Orthopedic Coding Alert

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Use Evidence of Prior Tx, Proper Dx to Cement Hip Replacements

Some payers want to see what you’ve done before opting for 27125, 27130. Coders that are reporting partial or total hip replacements might want to check with their payers to see if there’s a documentation requirement for 27125 (Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)) or 27130 (Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with [...]
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