CPT® Code 27238

Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fractures without manipulation, as described by CPT® Code 27238, refers to a specific type of orthopedic procedure aimed at managing certain fractures of the femur, which is the thigh bone. Intertrochanteric fractures occur in the region between the greater and lesser trochanters, which are bony prominences on the femur. Peritrochanteric fractures encompass injuries that occur around or encircle these trochanters, while subtrochanteric fractures are located just below them. This procedure is indicated for nondisplaced fractures, meaning that the bone fragments have not shifted from their original position and do not require manual manipulation to realign them. During the treatment, a thorough evaluation is conducted, including obtaining radiographs to confirm the presence and type of fracture. A neurovascular examination is also performed to assess the integrity of the nerves and blood vessels surrounding the injury site, ensuring that there are no complications that could affect healing or function. The patient is then instructed on the importance of avoiding weight-bearing activities on the affected limb and may be provided with crutches or other assistive devices to facilitate mobility while minimizing stress on the injury. This approach allows for the natural healing of the fracture without the need for invasive procedures or manipulation of the bone fragments.