CPT CODES

CPT Code 27194

CPT code 27194 is used to describe the surgical treatment of a pelvic ring fracture in patients.

Accelerate your revenue cycle

Boost patient experience and your bottom line by automating patient cost estimates, payer underpayment detection, and contract optimization in one place.

Get a Demo

What is CPT Code 27194

CPT code 27194 is used to describe the surgical procedure for treating a pelvic ring fracture. This code specifically refers to the fixation of a fracture in the pelvic ring, which may involve the use of hardware such as plates or screws to stabilize the bone and promote healing. The procedure is typically performed to restore the structural integrity of the pelvis and alleviate pain, allowing for improved mobility and function in the patient.

Does CPT 27194 Need a Modifier?

GPT loading...​ ETA: 2 minutes (03:07 UTC)You can cancel the execution by clearing this cell.

CPT Code 27194 Medicare Reimbursement

CPT code 27194 is reimbursed by Medicare, but the reimbursement is subject to specific conditions outlined in the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services covered by Medicare and the corresponding reimbursement rates.

Additionally, Medicare Administrative Contractors (MACs) play a crucial role in determining the local coverage and payment policies for CPT code 27194. It is essential for healthcare providers to consult both the MPFS and their respective MAC to ensure compliance with Medicare's billing and reimbursement guidelines for this specific code.

Are You Being Underpaid for 27194 CPT Code?

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments down to the CPT code level and by individual payer. For instance, with CPT code 27194, you can ensure that you are receiving the correct reimbursement for your services. Schedule a demo today to see how RevFind can help you identify and address underpayments effectively.

Get paid in full by bringing clarity to your revenue cycle

Full Page Background