CPT® Code 27177

A slipped capital femoral epiphysis (SCFE) is a condition that primarily affects adolescents, characterized by the displacement of the growth plate located just beneath the femoral head. This displacement occurs in a backward direction, which can happen gradually over time or as a result of trauma. The procedure described by CPT® Code 27177 involves the open treatment of this condition through surgical intervention. The treatment may include the insertion of one or more pins to stabilize the femoral head or the use of a bone graft, which involves obtaining bone tissue to aid in the repair process. The surgical approach begins with a lateral incision over the hip joint, allowing the surgeon to access the femur directly. Once the femur is exposed, the extent of the slippage is assessed, and the appropriate method for repair is determined. This may involve the placement of pins or screws to secure the femoral head in its correct position, or the use of a bone graft to fill any defects in the epiphysis. The procedure is comprehensive, requiring careful evaluation and precise execution to ensure proper alignment and stabilization of the hip joint.