Question Help Conversion codes HIP,Knee

ortho1991

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Will someone comment on this? If pt had a hip surgery intramedullary rod placed but hardware was removed at a later time and now is coming back years later for a total hip surgery would this be a conversion 27132 of just a total hip 27130 because the hardware from the first surgery had already been removed and healed? Any comments or articles you can suggest will be very much appreciated Thanks
 
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CPT 27132. CPT Assistant September 2017, Volume 27, Issue 9. Under Frequently asked questions, addresses this question and provides the answer CPT 27132.

Question: Is it appropriate to report code 27132 when the surgeon is converting a hemiarthroplasty to a total hip arthroplasty? The patient had a previous hemiarthroplasty, femoral component that was being revised/replaced with additional placement of the acetabular component. Answer: Yes, code 27132, Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft, applies to any previous hip surgery (except total hip arthroplasty) in the patient’s surgical history in which a skin incision was made. To illustrate, if the patient had a previous hip surgery (eg, fracture fixation, hip pinning for a slipped capital femoral epiphysis, or osteotomy), the performance of a hip surgery to convert the prior surgery to a total hip arthroplasty, it would be reported with code 27132. Removal of any old hardware is considered an intraprocedural component of code 27132 and, therefore, it would not be reported separately
 
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