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Thread: intent of 27132

  1. #1

    Unhappy intent of 27132

    AAPC: Back to School
    Patient is status post corrective intramedullary osteotomy of proximal femur for realignment for a bowing deformity. Now requires a THR for OA and developmental dysplasia. While the discription for 27132 THR is conversion of previous HIP surgery to total hip, I have seen that the intent of 27132 in regards to previous surgery covers any previous SURGERY (hip not being specified), where a skin incision was made. Would 27132 be appropriate under these circumstances?

  2. #2


    According to the CPT Assistant 27132 is used when there has been "previous major reconstructive surgery". If left open for interpretation I would say that you could use it, especially if there was an implant involved in the prior surgery.
    Bruce Crandall, CPC
    North Carolina Specialty Hospital
    Durham, NC

  3. #3


    Thanks Bruce

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