CPT^® 27091, Under Introduction or Removal Procedures on the Pelvis and Hip Joint

The Current Procedural Terminology (CPT^®) code 27091 as maintained by American Medical Association, is a medical procedural code under the range - Introduction or Removal Procedures on the Pelvis and Hip Joint.

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Summary

In this procedure, the provider surgically removes the total hip prosthesis by breaking the methylmethacrylate, a type of bone cement. He may or may not insert a spacer in the vacant space.

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Total hip replacement infection

27030. "Washout" of infected (or suspected infected) THA. The same is true for TKA and use of 27310 or shoulder 23040. Agree 78. Re: cwilson question above - that turns into the same code 27030 the l... [ Read More ]

Articulating antibiotic spacer

[QUOTE="Paula19, post: 506275, member: 10576"] Thank you but this is not for a revision of an infected total. The patient did not have a total hip. This is his original hip. Any suggestions?? Thank... [ Read More ]

Articulating antibiotic spacer

Look at 27091... [ Read More ]

Total Joint Revisions orthopaedic total hip arthroplasty total knee arthroplasty

I just read the CPT Assistant September 2021 Volume 31 Issue 9 total joint revision scenarios. Am I reading this correctly that they now want first stage hip or knee revisions that use an articulatin... [ Read More ]

Remove femoral head & acetabular ; leave femoral stem

Is this 27091 even though not all components were removed? Cement spacer was inserted . Description... The femoral head was removed. The stem was inspected and found to be well fixed. The acetabular ... [ Read More ]

+20704 ABX Beads at same time as Spacer?

Okay folks...after much more research I found the answer to my own question LOL...it is an issue with the electronic coding book my organization has purchased. See below the parenthetic notes and CPT ... [ Read More ]

+20704 ABX Beads at same time as Spacer?

Hello everyone, I need a little help with new add on code +20704. My provider performed removal of total knee arthroplasty and implanted an antibiotic spacer (27488)...he then also mixed, formed and... [ Read More ]

Explantation hip

The "Key" word here for me is "Complicated". What made this complicated to choose 27091 rather than 27090? If removing the components were routine, nothing complicating the procedure, I would use 2709... [ Read More ]

Explantation hip

Is it 27091 even if the femoral stem is left in place? The femoral head, acetabulum, liner, and screws were all removed. A cement spacer was inserted on top of the stem. Do I need modifier 52 possibl... [ Read More ]

27132 hip conversion

I would like an opinion. Patient had a toal hip replacement 27130, there was an infection. The total hip was removed and antibiotic inplant was inserted. This has happened multiple times, we billed... [ Read More ]

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