Pelvic Fracture Coding

Don’t let 2017 CPT changes break your perfect score for clean claims. Deleted codes 27193 and 27914 referred generically to ” pelvic ring fracture, dislocation(s), diastasis or subluxation;” whereas new codes 27197 and 27198 specify “posterior pelvic ring fracture, dislocation(s), diastasis or subluxation.”

Do not report 27197 or 27198 for closed treatment of anterior (vs posterior) pelvic ring fracture and dislocation(s) of the public symphysis and superior/inferior rami (unilateral or bilateral). CPT now instructs us to report an appropriate evaluation and management (E/M) services code.