CPT^® 27134, Under Repair, Revision, and/or Reconstruction Procedures on the Pelvis and Hip Joint

The Current Procedural Terminology (CPT^®) code 27134 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.

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Summary

In this procedure, the provider removes a previously implanted artificial hip joint or prosthesis and replaces it with a new prosthesis. He replaces both the femoral and acetabular components. He may or may not use a graft for the revision surgery.

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1 stage exchange - Total Hip Revision, complicated

[QUOTE="Stewart7127, post: 514895, member: 760945"] Thank you for your insight!! We were able to give him the bone biopsy code, he did both bones (femur and acetabulum). No medicated spacers were used... [ Read More ]

1 stage exchange - Total Hip Revision, complicated

[QUOTE="amyjph, post: 514887, member: 172045"] A 22 is what you would need provided it is explained and justfied in the operative report. You would have to track the claim after to follow the reimburs... [ Read More ]

1 stage exchange - Total Hip Revision, complicated

A 22 is what you would need provided it is explained and justfied in the operative report. You would have to track the claim after to follow the reimbursement. There's nothing else to call it except 2... [ Read More ]

1 stage exchange - Total Hip Revision, complicated hip replacement orthopaedics revision

Hello! I work at an orthopedic group and this is the first time I'm hearing of this. I will insert the doctor's description of the surgery farther down, but essentially they do a 2-stage revision for ... [ Read More ]

Denial for CPT 27134 Help

In December I coded CPT 27134 for the surgeon and the assist. According to Noridian Medicare, this is covered for the assist. So, now I've received two denials saying the surgeon's claim is bumping ... [ 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 ]

NEED HELP! Failed Reduction, return to OR for revision THA

Good Morning!! I need assistance about this scenario I have encountered and I need guidance. A provider of mine had a patient that dislocated her Total Hip Arthroplasty, presented to the ER and the ... [ Read More ]

Periprosthtic fracture left femur

I am not sure you can report that separately with the 27134. Is it the greater trochanter? If so look at 27248, however, it hits NCCI edits. (Depending on payer). Also, it says attempt was made but th... [ Read More ]

Periprosthtic fracture left femur

Patient with total hip arthroplasty, [B]fell[/B] and has trochanteric fracture left hip [periprosthetic] Comminuted Title of Procedure: Revision hip arthroplasty with trochanteric fixation of left hi... [ Read More ]

is it correct to report 27265 for a hemi hip?

I have a case where the patient has a hemi arthroplasty placed because of a fx. The code that was originally used was 27236. They are now coming back in because of a dislocation on this hemi hip. My p... [ Read More ]

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