2025 CPT code 27125
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Musculoskeletal System Surgery Feed
Partial hip hemiarthroplasty, involving replacement of a portion of the hip joint, typically the femoral head and neck, with a prosthesis.
Modifiers such as 22 (increased procedural services), 50 (bilateral procedure), 52 (reduced services), 76 (repeat procedure by the same physician), and others may apply based on specific circumstances.
Medical necessity for 27125 must be established by demonstrating that conservative treatments have failed to alleviate pain and functional limitations, and that the patient's condition significantly impacts their quality of life.
The physician performs a posterior approach to the hip joint, dissects surrounding muscles, exposes the joint capsule, removes the femoral head and neck, implants the prosthesis, assesses stability and mobility, closes the capsule, ensures hemostasis, and closes the incision in layers.
In simple words: This procedure replaces part of the hip joint with an artificial implant. The damaged ball at the top of the thigh bone is replaced while preserving the natural socket. It aims to improve stability and mobility.
The procedure involves surgical exposure of the hip joint, removal of the damaged femoral head and neck, and implantation of a prosthetic femoral stem or bipolar arthroplasty. This approach preserves the natural acetabulum (socket) while addressing the damaged femoral component.
Example 1: A patient with osteoarthritis of the hip joint, where the femoral head is significantly damaged but the acetabulum is relatively healthy. Partial hip replacement is suitable in such cases., A patient with a femoral neck fracture where the acetabulum is intact. Hemiarthroplasty can restore joint function without replacing the entire hip., A patient who is medically unstable for total hip arthroplasty might be considered for hemiarthroplasty. Bipolar implants offer inherent shock absorption.
Documentation should include patient history, physical exam findings, imaging studies (X-rays, MRI) confirming the diagnosis, operative report detailing the procedure, type of prosthesis used, and any complications encountered.
- Revenue Code: P3B
- Payment Status: Active
- Specialties:Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center