CPT® Code 27202

The procedure described by CPT® Code 27202 pertains to the open treatment of a coccygeal fracture, which involves the coccyx, commonly known as the tailbone. A coccygeal fracture can occur due to trauma or injury, leading to pain and discomfort in the lower back region. During the evaluation of a coccygeal fracture, a physician may perform a rectal examination to assess for any abnormalities, such as unusual movement of the coccyx, which could indicate the severity of the fracture. In some cases, additional imaging studies, such as X-rays, may be necessary to visualize the fracture and determine the appropriate course of treatment. Following the evaluation, the patient is typically 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 experiences severe pain that does not improve after a sufficient healing period, a steroid injection may be considered as a separate procedure to provide relief. The open treatment itself involves making an incision over the coccyx, cleansing the fracture site of any debris, and either reducing the displaced fracture fragments or excising the coccyx if necessary. After the procedure, the wound is irrigated and subsequently closed to promote healing.