Coding Brief: Closed Treatment of Pelvic Fracture(s)/Dislocation(s) [(Q&A)] (June 2017)

June 2017 page 9 Coding Brief: Closed Treatment of Pelvic Fracture(s)/Dislocation(s) Two new codes, 27197 and 27198, were established in the Current Procedural Terminology (CPT®) 2017 code set to report closed treatment of posterior pelvic ring fracture(s)/dislocation(s), with or without anterior pelvic ring fracture(s)/dislocation(s). Prior to the establishment of the new codes, there was no differentiation in the type of pelvic ring fracture that was reported with codes 27193, Closed treatment of pelvic ring fracture, dislocation, diastasis or subluxation; without manipulation, and 27194, Closed treatment of pelvic ring fracture, dislocation, diastasis or subluxation with manipulation, requiring more than...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This coding brief reviews a CPT 2017 change affecting closed treatment of pelvic fracture and dislocation services. It is intended for coders and other revenue cycle professionals who need to understand the scope of the updated CPT reporting framework, the transition from older deleted codes, and the general clinical context in which the revised guidance applies.

Why This Topic Matters

Accurate reporting for pelvic fracture and dislocation treatment depends on understanding the revised CPT structure and which injury patterns fall within the updated code family. The article helps readers recognize the scope of the change and the general distinctions that affect coding workflow.

Article Sections

  1. June 2017 page 9

    Introductory publication information and the coding brief topic are presented here, along with the general scope of the CPT update being discussed.

  2. Fracture and/or Dislocation

    This section outlines the affected CPT code family, the related pelvic injury categories, and the transition from older to newer reporting structure. It also summarizes the broader clinical context for pelvic ring injuries and the associated reporting framework.

  3. Clinical Example (27197) / Description of Procedure (27197)

    A representative clinical scenario and corresponding procedure narrative are provided for the first revised code. The example illustrates the type of injury presentation addressed by this part of the article.

  4. Clinical Example (27198) / Description of Procedure (27198)

    A representative clinical scenario and corresponding procedure narrative are provided for the second revised code. The example illustrates the type of injury presentation addressed by this part of the article.

What You Will Learn

  • The scope of the CPT 2017 update for closed treatment of pelvic ring injuries
  • How the article frames posterior and anterior pelvic ring injury categories
  • The relationship between the revised reporting structure and the prior deleted codes
  • The general clinical context used to illustrate the updated guidance

Who Should Read This

  • Medical coders
  • Coding educators
  • Orthopedic billing staff
  • Revenue cycle professionals

Codes Discussed


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