2025 CPT code 27137

Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft.

Follow all applicable CPT coding guidelines, particularly those related to surgical procedures of the musculoskeletal system and hip arthroplasty revisions. Ensure accurate documentation to support code selection and justify the medical necessity of the procedure.

Modifiers may be applicable depending on the circumstances of the procedure.For example, modifier 52 (reduced services) might be used if only a portion of the described service was performed. Modifier 76 (repeat procedure by the same physician) may be appended if the same physician performs a repeat procedure on the same patient.

Medical necessity for code 27137 is established by clinical documentation showing acetabular component loosening, instability, pain, and/or bone loss, necessitating replacement of the acetabular component.Preoperative radiographs and clinical findings must support the need for the revision procedure. Payer-specific criteria may apply.

The orthopedic surgeon is responsible for performing the entire surgical procedure, including incision, dissection, component removal and replacement, wound closure, and post-operative care.Anesthesiologists and potentially other support staff are also involved.

IMPORTANT 27134 (revision of total hip arthroplasty; both components), 27138 (revision of total hip arthroplasty; femoral component only)

In simple words: The doctor removes and replaces only the socket part of an artificial hip joint.They may also use a bone graft (from the patient or a donor) during this surgery.

This procedure involves the removal of a previously implanted artificial hip joint's acetabular component and its replacement with a new prosthesis.The femoral component remains untouched. An autograft or allograft may or may not be used during the revision surgery. The procedure includes the incision, dissection to the joint capsule, protection of the sciatic nerve, dislocation of the hip joint, removal of the old acetabular component and excess cement, placement of the new component secured with bone cement, and closure of the wound.A drain may be left in place if needed.

Example 1: A 70-year-old female patient presents with loosening of the acetabular component of her total hip arthroplasty (THA) implant after 10 years.Radiographs show progressive radiolucency around the acetabular cup, indicating loosening.The surgeon performs a revision arthroplasty, replacing only the acetabular component.A bone graft was not required., A 65-year-old male patient experiences recurrent dislocation of his THA.During revision surgery, the surgeon identifies significant acetabular bone loss. The surgeon replaces the acetabular component and augments the acetabulum with an allograft., A 55-year-old female patient with a history of rheumatoid arthritis presents with pain and instability related to loosening of her acetabular component.Revision surgery was performed, replacing only the acetabular component and using an autologous bone graft to fill a bone defect around the acetabulum.

Preoperative and postoperative radiographs demonstrating the need for revision; operative report detailing the procedure performed, including the type and amount of bone graft (if any) used; pathology report if a biopsy was taken.

** Always refer to the most current CPT codebook and payer-specific guidelines for the most up-to-date information on coding and reimbursement for this procedure.

  • Revenue Code: P3B (Major Procedure, Orthopedic - Hip Replacement)
  • RVU: The RVUs for this code vary based on geographic location and other factors. Consult your local Medicare fee schedule or other payer's fee schedule for the most accurate RVU values.
  • Global Days : The global period for this procedure would typically be 90 days.This means that any related services within this time frame are usually included in the payment for 27137 unless they are distinct and separately identifiable procedures.This should be verified against your specific payer guidelines.
  • Payment Status: Active
  • Modifier TC rule: A technical component (TC) modifier is typically not applicable to this code as it represents the entire procedure.
  • Fee Schedule : Historical fee schedule data is not available in this source.Refer to payer-specific fee schedules for historical information.
  • Specialties:Orthopedic Surgery
  • Place of Service:Inpatient Hospital, Ambulatory Surgical Center
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