CPT® Code 27158

Bilateral osteotomies of the pelvis, as described by CPT® Code 27158, are surgical procedures aimed at correcting congenital malformations of the pelvis that lead to issues such as bilateral subluxation or dislocation of the hips. These malformations can significantly impact a patient's mobility and overall quality of life. The procedure involves a careful assessment of the pelvic structure to determine the specific areas that require surgical intervention. During the operation, the surgeon exposes the bones that need to be reshaped through osteotomy, which is the surgical cutting of bone. The planned sites for the osteotomy are meticulously marked to ensure precision in the surgical approach. Once the cuts are made, the shape of the pelvis can be reconfigured to restore proper alignment and function. Wedges created from the excised bone are strategically placed at the osteotomy sites to maintain the desired angles and stability of the bones. To secure the bones in their new positions, internal fixation devices such as pins, screws, or wires may be utilized, ensuring that the pelvis heals correctly and functions optimally post-surgery.