Hemiarthroplasty

cwilson3333

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Hamilton, VA
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Patient scheduled for: Hemiarthroplasty, Femoral Fracture, 10 months ago.

Scheduled procedure was CPT 27125. During procedure, discovered the acetabulum
was also fractured, but bone was too brittle, and could not be reconstructed, so decision was made to either do resection arthroplasty of acetabulum or fixation with cup, and cup procedure was selected.

Operative note now says "Total Hip Replacement", with complications of anterior acetabular wall fracture.

Can this be code as a 27130 or am I looking at 2 procedures? I know I use 27236 when there is prosthetic replacement due to femoral fracture.

Need a refresher on this one.

Thanks
CW
 
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