VIII. CPT Codes

The American Medical Association publishes a set of codes that surgeons are required to use when billing for procedures called “current procedural terminology”. These codes gradually change to reflect changes and advances in surgical techniques. The system often does not provide a code for the latest procedures. When we bill an insurance carrier, they use these codes together with my fee to determine what they will pay on your behalf. The codes I bill most frequently appear below.

Description CPT Code
Arthroplasty, acetabular and proximal femoral prosthetic replacement:
standard total hip replacement or total hip surface replacement
27130
Revision total hip replacement:
re-doing a hip replacement that has failed
27134, 27137 or 27138
Arthroplasty, knee, medial or lateral compartment:
partial knee replacement
27446
Arthroplasty, knee, medial and lateral compartment:
total knee replacement
27447
Revision knee replacement:
re-doing a knee replacement that has failed

27486, 27487, 27437, 27438

Knee arthroscopy 29871-29881
The exact code depends on what is discovered at the time of surgery

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If you are interested in determining if you are a candidate for surgery, please mail your completed new patient forms to the office and include a digital x-ray.

Dr. Gross will call you back to discuss your options.

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