Coding With 27193

Question:

My coder just said they deleted 27193 and replaced with 2 small no global period codes? Is that correct?

Answer:

They didn’t really replace it with 2 codes, they replaced 27193 with 27197…both codeswithoutmanipulation. They replaced 27194 with 27198, both codeswithmanipulation.

Notice the difference in the language for the non-manipulative treatment:

DELETED: 27193 Closed treatment of pelvic ring fracture, dislocation, diastasis or subluxation without manipulation was replaced with

NEW: 27197 Closed treatment ofposteriorpelvic ring fracture(S), dislocation(S), and diastasis or subluxationof the ilium, sacroiliac joint, and /or dislocation(S) of the pubic symphysis and/or superior/inferior rami, unilateral or bilateral; without manipulation.

Note that both new codes have 0 global days, a big change for the 90 day global period of the deleted codes. There is also a notation thatevaluation and managementcodes should be used in place of the global code to report the closed treatment of ONLY anterior pelvic ring fracture(s) and or dislocation(s) pubic symphysis and/or superior/inferior rami, unilateral or bilateral; without manipulation.

*This response is based on the best information available as of 02/16/17.