2025 CPT code 27134

Revision of total hip arthroplasty, both components, with or without autograft or allograft.

Refer to CPT coding guidelines for proper coding of this and related procedures.

Modifiers may be applicable (e.g., 22 for increased procedural services, 50 for bilateral procedures, 59 for distinct procedural services).As this is an Inpatient Only Procedure, other modifiers (54, 55, 56) will likely not be used.

Medical necessity is established by documenting the patient's symptoms, functional limitations, and failed conservative treatment, along with evidence of prosthesis failure (e.g., loosening, infection, fracture).

The surgeon performs the revision arthroplasty to address problems with the existing hip replacement, such as loosening, infection, or component failure. This requires careful dissection, removal of the old prosthesis, and precise placement and fixation of the new components.

IMPORTANT For revision of only the acetabular component, use 27137. For revision of only the femoral component, use 27138.

In simple words: The surgeon replaces a worn-out or damaged artificial hip joint with a new one. This involves removing the old parts and any cement, then inserting and securing the new hip components, sometimes using a bone graft to rebuild any lost bone.

This procedure involves the removal of a previously implanted artificial hip joint (prosthesis) and its replacement with a new prosthesis, including both the femoral and acetabular components.The use of a bone graft (autograft or allograft) is optional.

Example 1: A patient with a loosened hip implant experiencing pain and instability undergoes revision surgery to replace both components., A patient with a recurrent hip infection requires a two-stage revision, with removal of the infected prosthesis and a temporary spacer followed by implantation of a new prosthesis., A patient with a fractured femur around a well-fixed hip replacement undergoes revision to address the fracture and replace the femoral component.

Documentation should include the reason for revision, operative details (including components removed and implanted, use of bone graft), and any complications encountered. Pre- and postoperative X-rays are also required.

** Revision hip replacement is more complex than primary hip replacement and carries a higher risk of complications. Patient selection and appropriate preoperative planning are essential.

  • Revenue Code: P3B - MAJOR PROCEDURE, ORTHOPEDIC - HIP REPLACEMENT
  • Global Days : Global days are specific to payer policies.
  • Payment Status: Active
  • Modifier TC rule: Modifier TC is not applicable as the surgeon is providing both the technical and professional components.
  • Fee Schedule : Fee schedules vary by year and payer. Consult historical fee schedules for specific information.
  • Specialties:Orthopedic Surgery
  • Place of Service:Inpatient Hospital
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