CPT® Code 27193

Deleted

The pelvic ring is a complex structure formed by the fusion of the ilium, ischium, and pubis bones on each side of the pelvis. At birth, these bones are separate, but they gradually fuse into a single bone known as the coxal or innominate bone as a person matures into adulthood. The pelvic ring is crucial for supporting the weight of the upper body and facilitating movement. It is stabilized by ligaments that connect the right and left coxal bones to the sacrum at the back, while the symphysis pubis, a fibrocartilaginous joint, connects the bones at the front. Injuries to the pelvic ring can manifest as fractures, dislocations, diastasis, or subluxations, which may involve one or more of the fused bones. Dislocation or subluxation typically indicates an injury to the sacroiliac joint, while diastasis refers to a separation at the symphysis pubis. In cases where a nondisplaced or minimally displaced pelvic ring injury is identified, the stability of the injury is assessed following appropriate radiographic studies. If the evaluation confirms that the bones are in their normal anatomical position, the patient is advised to avoid putting weight on the affected area and may be provided with crutches or other assistive devices for mobility. It is important to note that if manipulation is required to reposition displaced bones, a different procedure code, 27194, should be used to reflect the closed treatment with manipulation.