When performing the treatment of an intertrochanteric hip fracture, the surgeon used fluoroscopic guidance to place a locking screw proximally through stab incisions using C-arm guidance. Anteroposterior and lateral C-arm images showed the fracture to be in excellent position. Is it appropriate to report code 76000 (REVISED IN 2013), Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time, other than 71023 or 71034 (eg, cardiac fluoroscopy), in addition to code 27245 , Treatment of intertrochanteric, peritrochanteric, or sub-trochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage, for the fracture treatment? ...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This Find-A-Code article discusses a CPT coding question involving intraoperative fluoroscopic guidance during surgical treatment of an intertrochanteric hip fracture. It is useful for coders, billers, and orthopedic practices reviewing imaging services provided during fracture repair and understanding how bundled services are handled in a surgical case. The article focuses on a specific reporting question and the rationale behind the coding determination.

Why This Topic Matters

Accurate reporting of imaging performed during surgery affects claim compliance, coding consistency, and avoidance of inappropriate separate billing. This topic is especially relevant to orthopedic coding and operative documentation review.

Codes Discussed

• CPT: 76000
• CPT: 27245

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