Summary & Overview
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.
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 |