2025 CPT code 27487
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Musculoskeletal System Feed
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component
Modifiers such as 22 (Increased Procedural Services), 50 (Bilateral Procedure), 52 (Reduced Services), 76 (Repeat Procedure or Service by Same Physician), 77 (Repeat Procedure by Another Physician), and others may be applicable depending on the specific circumstances of the case.
Medical necessity for revision total knee arthroplasty is established when the patient experiences significant pain, instability, functional limitations, or infection related to the existing prosthesis that has not responded to conservative treatments.Documentation should clearly demonstrate the clinical rationale for the procedure and its potential benefits.
The surgeon is responsible for pre-operative planning, performing the revision surgery, managing post-operative care, and addressing any potential complications.
In simple words: This is a surgery to replace a worn-out or damaged artificial knee joint.The surgeon removes the old artificial parts and puts in new ones. Sometimes, a bone graft is used to help support the new joint. This is a more complicated surgery than the first knee replacement.
This procedure involves the revision of a total knee arthroplasty, replacing both the femoral and tibial components.The use of an allograft may be necessary depending on the patient's bone condition.The procedure begins with an incision, often following the original surgical scar, and may be extended for adequate access. After moving the patella and tendons aside, the surgeon assesses the joint and removes the old prosthesis and any remaining cement. The bone is then prepared for the new implant, which may involve the use of augments or bone grafts to address any bone loss. The new prosthesis is secured, and the incision is closed.
Example 1: A patient with a previously implanted total knee arthroplasty experiences pain, instability, and decreased range of motion due to loosening of the prosthesis. Revision surgery is performed to remove the old components and implant new ones., Following a total knee arthroplasty, a patient develops a periprosthetic joint infection. Revision surgery is necessary to remove the infected prosthesis, debride the infected tissue, and implant a new prosthesis, potentially in a staged procedure., A patient with a previous total knee replacement experiences significant bone loss around the implant. Revision surgery is performed, utilizing bone grafts or augments to reconstruct the bone and provide stability for the new prosthesis.
Documentation should include operative reports detailing the reasons for revision, the condition of the joint, the type of implants used, any bone grafting or augmentation procedures, and post-operative instructions. Imaging studies, such as X-rays and potentially CT or MRI scans, should be documented. Pre- and post-operative evaluations, including range of motion, pain assessment, and functional status, should be recorded.
- Revenue Code: P3D - MAJOR PROCEDURE, ORTHOPEDIC - OTHER
- Payment Status: Active
- Specialties:Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center