CPT® Code 27267

Closed treatment of a proximal end femoral head fracture, as described by CPT® Code 27267, refers to a non-surgical approach to managing a specific type of fracture located at the upper end of the femur, known as the femoral head. This type of fracture typically occurs in younger individuals as a result of trauma, such as falls or accidents. The procedure is characterized by the absence of manipulation, meaning that the fractured bone fragments are not physically repositioned during the treatment. Instead, the focus is on assessing the stability of the fracture through radiographic studies, which are reported separately. If the fracture is determined to be nondisplaced or minimally displaced, the anatomical position of the femoral head is evaluated, and the range of motion is assessed for any signs of abnormality, such as crepitation, which is a crackling or popping sound that may indicate instability. Patients are advised to avoid putting weight on the injured leg and are typically provided with crutches or other assistive devices to aid in mobility. It is important to note that if manipulation is required to treat a displaced fracture, CPT® Code 27268 should be used instead, as it involves a closed reduction procedure where the bone fragments are manually realigned to facilitate proper healing.