February 16, 2017

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 codes without manipulation. They replaced 27194 with 27198, both codes with manipulation.

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 of posterior pelvic ring fracture(S), dislocation(S), and diastasis or subluxation of 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 that evaluation and management codes 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.