CPT® Code 27216

Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

The CPT® Code 27216 refers to the procedure known as percutaneous skeletal fixation of a posterior pelvic bone fracture and/or dislocation. This procedure is specifically indicated for fracture patterns that disrupt the pelvic ring on a unilateral basis, which includes the ipsilateral ilium, sacroiliac joint, and/or sacrum. Posterior pelvic ring fractures typically involve injuries to the ilium and/or sacrum, and they may also include dislocation or fracture dislocation injuries affecting the sacroiliac joints. To accurately assess the extent of the injury, a radiographic study of the pelvis is performed, which is separately reportable. During the procedure, the fracture or dislocation is reduced by applying traction along the femoral axis on the affected side while simultaneously restraining the contralateral leg and trunk to prevent any movement. Once proper anatomical alignment is achieved, a threaded guiding pin is inserted under radiographic guidance to ensure the correct placement for subsequent screw insertion. A bone drill is then utilized to prepare the bone for the placement of cannulated screws, which are inserted percutaneously through the fracture site in either the ilium or sacrum. In cases where a fracture dislocation of the sacroiliac joint is present, the screws are strategically placed from the ilium, through the sacroiliac joint, and into the sacrum to provide optimal stabilization and support for the fractured area.