CPT® Code 27468

The procedure described by CPT® Code 27468 involves osteoplasty of the femur, specifically a combined approach that includes both lengthening and shortening of the bone through a femoral segment transfer. Osteoplasty refers to a surgical procedure aimed at reshaping or reconstructing bone, in this case, the femur, which is the long bone in the thigh. The goal of this procedure is to achieve a desired alteration in the length of the femur, which may be necessary due to various orthopedic conditions or deformities. Prior to the surgical intervention, the physician utilizes radiographic studies to meticulously plan the locations of the bone cuts required to achieve the intended outcomes. During the operation, the femur is surgically exposed, allowing the surgeon to perform the necessary modifications. In the shortening phase, a segment of the femur is excised, and the remaining ends of the bone are brought together and stabilized using internal fixation methods, such as pins or plates. Conversely, in the lengthening phase, the bone is cut, and distraction techniques are employed to gradually lengthen the femur. An autograft, typically harvested from the iliac crest, may be utilized to fill any defects created during the procedure. The excised segment from the shortening phase is then transferred to the lengthening site, effectively using the bone segment to achieve the desired lengthening of the femur. This combined approach allows for a comprehensive correction of femoral length discrepancies, enhancing the overall functionality and alignment of the limb.