Center for Hip Resurfacing and Joint Replacement
 

 

Fees and Insurance

(Updated 10/25/2011)

VIII.CPT Codes

 
The American Medical Association publishes a set of codes that surgeons are required to use when billing for procedures called “current procedural terminology”. These codes gradually change to reflect changes and advances in surgical techniques. The system often does not provide a code for the latest procedures. When we bill an insurance carrier, they use these codes together with my fee to determine what they will pay on your behalf.  The codes I bill most frequently appear below.


Description

CPT Code

Arthroplasty, acetabular and proximal femoral prosthetic replacement: standard total hip replacement or
total hip surface replacement

27130

Revision total hip replacement: re-doing a hip replacement that has failed

27134, 27137 or 27138

Arthroplasty, knee, medial or lateral compartment: partial knee replacement

27446

Arthroplasty, knee, medial and lateral compartment: total knee replacement

27447

Revision knee replacement: re-doing a knee replacement that has failed

27486, 27487, 27437, 27438

Knee arthroscopy

29871 – 29881
The exact code depends on what is discovered at the time of surgery

     

    END

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