CPT® Code 27194

Deleted

Closed treatment of pelvic ring fracture, dislocation, diastasis or subluxation; with manipulation, requiring more than local anesthesia

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 stabilized by ligaments that connect the right and left coxal bones to the sacrum at the back, while the symphysis pubis, a fibrocartilaginous joint, unites 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 pertains to injuries affecting the sacroiliac joint, whereas diastasis refers to a separation at the symphysis pubis. In cases of pelvic ring injuries, a thorough evaluation is conducted following radiographic studies to assess the stability of the injury. If the injury is determined to be nondisplaced or minimally displaced, the patient is advised to avoid weight-bearing activities and may be provided with crutches or other assistive devices. The CPT® Code 27194 is specifically utilized when a closed treatment involving manipulation of a pelvic ring fracture, dislocation, diastasis, or subluxation is performed. This procedure entails a closed reduction, where the displaced bones or bone fragments are manually manipulated back into a more favorable position to promote optimal healing of the injury.