Reader Question:
Know the Bundling of Adductor Tenotomy and Total Hip
Published on Thu Mar 22, 2012
Question:
Our surgeon performed a conversion of hemiarthroplasty to a total hip but only needed to insert the acetabular component as he was able to utilize the femoral stem. He also performed an adductor tenotomy -- 27000 (Tenotomy, adductor of hip, percutaneous [separate procedure]). Would this be bundled?Florida Subscriber
Answer:
You report 27132 (
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft) for the conversion to total hip from previous hip surgery. You append modifier 52 (
Reduced Services...) because your surgeon only did an acetabular component. According to CCI edits, code 27132 is not bundled with 27000. It is however bundled with 27001 (
Tenotomy, adductor of hip, open). Check the operative note to confirm the open tenotomy.