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.

Are You Being Underpaid for 27226 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 27226, RevFind identifies discrepancies that could be impacting your bottom line. Schedule a demo today to see how our software can help you recover lost revenue and optimize your financial performance.

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CPT Code 27226

What is CPT Code 27226

Does CPT 27226 Need a Modifier?

CPT Code 27226 Medicare Reimbursement

Are You Being Underpaid for 27226 CPT Code?

Get paid in full by bringing clarity to your revenue cycle

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