We have a patient who is being scheduled for surgery and we’re trying to figure out a code so we can obtain authorization with insurance. The patient is going to be having a total hip arthroplasty (THA) and removal of a deep screw that was used for fixation of a previous hip fracture. My physician thinks we should bill 27130 for the THA with 20680 for hardware removal.

My gut is telling me that there is a more specific code for the two being performed together. I could’ve sworn I saw a code for this type of situation before but cannot remember exactly where.

I can only seem to find 27132 for "Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft "

Does anyone have any ideas or help?

Thank you!