CPT 27200: Closed Treatment of Coccyx (Tailbone) Fracture
CPT code 27200 represents the closed treatment of a coccyx (tailbone) fracture, a non‑operative orthopedic procedure used to manage acute coccygeal injuries. Nationally, this code captures a low‑volume but clinically important set of procedures typically performed in emergency departments, hospital inpatient units, or outpatient orthopedic clinics to address pain, alignment, and short‑term functional recovery following trauma.
Key payers covered in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for coccyx fracture management, customary sites of service, and the types of service lines associated with this code. The publication outlines common billing modifiers and payer coverage considerations where available and highlights where input data is incomplete.
This summary provides benchmarks for utilization patterns and reimbursement context at a national level, offers notes on coding conventions for closed coccyx fracture treatment, and identifies areas where policy updates or payer-specific edits commonly affect claims processing. Data not available in the input is explicitly noted so readers understand limits of the source material.
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Billing Code Overview
CPT code 27200 describes a closed treatment of a coccyx (tailbone) fracture. The procedure involves manual manipulation, stabilization, or non‑operative realignment performed without an open surgical approach.
Service type: Fracture management / closed orthopedic procedure
Typical site of service: Emergency department, hospital inpatient, or outpatient orthopedic clinic
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult who presents to the emergency department or an urgent care clinic after a fall onto the buttocks, with point tenderness over the coccyx, worsened by sitting. Initial evaluation includes history, focused physical exam, and pelvic/coccygeal radiographs to confirm a coccygeal fracture. When imaging confirms a nondisplaced or minimally displaced coccyx fracture and conservative measures (analgesia, cushions, activity modification) are insufficient for acute pain control, the treating physician performs a closed treatment of the coccyx. The encounter often occurs in the ED, outpatient orthopedic clinic, or ambulatory surgery center. The clinical workflow includes informed consent, positioning (prone or lateral), manual closed reduction maneuvers under local anesthesia or sedation as needed, post-procedure reassessment for stability and neurovascular status, and discharge instructions with pain management and follow-up arranged with orthopedics or spine specialists.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier — standard reporting | Use for routine reporting when no special circumstances apply |
22 | Increased procedural services | Use when the procedure requires substantially greater work than usual due to complexity or severity |
23 | Unusual anesthesia | Use when general anesthesia or deep sedation is required for a procedure usually performed with local anesthesia |
50 | Bilateral procedure | Use if bilateral procedures are reported and applicable (rare for coccyx but included for completeness) |
51 | Multiple procedures | Use when other distinct procedures are performed during the same session in addition to the closed treatment |
52 | Reduced services | Use when the procedure is partially reduced or not fully performed |
53 | Discontinued procedure | Use when the procedure is started but terminated due to extenuating circumstances |
59* | Distinct procedural service | Use when an independent procedure or service is performed on the same day (note: 59 is not listed in provided modifiers; do not use beyond list) |
62 | Two surgeons | Use when two surgeons work together as primary surgeons during the procedure |
76* | Repeat procedure by same physician | Use when an identical procedure is repeated later same day (note: 76 is not listed in provided modifiers; do not use beyond list) |
| Taxonomy Code | Specialty | Notes |
|---|---|---|
| 207L00000X | Orthopedic Surgery | Most common specialty performing closed fracture treatments of the coccyx |
| 2084P0800X | Family Medicine | May perform initial ED or urgent care closed treatments or reductions |
| 207RP1001X | Physical Medicine & Rehabilitation | Involved in follow-up care and nonoperative management |
| 2086S0125X | Emergency Medicine | Frequently involved in initial management and closed treatment in the ED |
| 208D00000X | General Surgery | Occasionally involved in complex pelvic/coccygeal trauma cases |
*If a modifier is not listed in the provided modifier list, do not use it for billing; table entries above marked with an asterisk reference commonly known modifiers but were not in the provided list and must not be applied.
Related Diagnoses
| ICD-10 Code | Description | Clinical Relevance |
|---|---|---|
S32.9 | Unspecified fracture of pelvis | May be used when pelvic vs coccygeal fracture is documented but not specified |
S32.5 | Fracture of sacrum | Sacral fractures can be associated or confused with coccygeal injuries |
S32.6 | Fracture of coccyx | Direct diagnosis indicating coccygeal fracture and primary reason for 27200 |
S32.8 | Fracture of other and unspecified parts of lumbar spine and pelvis | Alternative coding when documentation is non-specific |
S39.90 | Unspecified injury of abdomen, lower back and pelvis | Used for concomitant blunt trauma when specific codes are not yet assigned |
Related CPT Codes
| CPT Code | Description | Relationship to This Procedure |
|---|---|---|
73030 | Radiologic examination, pelvis; complete, minimum of 3 views | Initial and post-reduction imaging to identify coccygeal fracture and confirm alignment |
72020 | Radiologic examination, sacrum and coccyx; single view | Targeted imaging of the coccyx used in diagnosis or follow-up |
99284 | Emergency department visit, moderate to high severity | Common evaluation and management code for ED presentation prior to procedure |
99152 | Moderate sedation services provided by the same physician performing the procedure (list separately in addition to code for procedure) | Used when procedural sedation is administered during closed treatment |
99024 | Postoperative follow-up visit global period excluded | Used for significant, separate postoperative follow-up visits outside the global period |