CPT Code 27226
CPT code 27226 is used to describe the treatment of a hip wall fracture through surgical procedures.
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What is CPT Code 27226
CPT code 27226 is used to describe the surgical procedure for treating a hip wall fracture. This code specifically refers to the repair of a fracture in the acetabulum, which is the socket of the hip joint. The procedure typically involves realigning the fractured bone and stabilizing it, often using hardware such as plates or screws to ensure proper healing and restore function to the hip.
Does CPT 27226 Need a Modifier?
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CPT Code 27226 Medicare Reimbursement
The CPT code 27226 is reimbursed by Medicare, but it is essential to verify the specific reimbursement 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, reimbursement can vary based on the region, as Medicare Administrative Contractors (MACs) may have specific guidelines and fee schedules that apply to their jurisdiction. Therefore, it is advisable to consult the MPFS and the relevant MAC for precise information on the reimbursement for CPT code 27226.
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