CPT® Code 27198

Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or dislocation(s) of the pubic symphysis and/or superior/inferior rami, unilateral or bilateral; with manipulation, requiring more than local anesthesia (ie, general anesthesia, moderate sedation, spinal/epidural)

The CPT® Code 27198 refers to the closed treatment of posterior pelvic ring fractures, dislocations, diastasis, or subluxation involving the ilium, sacroiliac joint, and/or sacrum. This procedure may also encompass associated anterior pelvic ring injuries, which can include fractures or dislocations of the pubic symphysis and/or the superior and inferior pubic rami. The treatment can be performed unilaterally or bilaterally and necessitates manipulation, which requires more than local anesthesia, such as general anesthesia, moderate sedation, or spinal/epidural anesthesia. Closed treatment is essential for aligning and stabilizing the bony structures of the pelvis following an injury, which is often unstable and may involve significant trauma to the surrounding soft tissues and organs. Such injuries typically result from high-energy events, including motor vehicle accidents or falls from heights, and can lead to serious complications due to the proximity of vital pelvic organs, blood vessels, and nerves. The primary objective of this closed treatment is to minimize soft tissue damage, alleviate pain by relieving nerve pressure, and ensure adequate blood circulation. Techniques employed during the procedure may include the use of a pelvic circumferential compression device (PCCD) or a folded sheet to stabilize the pelvis, as well as methods to correct lower extremity positioning to facilitate proper alignment.