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Documentation should include details of the previous hip surgery, the indication for the current procedure, type of prosthesis used, use of any bone grafts, and any intraoperative complications I recently sent the above series of questions to the ama's cpt panel to get a clearer picture about the correct use of code 27132 (conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft). ** for any previous hip surgery other than total hip arthroplasty, use code 27132 for conversion to total hip arthroplasty.
Cpt code 27130 describes a primary total hip arthroplasty, i.e., the initial replacement of the hip joint with the prosthetic component Or for a patient that had a previous hip pinning, plating, screws, etc., and now presents for a thr Contrarily, cpt code 27132 represents a conversion to total hip arthroplasty or a revision of previous hip surgery to a total hip replacement.
Cpt 27132 refers to the conversion of previous hip surgery to total hip arthroplasty, a surgical procedure aimed at replacing a hip joint that has undergone prior surgical intervention, excluding total hip arthroplasty.
Use this page to view details for the local coverage article for billing and coding The concept of reporting the conversion code versus a primary hip arthroplasty is that the patient has had prior open hip surgery, and the value of the conversion code reflects that the procedure is typically more difficult than a primary arthroplasty procedure. Hip and knee arthroplasty procedures have been under scrutiny by both medicare administrative contractors and recovery audit contractors Although the primary concern has been adequate documentation of medical necessity, accurate coding of primary, revision, and conversion arthroplasty procedures is also important.
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