Core Decompression 27299

CPT Technique
Indications Complications
Contraindications Follow-up Care / Rehab Protocol
Alternatives Outcomes
Pre-op Planning / Case Card Review References


Core Decompression CPT

  • CPT=27299: compare to 27071: or use s2325(s codes are not recognized by medicare)
  • 27071 Partial excision, wing of ilium, symphysis pubis or greater trochanter or femur, craterization, saucerixation) eg osteomyelitis or bone abscess; deep subfascial or intramuscula

 Core Decompression Indications

  • stage I or IIa disease

Core Decompression Contraindications

  • >Stage III disease

Core Decompression Alternatives

  • Vascularized fibular grafting
  • THA

Core Decompression Pre-op Planning

Core Decompression Technique

  • Core Decompression - removal of 8-10mm core of bone from femoral head and neck. 

Core Decompression Complications

  • Contiinued symptoms
  • Progressive colapse and arthritis
  • Infection
  • DVT / PE

Core Decompression Follow-up care

  • Post-op: Non-weight bearing
  • 7-10 Days: 6weeks protected weight-bearing post-op.  Wound check.
  • 3 Weeks:
  • 6 Weeks: May begin weight bearing:
  • 3 Months:Follow up xrays.
  • 6 Months:
  • 1Yr:

Core Decompression Outcomes

  • Often provides prompt relief of pain.  64% achieve satisfactory clinical results compared to 23% for those treated non-surgically. prognosis is better the earlier the lesion is found and the smaller the lesion.   (Bozic JBJS 1999;81A:200)

Core Decompression Review References

  • (Bozic JBJS 1999;81A:200)