CPT^® 27130, Under Repair, Revision, and/or Reconstruction Procedures on the Pelvis and Hip Joint

The Current Procedural Terminology (CPT^®) code 27130 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Pelvis and Hip Joint.

Additional/Related Information

Tabs

Summary

In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or allograft.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 27130 ? Start a discussion here

Total Joint Replacement

Hi, If you look in the index of your CPT book under the term "Total Procedures", you can find some of your answers there. Some of the frequent "total" codes I use are: elbow replacement (24363), hip a... [ Read More ]

HELP - CPT for total femur

No, a total femoral replacement is a limb salvage procedure (maybe the patient had major trauma and is facing an amputation) and/or for things like osteosarcoma. These are very complicated procedures.... [ Read More ]

Medicaid Denial? help

Do you have an anatomical modifier on CPT 27130? If this is a physician claim make sure modifier 51/59 is on 20985 depending on documentation.... [ Read More ]

Medicaid Denial? help

Code 20985 is coming back from Superior Medicaid denying for missing HCPCS modifier. Would anyone know what that might be? Primary code is 27130 and secondary is 20985... help is appreciated. Thank yo... [ Read More ]

Changes for CPT 27132/27130

That makes zero sense. I think they are being misinformed or the information was not understood properly. The IPO list has nothing to do with the description of a CPT code or whether the CPT descripti... [ Read More ]

Changes for CPT 27132/27130

[COLOR=rgb(184, 49, 47)]Good morning coders! I have a question.....my surgeons are being told by our local hospital that the IPO list for 2022 has changed the CPT codes for a total hip arthroplasty an... [ Read More ]

Assistant at Surgery - Global Period

Do you mean a scenario in which the group practice has a surgeon A using surgeon B as an assistant? Then, surgeon B sees the patient during the global period for a post operative visit and no other un... [ Read More ]

27137-78 with 27130 occurring on same day

I am expecting that reimbursement would only be for 27137. Can anyone advise? Poor alignment/centering was found on the arthroplasty post-op x-ray prompting the surgeon to take the patient back to the... [ Read More ]

27137-78 with 27130, same day

Is this possible for reimbursement? Any suggestions? Initial post-op x-ray found movement of alignment/centering of femoral prosthetic undesirable, may have caused dislocation. Return to OR was done t... [ Read More ]

Hemiarthroplasty Help

It's not really the technique, it's the "why" (diagnosis) when it comes to hemi. When the hemi is for fracture treatment it's 27236. When the hemi is for arthritis or usually a dx from the M section (... [ Read More ]

View All