Pelvic Ring Fractures

Date Issued: 12/14/2016

Effective January 1, 2017, in accordance with AMA CPT coding guidelines, to report closed treatment of only anterior pelvic ring fracture(s) and/or dislocation(s) of the pubic symphysis and/or superior/inferior rami, unilateral or bilateral, providers should use an appropriate evaluation and management service code.

CPT 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 local anesthesia), previously used to report this service, have been deleted as of January 1, 2017.

New codes have been created, effective January 1, 2017, for closed treatment of posterior pelvic ring fracture(s), CPT codes 27197 (Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or dislocation(s) of the pubic symphysis and/or superior/inferior rami, unilateral or bilateral; without manipulation) and 27198 (Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or dislocation(s) of the pubic symphysis and/or superior/inferior rami, unilateral or bilateral; with manipulation, requiring more than local anesthesia (ie, general anesthesia, moderate sedation, spinal/epidural)).