CPT® Code 27517

The closed treatment of distal femoral epiphyseal separation, as described by CPT® Code 27517, involves the management of a specific type of injury to the growth plate, known as the epiphysis, located at the end of the femur (thigh bone). The epiphyseal plate is crucial for bone growth, and any separation in this area can lead to significant complications, including the potential for halted bone growth and leg length discrepancies. This procedure is indicated when there is a minimally displaced separation of the distal femoral epiphysis, which typically occurs due to trauma. The treatment aims to restore the normal anatomical alignment of the bone fragments to ensure proper healing and continued growth. During the procedure, closed reduction techniques are employed, which means that the bones are manipulated back into place without the need for surgical incisions. This manipulation may be supplemented with skin or skeletal traction to maintain the correct positioning of the bone fragments and to prevent further displacement. Radiographic imaging is utilized to confirm that the bone fragments are properly aligned after the reduction. If traction is necessary, it can be applied using various methods, including skin traction, which involves external devices, or skeletal traction, which involves internal fixation devices. Ultimately, if traction is not utilized, the affected leg is immobilized in a long leg or hip spica cast to ensure stability during the healing process.