CPT Code 27197
CPT code 27197 is a medical billing code used for closed treatment of pelvic ring fractures.
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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?
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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.
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