CPT Code 27226
CPT code 27226 is used to describe the treatment of a hip wall fracture through surgical procedures.
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 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?
GPT loading... ETA: 2 minutes (03:07 UTC)You can cancel the execution by clearing this cell.
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.
Get paid in full by bringing clarity to your revenue cycle
Related CPT Codes
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.
CPT Code 21743
CPT code 21743 is for the repair of the sternum using the Nuss procedure with a scope.
CPT Code 21800
CPT code 21800 is a medical code used to describe the treatment of a rib fracture.
CPT Code 21805
CPT code 21805 is a medical code used to describe the treatment of a rib fracture.
CPT Code 21813
CPT code 21813 is a medical code used to describe the treatment of a rib fracture.
CPT Code 21825
CPT code 21825 is a medical code used to describe the treatment of a sternum fracture.
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox
