CPT® Code 27179

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 27179 involves the open treatment of this condition through a specific surgical technique known as osteoplasty of the femoral neck, commonly referred to as the Heyman procedure. During this surgical intervention, a lateral incision is made over the hip joint to access the affected area. The soft tissues surrounding the hip joint are carefully dissected to expose the joint, and the joint capsule is incised to allow for a thorough evaluation of the degree of slippage. The surgeon then determines the most appropriate repair technique based on the evaluation. The procedure focuses on addressing the bone prominence that results from the slippage, which can cause impingement against the acetabulum. By smoothing and remodeling the bone, the surgeon aims to restore proper alignment and function of the hip joint. Following the osteoplasty, the periosteum is repaired, and the joint capsule is closed, ensuring a layered closure of the soft tissues and skin to promote optimal healing.