CPT® Code 27222

The CPT® Code 27222 refers to the closed treatment of fractures occurring in the acetabulum, which is the socket of the hip joint. This procedure involves manipulation of the fracture, which may be accompanied by the use of skeletal traction. The closed treatment signifies that the procedure is performed without making an incision to access the fracture site directly. The physician begins by obtaining necessary imaging studies, such as radiographs or a CT scan, to assess the extent of the injury to the hip region. This imaging is crucial for evaluating the fracture's characteristics and planning the appropriate treatment approach. During the examination, the physician palpates the anterior and posterior pelvic bones, as well as the greater trochanter, to assess the injury's impact on the surrounding structures. Additionally, the range of motion of the hip and lumbosacral spine is evaluated to determine any limitations or pain associated with the injury. A neurovascular examination is also performed to check for any signs of nerve impingement, ensuring that the patient does not have compromised blood flow or nerve function. In cases where the fracture is classified as nondisplaced or minimally displaced, as indicated by CPT® Code 27220, treatment may involve conservative measures such as bed rest and the use of assistive devices like crutches or a walker to facilitate ambulation without putting weight on the affected side. However, for more complex fractures requiring manipulation, as described in CPT® Code 27222, the physician will manually reduce the fracture fragments. To maintain the proper alignment of the fracture during the healing process, skeletal traction may be employed. This involves the insertion of a pin into the proximal aspect of the tibia, to which a traction device is attached, utilizing weights to ensure that the fracture remains properly reduced throughout the recovery period.