CPT® Code 27218

Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes ipsilateral ilium, sacroiliac joint and/or sacrum)

The CPT® Code 27218 refers to the open treatment of posterior pelvic bone fractures and/or dislocations, specifically for fracture patterns that disrupt the pelvic ring on a unilateral basis. This procedure includes internal fixation when performed, which may involve the ipsilateral ilium, sacroiliac joint, and/or sacrum. Posterior pelvic ring fractures typically involve injuries to the ilium and/or sacrum, and they can also include dislocation or fracture dislocation injuries affecting the sacroiliac joints. To accurately assess the extent of the injury to the posterior pelvic ring, a radiographic study of the pelvis is conducted, which is separately reportable. The surgical approach involves making an incision to expose the fracture or dislocation site, followed by the removal of any debris to facilitate a clear view of the injury. Once the site is adequately prepared, the fracture or dislocation is reduced to restore anatomical alignment. After achieving proper reduction, the bone is prepared for the application of an internal fixation device, which may consist of screws, a transiliac sacral bar (commonly known as a Harrington rod), or a plate and screw fixation device. The procedure is completed by verifying the alignment of the fracture fragments through radiographic imaging, followed by the irrigation and closure of the wound.