CPT 27130, cpt code 27130, 27130 cpt code

CPT 27130 | Total Hip Arthroplasty | With Or Without Autograft/Allograft

CPT code 27130 reports a surgical procedure for total hip replacement. The procedure involves replacing the acetabulum and proximal femur with a prosthetic implant and may include autograft or allograft bone grafts.

What Is CPT Code 27130?

CPT code 27130 describes a total hip replacement surgery. This procedure involves replacing the acetabulum (hip socket) and the proximal femur (upper part of the thigh bone) with a prosthetic implant.

The prosthesis can be made of different materials and designs, but the most common ones are metal-on-polyethylene and ceramic-on-ceramic prostheses.

Code 27130 refers explicitly to the use of autograft or allograft, which are bone grafts used to supplement the bone during the surgical procedure. An autograft is a bone graft taken from the patient’s body, while an allograft is a bone graft taken from a cadaver.

An orthopedic surgeon performs the procedure. First, they make an incision in the hip and carefully dislocates the hip joint to access the joint more easily.

The damaged parts of the joint are then removed, and the prosthetic implant is inserted and secured with bone cement and possibly a graft. CPT code 27130 covers the surgical procedure and the implant used.

Description

The CPT book describes CPT code 27130 as: “Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft.”

Procedure

The hip joint replacement procedure, also known as total hip arthroplasty, is a surgical procedure that aims to alleviate pain and improve the function of the hip joint in patients who have hip arthritis or other conditions that cause severe hip pain and disability.

The procedure involves replacing the hip joint’s femoral and acetabular components with a prosthesis, an artificial joint made of metal and plastic.

The prosthesis can be made of different materials and designs, but the most common ones are metal-on-polyethylene and ceramic-on-ceramic prostheses.

The 27130 procedure begins with the patient being prepped and anesthetized for surgery.

The provider then makes an incision in the skin of the hip joint, typically in the posterior or anterior approach, and dissects down through the subcutaneous tissue to reach the hip joint capsule.

The provider carefully identifies and protects the sciatic nerve, a large nerve that runs down the back of the thigh and controls the leg muscles. The soft tissue surrounding the hip joint is then released to expose the joint.

The next step is manually dislocating the hip joint, separating the femoral component from the acetabulum.

This is done by pulling the femur out of the hip socket, which allows the provider to access the joint more easily.

Once the joint is dislocated, the provider uses a saw to remove the femoral head from the end of the femur. This is the ball-shaped part of the joint that sits in the hip socket.

The next step is to prepare the acetabulum for the acetabular prosthesis. This is done using a reamer, a type of surgical cutting tool, to create a perfect hemispherical bone socket that matches the shape of the acetabular prosthesis.

The provider uses the reamer to remove the damaged cartilage and bone from the hip socket and create a smooth surface for the prosthesis. The acetabular prosthetic component is then placed in the socket and secured with bone cement and possibly a graft.

The femoral shaft is also prepared for the femoral prosthesis. This is done by using a reamer or rasp to create a canal in the femur that will hold the femoral prosthetic stem.

The femoral prosthetic stem is inserted into the femoral shaft and affixed with bone cement.

Once the acetabular and femoral prosthetic components are in place, the provider reunites the two components using a graft, if appropriate, and cement.

The hip joint is then reduced by moving it back into its normal alignment. This step is critical to ensure that the prosthesis functions correctly and that the patient’s hip is appropriately aligned.

Finally, the provider irrigates the wound with an antibiotic solution to prevent infection and closes the wound in layers.

The provider may also leave a drain to remove any excess fluid or blood accumulated in the wound after surgery. A

After the procedure, the patient is placed in a hip brace or a special bed to keep the hip immobilized while it heals. Physical therapy is usually started within a few days after surgery to help the patient regain range of motion and strength in the hip.

How To Use CPT 27130

You can use CPT code 27130 if the provider is performed a total hip replacement surgery for the first time, with or without an autograft or allograft.

You can use CPT 27132 when the provider performs total hip arthroplasty on a hip that has undergone previous surgery.

You can use CPT 27134 instead when the provider performs revision arthroplasty of the hip by replacing both femoral and acetabular components.

Report CPT code 27137 when the provider performs revision arthroplasty of the hip by replacing only the acetabular component with or without an autograft or allograft.

CPT code 27138 can be billed when the provider performs revision arthroplasty of the hip by replacing only the femoral component with or without an autograft or allograft.

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