CPT® Code 27181

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 27181 involves the open treatment of this condition through osteotomy and internal fixation. During the surgical intervention, a lateral incision is made over the hip joint to access the affected area. The soft tissues surrounding the hip are carefully dissected to expose the joint, and the joint capsule is incised to allow for a thorough evaluation of the degree of slippage. Based on this assessment, the surgeon determines the most appropriate technique for repair. The procedure aims to realign the femoral head, neck, and shaft of the femur by excising a wedge of bone from specific areas, thereby correcting the backward slippage. The repositioned structures are then secured using internal fixation devices, ensuring stability and promoting proper healing. This surgical approach is critical for restoring hip function and preventing further complications associated with SCFE.