CPT codes 27193 and 27194 have been deleted and replaced with codes 27197 and 27198.
The new codes clarify that it is for posterior pelvic ring fracture(s).
27197 – Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or dislocation(s) of the pubic symphysis and/or superior/inferior rami, unilateral or bilateral; without manipulation.
27198 – with manipulation, requiring more than local anesthesia (i.e., general anesthesia, moderate sedation, spinal/epidural).
Anterior only pelvic ring fracture(s) should be reported with the appropriate E&M code.
In addition, the global period for the new codes is 0 days. The previous codes had a global period of 90 days. This change was due to the fact it is performed in the office 25% of the time.