CPT® Code 27256

Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; without anesthesia, without manipulation

The CPT® Code 27256 refers to the treatment of spontaneous hip dislocation, specifically in cases of developmental dysplasia of the hip (DDH). This condition can arise from congenital malformations or may develop over time, impacting the osseous structures, joint capsule, and soft tissues surrounding the hip joint. The procedure described by this code involves a non-invasive approach to address the dislocation without the use of anesthesia or manipulation. Initially, the dislocated hip may require manual reduction, which utilizes traction and mechanical forces to reposition the femoral head back into the acetabulum, the socket of the hip joint. Following this, the maintenance of the hip's correct position is achieved through methods such as abduction, splinting, or traction. Abduction is typically facilitated by a Pavlik harness, which is designed to hold both legs in an abducted position, ensuring proper alignment and stability. In instances where the harness or splinting techniques are ineffective, skin traction may be employed. This involves the application of a boot or adhesive strapping to the lower leg, with additional support provided by ace wraps and a system of ropes and weights to maintain traction. The use of CPT® Code 27256 is appropriate when these procedures are conducted without anesthesia and without the need for manipulation, distinguishing it from CPT® Code 27257, which is used when anesthesia and manipulation are involved in the reduction process.