CPT code 27138 refers to a surgical procedure that involves replacing part of a worn-out artificial hip joint, specifically the part inside the thigh bone, also known as the femur.
Procedure Explanation:
This surgery is performed when the femoral component of a previously replaced hip joint needs to be removed and replaced. Sometimes, additional support material called an allograft, which is a part from a donor, may or may not be used during the surgery. The procedure targets only a specific part of the hip joint—the femur—rather than the entire hip joint.
Common Names:
- Partial Hip Revision
- Femoral Component Revision
- Hip Implant Replacement
Relative Value Units (RVU):
The RVUs associated with this code are 23.7.
How This Procedure Appears:
- Operating Room Schedule Name: Femur Part Hip Replacement
- Surgical Consent Form Name: Revision of Artificial Hip Joint – Femoral Part
Typical Patients and Diagnoses:
This surgery is often performed on patients who already have an artificial hip and are experiencing issues like pain, loosening, or wear and tear of the thigh bone part of that joint. For instance, older adults who had a hip replacement several years ago might experience such complications, making them candidates for this procedure.
Associated ICD-10 Codes:
- T84.03: Mechanical failure of internal prosthetic joint, such as the hip joint becoming unstable or breaking.
- T84.012: Dislocation of the internal prosthetic joint, involving one part of the artificial hip moving out of place.
- M25.551: Pain in the hip, especially when the hip joint has been replaced and the patient continues to experience discomfort.
Summary
In summary, code 27138 describes a surgery to replace the femoral part of a hip implant, typically due to failure or complications. Typical ICD-10 codes associated with 27138 include T84.03 (Mechanical failure of internal prosthetic joint) and T84.012 (Dislocation of the internal prosthetic joint).
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.