CPT® Code 27752

Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction

The CPT® Code 27752 refers to the closed treatment of a tibial shaft fracture, which may occur with or without an accompanying fibular fracture. This procedure involves the manipulation of the fractured bone fragments to restore proper alignment. The term "closed treatment" indicates that the procedure is performed without making an incision in the skin, which distinguishes it from open treatment methods. In this context, the tibia, commonly known as the shinbone, is the larger of the two bones in the lower leg, and a fracture in this area can significantly impact mobility and function. The manipulation process is crucial for displaced fractures, where the bone fragments have moved out of their normal position. Before the treatment, a thorough neurovascular examination is conducted to assess the integrity of the nerves and blood vessels surrounding the fracture site, ensuring that there are no additional injuries that could complicate the healing process. Radiographs, or X-rays, are obtained to confirm the presence and extent of the fracture, as well as to verify that the manipulation has successfully restored the bone to its proper anatomical alignment. Following the manipulation, a cast is applied to immobilize the fracture, which is essential for proper healing. In some cases, skeletal traction may be utilized to maintain alignment, which involves the insertion of a pin through the calcaneus (the heel bone) and the application of weighted traction to further stabilize the fracture during the healing process.