RebeccaMoney
Expert
I need help with CPT(s) on the following procedure. An elderly man recently had a THA and fell sustaining a periprosthetic fx of the medial calcar wall with displacement of his femoral prosthesis. Procedure: Left Total hip revision with long stem femoral component and cabling calcar fx. The op note talks about dislocating the hip and took out the femoral head ball. We could see the medial calcar fx with displacement and removed the femoral components.We placed a trial component proximal portion in slight anteversion. We reduced this and placed two Isoelastic cerclage system wires, 1 distal and 1 proximal. Two more locking Isoelastic cerclage system cables were placed and reduced. We then removed the trial components. We copiously irrigated out and placed in the actual 150mm of distal component. Doctor gave me two codes : 27138 and 27269. Do you agree that both of these would be billable for this procedure? Thank you,