What is CPT Code 27130?: Understanding Hip Replacement Surgery






What is CPT Code 27130?: Understanding Hip Replacement Surgery

CPT code 27130 refers to the process of replacing a worn-out or damaged hip joint with an artificial one, often known as a total hip replacement.

Procedure Explanation:

This surgery involves removing the damaged parts of the hip joint and replacing them with artificial components to restore function and relieve pain. The artificial parts can include the hip socket and the head of the thigh bone. In some cases, the surgeon may use bone grafts from the patient or a donor, but this is not always necessary.

Common Names:

  1. Total Hip Replacement
  2. Hip Arthroplasty
  3. Hip Prosthetic Surgery

Relative Value Units (RVU):

The RVUs associated with this code are 19.6.

How This Procedure Appears:

  • Operating Room Schedule Name: Total Hip Replacement
  • Surgical Consent Form Name: Total Hip Joint Replacement Surgery

Typical Patients and Diagnoses:

This procedure is typically used for patients suffering from severe arthritis, especially osteoarthritis or rheumatoid arthritis, which causes joint pain and immobility. It’s also performed when a hip fracture has occurred and the joint is beyond repair. Similar to if someone experiences constant hip pain and stiffness, limiting everyday activities like walking or putting on shoes and socks.

Associated ICD-10 Codes:

  • M16.0: This code is for primary osteoarthritis of the hip, detailing joint wear and tear that often comes with aging or repetitive stress.
  • S72.001A: Represents a fracture of the head and neck of the femur, a common issue leading to hip replacement after a fall or accident.
  • M16.11: Designates other secondary osteoarthritis of the hip, which may happen due to a disease or condition affecting the hip joint.

Summary

In summary, code 27130 describes the procedure for replacing a worn or damaged hip joint with an artificial one, known as a total hip replacement. Typical ICD-10 codes associated with 27130 include M16.0 (primary osteoarthritis of the hip) and S72.001A (fracture of the femur head and neck).


Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.


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