Summary & Overview
CPT 27267: Closed Treatment of Femoral Head Fracture
CPT code 27267 represents the closed (nonsurgical) treatment of a fracture at the head of the femur. The code captures a common orthopedic procedure used to manage femoral head fractures without open incision or extensive manipulation. Nationally, accurate use of this code matters for procedure tracking, claims processing, and ensuring appropriate clinical documentation for fracture management pathways.
Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for closed femoral head fracture treatment, payer coverage considerations, and expected sites of service. The publication outlines benchmarking measures, typical billing and coding considerations, and relevant policy or coverage updates where available.
This summary is intended for a national audience of coding professionals, revenue cycle staff, and clinical leaders seeking a compact reference for CPT code 27267, including how it is used in clinical documentation and claims. Data not available in the input will be noted where applicable in the full publication.
Billing Code Overview
CPT code 27267 describes closed treatment of a fracture at the head of the femur (thigh bone) without an incision or manipulation. This procedure is a nonsurgical, closed management approach for femoral head fractures.
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Service type: Closed fracture treatment (nonsurgical management)
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Typical site of service: Hospital inpatient, hospital outpatient department, or emergency/urgent care setting where fracture management and immobilization are performed
Clinical & Coding Specifications
Clinical Context
An elderly patient presents to the emergency department after a ground-level fall with acute right hip pain, inability to bear weight, and external rotation of the right lower extremity. Radiographs and CT confirm a displaced femoral neck fracture (fracture at the head of the femur). The orthopedic trauma team evaluates the patient, reviews medical comorbidities (e.g., anticoagulation, cardiopulmonary status), and determines that a closed reduction without open incision is appropriate for initial management or definitive percutaneous fixation.
Pre-procedure workflow includes informed consent, pre-op medical optimization, and imaging review. The procedure is performed in an operating room or procedure suite under fluoroscopic guidance with regional or general anesthesia. The surgeon achieves closed reduction and performs percutaneous fixation (e.g., cannulated screws or percutaneous pinning) without open incision or extensive soft-tissue dissection. Post-procedure workflow includes immediate post-anesthesia recovery, updated imaging to confirm alignment and hardware position, pain control, DVT prophylaxis, and initiation of mobilization with physical therapy as tolerated. Discharge planning considers home support, outpatient follow-up, and secondary osteoporosis evaluation when indicated.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier - default reporting | Use when no additional modifier applies and standard reporting is appropriate. |