Fracture care CPT codes

Open treatment of a craniofacial separation fracture — the most complex category — requiring multiple internal fixation points and, when needed, bone grafting across the cranial-facial junction.

Open surgical repair of complex acetabular fractures involving both anterior and posterior columns, including T-type, both-column, and single-column or transverse patterns with associated wall fracture, with internal fixation.

Open surgical repair of a LeFort III craniofacial separation that is complicated by comminution or cranial nerve foramina involvement, requiring multiple surgical approaches.

Open treatment of acetabular fracture(s) involving the posterior wall, posterior column, or both, with internal fixation.

Open reduction of an odontoid fracture or dislocation via anterior cervical approach, with internal fixation and bone grafting.

Open surgical correction of spontaneous hip dislocation (developmental, congenital, or pathological origin) with femoral head replacement into the acetabulum and femoral shaft shortening osteotomy.

Open surgical repair of a complex frontal sinus fracture, accessed through coronal or scalp incisions, typically involving comminuted or displaced bone requiring internal fixation.

Open surgical treatment of a posterior pelvic fracture or dislocation that disrupts the pelvic ring — unilateral or bilateral — including internal fixation when performed, covering the ilium, sacroiliac joint, and/or sacrum.

Open treatment of a cervical spine fracture and/or dislocation, performed at a single vertebral level in the neck.

Open posterior treatment and/or reduction of a single fractured or dislocated thoracic vertebral segment, performed through a posterior approach.

Intertrochanteric or subtrochanteric femoral osteotomy with internal or external fixation and/or cast application to correct deformity or malalignment in the proximal femur.

Open treatment of a complex craniofacial separation fracture using internal and/or external fixation

Open posterior reduction and stabilization of a lumbar vertebral fracture or dislocation, performed through a posterior surgical approach.

Open treatment of a femoral shaft fracture using an intramedullary implant, with or without external fixation, cerclage, or locking screws.

Open repair of tibial nonunion or malunion using iliac crest or other autograft, including harvest of the graft at the same operative session.

Open surgical repair of a femoral supracondylar or transcondylar fracture that extends into the intercondylar region, with internal fixation as needed.

Multiple osteotomies of the femoral shaft with realignment on an intramedullary rod — the Sofield-type procedure for severe femoral deformity correction.

Open surgical treatment of a traumatic hip dislocation combined with fractures of the acetabular wall and femoral head, with or without internal or external fixation.

Open surgical treatment of a fracture at the proximal femur involving the femoral head, with internal fixation applied when indicated.

Open surgical repair of a complicated malar (cheekbone) fracture — comminuted or involving cranial nerve foramina — including zygomatic arch and malar tripod, with bone grafting.

Open surgical fixation of a distal tibia (pilon/tibial plafond) fracture involving internal fixation of both the tibia and fibula.

Open surgical treatment of knee dislocation, including internal fixation when indicated, with primary repair of ligaments and augmentation or reconstruction as needed.

Open treatment of an intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture using an intramedullary implant, with or without interlocking screws and/or cerclage.

Open fixation of an intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture using a plate/screw-type implant, with or without cerclage.

Open surgical repair of an osteochondral defect on the talus using autograft tissue harvested from the patient's own body during the same operative session.

Open surgical repair of seven or more unilateral rib fractures with internal fixation hardware; thoracoscopic visualization is included when performed.

Open treatment of a proximal femoral fracture at the femoral neck, using internal fixation hardware or prosthetic replacement to stabilize the fracture site.

Application of a multiplanar (ring or hybrid) uniplane external fixation system, initial encounter — first bone segment.

Open repair of a complicated mandibular fracture requiring multiple surgical approaches, with internal fixation, interdental fixation, and/or wiring of dentures or splints.

Open surgical repair of a calcaneal fracture using an autogenous bone graft harvested from the iliac crest or another donor site, with internal fixation applied as needed.

Open treatment of a nasomaxillary complex fracture with bone grafting

Tibial nonunion or malunion repair by tibiofibular synostosis — surgically fusing the tibia to the fibula to restore structural integrity when the tibia has failed to heal or has healed in poor alignment.

Open surgical treatment of a bicondylar proximal tibial plateau fracture, with or without internal fixation.

Repair of femoral nonunion or malunion (distal to femoral head and neck) using compression or other technique, without bone graft.

Open surgical repair of a complicated malar (cheekbone) fracture, including comminuted patterns or fractures involving cranial nerve foramina, using multiple approaches as needed.

Application of a multiplane, unilateral external fixation system using pins or wires in more than one plane (e.g., Ilizarov or Monticelli-type ring fixator).

Open surgical repair of a calcaneal (heel bone) fracture, with internal fixation applied when needed to stabilize bone fragments.

Open treatment of slipped femoral capital epiphysis with osteotomy and internal fixation

Open surgical treatment of slipped capital femoral epiphysis (SCFE) using single or multiple pins, screws, or bone graft fixation to stabilize the displaced femoral head on the femoral neck.

Open treatment of knee dislocation with internal fixation and primary ligamentous repair, without augmentation or reconstruction.

Open treatment of a partial articular fracture and/or dislocation of the elbow with internal fixation of the articular fragment.

Open surgical treatment of a periarticular elbow fracture and/or dislocation involving the distal humerus, proximal ulna, and/or proximal radius, with internal fixation.

Open surgical treatment of a talus fracture, with internal or external fixation performed when indicated.

Percutaneous skeletal fixation of a posterior pelvic bone fracture or dislocation involving a ring-disrupting pattern, performed unilaterally or bilaterally, covering the ilium, sacroiliac joint, and/or sacrum.

Open surgical repair of a posterior or anterior acetabular wall fracture using internal fixation hardware such as plates, screws, or pins.

Open repair of a nonunion or malunion of the humeral shaft without bone graft augmentation.

Open treatment of a femoral supracondylar or transcondylar fracture without intercondylar extension, including internal fixation when performed.

Surgical repair of radius or ulna nonunion or malunion using an autograft, including harvest of the graft from the iliac crest or another donor site.

Open treatment of a distal humeral fracture that extends into the intercondylar region, requiring fixation of both the supracondylar and intraarticular components.

Surgical repair of congenital pseudarthrosis of the tibia — a false joint formed at a congenital bowing site that failed to ossify normally.

Open surgical fixation of a pilon or tibial plafond fracture involving the weight-bearing articular surface of the distal tibia, with internal fixation of the tibia only.

Open repair of an orbital floor blowout fracture using autogenous bone graft to restore bony structure and volume.

Open surgical treatment of anterior pelvic ring fracture or dislocation, unilateral or bilateral, including internal fixation when performed — covers the pubic symphysis and superior/inferior rami.

Open surgical repair of a distal femur fracture involving the medial or lateral condyle, with internal fixation when performed.

Open treatment of a femoral shaft fracture using plate and screw fixation, with or without cerclage wire.

Tibial shaft fracture treated by intramedullary nail insertion, with or without interlocking screws and/or cerclage wire, regardless of concurrent fibular fracture.

Open treatment of a distal radial intra-articular fracture or epiphyseal separation requiring internal fixation of three or more fragments

Surgical repair of a fibula fracture that has failed to heal, performed with internal fixation to restore bony union and stability.

Open surgical repair of a depressed fracture of the frontal sinus, accessed through a direct incision to reduce and stabilize the fractured bone segments.

Open surgical repair of a scapular fracture — body, glenoid, or acromion — with internal fixation hardware such as plates or screws.