AHA Coding Clinic® for HCPCS - 2020 Issue 1

Total hip arthroplasty removed from inpatient-only list

Effective January 1, 2020, the Centers for Medicare & Medicaid Services (CMS) has removed CPT code 27130, Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty) with or without autograft or allograft, from the Medicare Inpatient Only (IPO) List.  In addition, the anesthesia code associated with code 27130, CPT code 01214, Anesthesia for open procedures involving hip joint; total hip arthroplasty, has also been removed from the IPO List. Please note that all other hip arthroplasty procedures (CPT codes 27120 – 27138), including partial hip replacement (CPT code 27125, Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar...

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