CPT® Code 27200

The closed treatment of a coccygeal fracture, designated by CPT® Code 27200, involves a thorough evaluation of the coccyx, which is the small bone at the base of the spine. This procedure typically begins with a rectal examination, where the physician uses a gloved finger to assess for any abnormalities, such as unusual movement of the coccyx that may indicate a fracture. In some cases, additional imaging studies, such as X-rays, may be necessary to confirm the diagnosis and assess the extent of the injury. Following the evaluation, the patient is advised to rest, and pain management strategies, including the prescription of pain medication, may be implemented to alleviate discomfort. It is important to note that pain and tenderness associated with a coccygeal fracture can persist for an extended period, sometimes lasting weeks or even months. If the patient continues to experience severe pain after an adequate healing period, a steroid injection, which is separately reportable, may be considered to provide relief. For cases requiring more invasive intervention, such as open treatment, CPT® Code 27202 should be utilized, which involves surgical procedures including incision, cleansing of the fracture site, reduction of displaced fragments, or even excision of the coccyx if necessary.