CPT CODES

CPT Code 27137

CPT code 27137 is for revising a hip joint replacement, detailing the specific surgical procedure for billing and documentation purposes.

Table of Contents
What is CPT Code 27137
Does CPT 27137 Need a Modifier?
CPT Code 27137 Medicare Reimbursement
Are You Being Underpaid for 27137 CPT Code?
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What is CPT Code 27137

CPT code 27137 is used to describe the surgical procedure for revising a hip joint replacement. This code indicates that a healthcare provider is performing a corrective operation on a previously implanted hip prosthesis due to complications such as wear, loosening, or infection. The revision may involve removing the old implant and replacing it with a new one, or it may include additional procedures to address any underlying issues affecting the joint.

Does CPT 27137 Need a Modifier?

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CPT Code 27137 Medicare Reimbursement

CPT code 27137 is reimbursed by Medicare, but the reimbursement is subject to specific conditions outlined in the Medicare Physician Fee Schedule (MPFS). The MPFS provides detailed information on the payment rates for services covered under Medicare Part B. To determine the exact reimbursement rate and any potential coverage limitations for CPT code 27137, healthcare providers should consult the MPFS.

Additionally, it is important to verify the reimbursement details with the respective Medicare Administrative Contractor (MAC) for your region. MACs are responsible for processing Medicare claims and can provide region-specific information regarding coverage and reimbursement for CPT code 27137. Each MAC may have different guidelines or requirements, so it is crucial to stay informed about the policies applicable to your practice location.

Are You Being Underpaid for 27137 CPT Code?

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments down to the CPT code level and by individual payer. With the ability to identify discrepancies for specific codes like 27137, you can ensure that your practice is receiving the full reimbursement it deserves. Schedule a demo today to see how RevFind can streamline your revenue recovery process.

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