Revision of femoral stem with orif of proximal femur fracture

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Wondering if anyone has had this scenario before or has advice? Patient is three weeks out from anterior tha and fell resulting in loose stem. The stem was revised reamed up twice for stability of the fracture that extended down and cables wouldn't be enough. Would you code 27138 with 27245 or 27138 with a 22 modifier? Help!
 
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