CPT Code 27197
CPT code 27197 is a medical billing code used for closed treatment of pelvic ring fractures.
Boost patient experience and your bottom line by automating patient cost estimates, payer underpayment detection, and contract optimization in one place.
What is CPT Code 27197
CPT code 27197 is used to describe the closed treatment of a pelvic ring fracture. This procedure involves the non-surgical management of the fracture, where the healthcare provider manipulates the bones back into alignment without making any incisions. The goal is to stabilize the pelvic ring and promote healing while minimizing complications associated with more invasive surgical interventions.
Does CPT 27197 Need a Modifier?
GPT loading... ETA: 2 minutes (03:07 UTC)You can cancel the execution by clearing this cell.
CPT Code 27197 Medicare Reimbursement
The CPT code 27197 is reimbursed by Medicare, but it is essential to verify its specific reimbursement rate and coverage details through the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services covered by Medicare and their corresponding payment rates.
Additionally, it is advisable to consult with your regional Medicare Administrative Contractor (MAC) to confirm any local coverage determinations or specific billing requirements that may apply to CPT code 27197. Each MAC may have unique guidelines and policies that could affect reimbursement.
Are You Being Underpaid for 27197 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. With RevFind, you can ensure that every dollar is accounted for, including those related to CPT code 27197. Schedule a demo today to see how our solution can help you maximize your revenue and minimize losses.
Get paid in full by bringing clarity to your revenue cycle
Related CPT Codes
CPT Code 21280
CPT code 21280 is a medical code used to describe the revision of an eyelid procedure.
CPT Code 21310
CPT code 21310 is for the closed treatment of a nasal fracture without manipulation.
CPT Code 21315
CPT code 21315 is for the closed treatment of a nasal fracture without manipulation.
CPT Code 21330
CPT code 21330 is for the open treatment of a nasal fracture with skeletal fixation.
CPT Code 21344
CPT code 21344 is for the open treatment of a complex fracture of the frontal sinus.
CPT Code 21346
CPT code 21346 is for the open treatment of a nasomaxillary fracture with fixation.
CPT Code 21400
CPT code 21400 is for a closed treatment of an orbital fracture without manipulation.
CPT Code 21558
CPT code 21558 is for the surgical resection of a neck tumor measuring 5 cm or larger.
CPT Code 21685
CPT code 21685 is for the surgical procedure involving hyoid myotomy and suspension.
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox