) has been the preferred implant to stabilize these fractures [5, 13, 18, 21, 24, 25, 35].

What is an intertrochanteric hip fracture?

An intertrochanteric fracture is a type of hip fracture or broken hip. The hip is made up of two bones—the femur, or “thigh bone,” and the pelvis, or “socket.” The hip is an important ball-in-socket joint that allows you to move your leg when walking.

What is the CPT code for hip hemiarthroplasty?

Background: Many orthopedic practices routinely code hip fracture hemiarthroplasty as Current Procedural Terminology (CPT) 27125 even though 27236 is the correct CPT code.

Is a dynamic hip screw and intramedullary nail?

Dynamic Hip Screw fixation is currently considered as a standard treatment for pre-trochanteric fractures; however, due to the long-term hospitalization and some other complications, some researchers have proposed intramedullary nailing as the alternative surgical treatment.

How does dynamic hip screw work?

The dynamic hip screw or sliding hip screw fixation is designed for fixation of certain types of proximal femur or hip fractures. The screw is a large cancellous lag screw that can glide freely in a metal sleeve. The sleeve is attached to a plate which is fixed to the lateral femoral cortex with screws.

What is hip nailing?

A hip pinning is a type of surgery to fix a broken (fractured) hip. Another name for hip pinning is fracture repair and internal fixation. Hip pinning uses pins, screws, or plates to help hold broken bones together so they can heal correctly. Your thighbone (femur) meets with your pelvis at your hip joint.

What is intramedullary nailing procedure?

Intramedullary nailing is surgery to repair a broken bone and keep it stable. The most common bones fixed by this procedure are the thigh, shin, hip, and upper arm. A permanent nail or rod is placed into the center of the bone.

How do you treat an intertrochanteric fracture?

Intertrochanteric fractures are treated surgically with either a sliding compression hip screw and side plate or an intramedullary nail. The compression hip screw is fixed to the outer side of the bone with bone screws. A large secondary screw (lag screw) is placed through the plate into the femoral head and neck.

How do you handle an intertrochanteric fracture?

The most common treatment for intertrochanteric fractures is surgery. In most cases, surgery is recommended because this fracture can take a long time to heal on its own. One of the most common surgical treatments for this type of hip fracture is an open reduction and internal fixation (ORIF).

What is the CPT code for hip fracture?

CPT code 27245 (treatment of intertrochanteric hip fracture with intramedullary nail) were isolated. Patient medical records, operative reports, and digital x-rays were reviewed.

When do you need a long nail for intertrochanteric fractures?

In all intertrochanteric fractures, if the fracture line extends distally, a long nail will be necessary. It is preferable for a number of reasons to use a long extramedullary device even though a limited open reduction may be necessary.

How is a femur intermedullary nailing done?

The femur is opened and a wire with a ball tip is placed down the canal for measurement. Afterword the nail is placed and then secured with pins. Look at your note and see what hardware was used.

How do you put a nail in a trochanteric fracture?

Nail insertion Insert the protection sleeve with its trocar over the guide wire and push it through the soft tissues until it abuts against the greater trochanter. Then withdraw the trocar and insert an appropriate drill bit over the guide wire. Ream out the trochanteric area.