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hemi to total

  1. Smile hemi to total
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    Patient had a hemiarthroplasty.

    We removed the bipolar component and femoral head

    we then inserted a cup and placed a femoral head on the stem

    I am confused. Ordinarily doing a hemi to total hip, I would use 27132
    However, it doesn't seem like there is a femoral stem being placed, just the cup and
    femoral head.

    Would appreciate your thoughts. As I said, this has confused me. Would I still
    use 27132 ?

  2. #2
    Default
    Quote Originally Posted by mousehouse1 View Post
    Patient had a hemiarthroplasty.

    We removed the bipolar component and femoral head

    we then inserted a cup and placed a femoral head on the stem

    I am confused. Ordinarily doing a hemi to total hip, I would use 27132
    However, it doesn't seem like there is a femoral stem being placed, just the cup and
    femoral head.

    Would appreciate your thoughts. As I said, this has confused me. Would I still
    use 27132 ?
    What if you put 52 mod on 27132 ?

  3. Default You are correct.......
    You would only need to use 27132. The only difference between a total and a hemi is the acetabulum reaming and prosthesis. You only need a shell, liner and femoral head. The stem need not be replaced at all.
    According the 2011 Procedures manual, code 27132 states: "The physician performs a conversion of a previous hip surgery to a total hip replacement. Total hip replacement is a replacement of both the femoral head and acetabulum."
    Happy coding!

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