Modifier Help with 27134

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I have a Right Total Hip Arthroplasty (failed THA) to bill with the acetabular liner only and femoral component replaced. I have researched and found that the best CPT for this is 27134 with the modifier 52; however the surgeon would like to bill a modifier 22 for additional time > 50% due to morbid obesity of patient. Can I bill the 27134 with both modifiers or if not, what is my best option for the highest reimbursement?

Thank you,
 
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