CPT® Code 27268

The CPT® Code 27268 refers to the closed treatment of a femoral fracture at the proximal end, specifically the head, with manipulation. This procedure is indicated when a fracture at the femoral head is displaced, necessitating manual intervention to realign the bone fragments. Unlike the closed treatment without manipulation, as described in CPT® Code 27267, which is typically used for nondisplaced or minimally displaced fractures, the manipulation involved in this procedure is crucial for ensuring proper healing. Proximal end femoral head fractures are most commonly seen in younger patients, often resulting from traumatic incidents. The treatment begins with a thorough evaluation, including separately reportable radiographic studies, to assess the stability of the fracture. If the fracture is determined to be displaced, the physician will perform a closed reduction, which involves manually manipulating the bone fragments back into their correct anatomical position. This manipulation is essential for restoring the alignment necessary for optimal healing and recovery.