Results 1 to 4 of 4

Revision Hip Replacement/Femur Fracture

  1. Red face Revision Hip Replacement/Femur Fracture
    Medical Coding Books
    Pre-op Dx:
    Periprosthetic right femur fracture
    Total Hip Replacement 4 months prior
    With Shortening Right Lower Extremity

    1. Revision of Right Femoral Stem to Restoration Modular Stem
    2. Extended trochanteric osteotomy for implant removal

    Questions re coding:
    1. CPT 27138 for revision femoral stem

    Implant removal took 1 hour to disimpact, so extended trochanteric osteotomy done.
    Cables placed around femoral stem to protect against further fracture
    Do I charge for "fracture tx" and what CPT or do I modify 27138 with "22" for
    the additional work?

    Need some direction on correct coding.



  2. Unhappy hip revision/femur fracture
    Still waiting for "someone" to reply.

  3. #3
    In my experience, the insurances will most likely not pay for both
    27138 and an Osteotomy as well (although they are not bundled)

    I would be more inclined to bill the 27138 with a -22 modifier and as long as the documentation shows the surgeon spent an excessive amount of time to accomplish the revision and it warrants the 22.

    IMO....good luck

  4. Thumbs up Hip Replacement/Hip Fracture

    I was thinking along those lines, too. This surgery ended up being a 5-hour surgery, so I think the 22 modifier definitely should be added.


Similar Threads

  1. Fracture during Total Hip Replacement
    By madgejones10 in forum Orthopaedics
    Replies: 9
    Last Post: 02-01-2018, 06:36 PM
  2. Removal/Replacement of screw in hip fracture
    By brogdonlawn in forum Orthopaedics
    Replies: 4
    Last Post: 10-02-2012, 09:53 AM
  3. Hip Replacement and fracture femur
    By cwilson3333 in forum Orthopaedics
    Replies: 3
    Last Post: 01-05-2012, 05:55 AM
  4. intraoperative fracture during total hip replacement
    By twosmek in forum Orthopaedics
    Replies: 1
    Last Post: 12-03-2011, 01:48 PM
  5. hip fracture w/ endoscopic replacement
    By vanessa10 in forum Anesthesia
    Replies: 0
    Last Post: 12-17-2009, 04:14 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.