CPT® Code 27282

Arthrodesis of the symphysis pubis, as described by CPT® Code 27282, is a surgical procedure aimed at fusing the symphysis pubis joint. This procedure is typically indicated for patients experiencing pain, instability, or inflammation in the joint, often due to conditions such as osteitis pubis. The symphysis pubis is a cartilaginous joint located between the left and right pubic bones, and its fusion can alleviate discomfort and restore stability. The surgical approach involves making an incision in the lower abdomen, which allows the surgeon to access the joint directly. The procedure includes the careful debridement of the fibrocartilaginous disc and hyaline cartilage to prepare the joint surfaces for fusion. A bone graft is harvested from the iliac crest and placed into the joint space to promote healing and stability. The use of a plate and screw device further stabilizes the joint during the recovery process. This comprehensive approach ensures that the joint is adequately fused, thereby addressing the underlying issues that prompted the surgery.