The patient fell and fractured his left femoral shaft in three places. The fracture is treated with an ORIF of the left femur with an intramedullary nail and interlocking screws (peritrochanterically). The orthopedist also places the leg in a plaster splint prior to leaving the OR. What CPT® code(s) is/are reported? a. 27513, 29505 b. 27245 c. 27507, 29505 d. 27506
Question
The patient fell and fractured his left femoral shaft in three places. The fracture is treated with an ORIF of the left femur with an intramedullary nail and interlocking screws (peritrochanterically). The orthopedist also places the leg in a plaster splint prior to leaving the OR. What CPT® code(s) is/are reported? a. 27513, 29505 b. 27245 c. 27507, 29505 d. 27506
Solution
The correct answer is d. 27506.
Here's the step-by-step reasoning:
The patient has a fracture in the femoral shaft, which is treated with an Open Reduction and Internal Fixation (ORIF) procedure. This procedure involves the use of an intramedullary nail and interlocking screws. The CPT® code for this procedure is 27506.
The other codes mentioned in the options are not applicable in this case. Code 27513 is for a closed treatment of a femoral shaft fracture, which is not what was performed. Code 27245 is for a treatment of an intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture, which is not the location of the patient's fracture. Code 27507 is for a treatment of a distal femoral fracture, which is also not the location of the patient's fracture.
The code 29505 for application of a long leg splint is also not applicable here, as the question states that a plaster splint was applied, not a long leg splint.
Therefore, the correct CPT® code to report is 27506.
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