CPT® Code 27027

Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle), unilateral

The CPT® Code 27027 refers to a surgical procedure known as a unilateral decompression fasciotomy performed on the pelvic (buttock) compartments. This procedure targets specific muscle compartments within the pelvis, which include the gluteus medius-minimus, gluteus maximus, iliopsoas, and tensor fascia lata muscles. A decompression fasciotomy is indicated in cases of compartment syndrome, a condition that can arise due to trauma or injury to the pelvic ring, leading to increased pressure within the muscle compartments. Although compartment syndrome in the pelvic region is relatively rare, it can result in significant complications if not addressed promptly. The procedure involves making incisions to relieve pressure and restore normal blood flow to the affected muscles. Surgeons have several options for incision techniques, which may include a curved incision along the iliac crest, a posterior incision from the iliac spine to the greater trochanter, or a double curved incision extending from the iliac spine over the greater trochanter down to the gluteal fold. The surgical approach is designed to expose the tensor fascia lata and the muscle sheaths of the gluteal muscles and iliopsoas, allowing for necessary decompression. In some cases, multiple incisions may be required to adequately relieve pressure, and the sciatic nerve may also be inspected for any potential injury during the procedure.