CPT Code 27194
CPT code 27194 is used to describe the surgical treatment of a pelvic ring fracture in patients.
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What is CPT Code 27194
CPT code 27194 is used to describe the surgical procedure for treating a pelvic ring fracture. This code specifically refers to the fixation of a fracture in the pelvic ring, which may involve the use of hardware such as plates or screws to stabilize the bone and promote healing. The procedure is typically performed to restore the structural integrity of the pelvis and alleviate pain, allowing for improved mobility and function in the patient.
Does CPT 27194 Need a Modifier?
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CPT Code 27194 Medicare Reimbursement
CPT code 27194 is reimbursed by Medicare, but the reimbursement is subject to specific conditions outlined in the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services covered by Medicare and the corresponding reimbursement rates.
Additionally, Medicare Administrative Contractors (MACs) play a crucial role in determining the local coverage and payment policies for CPT code 27194. It is essential for healthcare providers to consult both the MPFS and their respective MAC to ensure compliance with Medicare's billing and reimbursement guidelines for this specific code.
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