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    OpenPayerBilling CodesRepair, Revision, and/or Reconstruction Procedures on the Pelvis and Hip JointCPT cpt-27132-revision-total-hip-arthroplasty-both-components
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    CPT 27132: Revision Total Hip Arthroplasty, Femoral and Acetabular Component Replacement

    Medicare pays $1525 and commercial payers pay $7067 on average nationally for this procedure.

    CPT code 27132 describes a revision total hip arthroplasty procedure in which a previously operated hip joint (not a primary total hip arthroplasty) is exposed and both the femoral and acetabular components are replaced with prosthetic components, with or without use of autograft or allograft; service type: surgical — revision total hip replacement; typical site of service: inpatient hospital or ambulatory surgical center for orthopedic reconstructive surgery.

    For related coverage guidance, see recent payer policy updates: Orthopedic Joint Procedures of the Knee for Managed Medicaid (MMC), Health and Recovery Plan (HARP), Child Health Plus (CHP), and Essential Plan (EP) Members, Autologous Chondrocyte Transplantation or Implantation Corporate Medical Policy, Autologous Platelet-Derived Growth Factors (Platelet-Rich Plasma [PRP]).

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    National Reimbursement Benchmarks

    Nationally, Medicare’s mean rate of $1,524.50 sits below BUCA’s average commercial mean of $7,067.00, indicating substantial upward pressure in commercial negotiated levels versus the Medicare baseline. The gap between Medicare and BUCA is $5,542.50, reflecting that commercial contractual norms for this CPT code are several times higher than the federal program average across localities. This contrast highlights payer-type differences rather than local variation within Medicare, which has a clustered interquartile span around its $1,504 median locality value.

    Dispersion (P75–P25) varies meaningfully across payers: Blue Cross Blue Shield shows the widest IQR at $11,584.90 ($15,284.90 − $3,701.50), followed by BUCA with $7,351.80 ($10,014.60 − $2,663.20). UnitedHealth Group’s IQR is $1,806.40, Aetna’s is $1,441.10, and Cigna’s is $1,873.60, making Aetna the tightest among those with reported quartiles while Blue Cross Blue Shield is the most dispersed.

    National Payer Mean Reimbursement Rates

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    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 62-year-old patient with a prior hip-preserving surgery for a benign neoplasm of the proximal femur now presents with progressive hip pain, mechanical dysfunction, and radiographic evidence of joint destruction. The patient has a history of prior open hip surgery (internal fixation and tumor excision) and now requires removal of damaged native articular surfaces and replacement with a total hip prosthesis. Preoperative workup includes orthopedic evaluation, staging of oncologic diagnosis when applicable, medical clearance, imaging (AP pelvis, frog-leg lateral, CT or MRI when needed), and discussion of risks including infection and need for bone graft (autograft/allograft). The surgical workflow includes exposure through prior surgical scar and altered anatomy, removal of residual hardware or heterotopic bone as indicated, preparation of the acetabulum and femoral canal, insertion of acetabular and femoral prosthetic components (with or without bone graft), intraoperative assessment of stability and leg length, and multilayer closure. Postoperative care involves inpatient monitoring for neurovascular status and blood loss, pain control, venous thromboembolism prophylaxis, early mobilization with physical therapy, and coordination of follow-up for wound checks and radiographic evaluation. Typical site of service: hospital inpatient or hospital outpatient surgery center for complex revision-type exposure; typical service type: major orthopedic reconstructive surgery (total hip replacement after prior non-arthroplasty hip surgery). Typical patient scenario: replacement of both femoral and acetabular components for symptomatic joint destruction after prior hip surgery for tumor or trauma, where diagnosis codes such as D16.21, C49.21, or L40.50 may be present depending on underlying pathology.

    Related CPT Codes

    CPT Code

    Related Modifiers

    11 rows

    ModifierDescriptionWhen to Use
    22Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
    26Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
    50Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
    51Modifier –51 (Multiple Procedures) is used when the same provider performs multiple procedures in the same session to identify secondary, non‑exempt procedures and indicate payment reduction logic…- Use modifier -51 when the same provider performs multiple distinct procedures during the same patient encounter: report the highest‑valued procedure first (no modifier) and append -51 to…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    78CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
    79Modifier 79 indicates a surgical procedure performed during the postoperative global period of a prior surgery that is unrelated to the original procedure. Per AMA/CPT and CMS guidance, it is…- Use modifier 79 when the same physician (or same‑specialty physician in the same group) performs a surgical procedure during the postoperative global period of a prior surgery and the new procedure…
    80CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…

    Showing 1–10 of 11

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207X00000X
    207XS0114X
    207XX0004X
    146M00000X
    207VX0000X
    225XE1200X
    103TR0400X
    363LA2200X

    Related Payer Policy Updates

    Specialty: Orthopedics/Musculoskeletal1 / 3

    10 rows

    PolicyPayerEffective Date
    Orthopedic Joint Procedures of the Knee for Managed Medicaid (MMC), Health and Recovery Plan (HARP), Child Health Plus (CHP), and Essential Plan (EP) Membersuniverahealthcare2027-01-01
    Autologous Chondrocyte Transplantation or Implantation Corporate Medical Policybcbsvermont2026-12-01
    Autologous Platelet-Derived Growth Factors (Platelet-Rich Plasma [PRP])Cigna2026-10-15
    Metatarsophalangeal Joint ReplacementCigna2026-10-15
    Hip Arthroplasty (partial and total hip replacement)univerahealthcare2026-10-15
    Shoulder Arthroplasty (Total, Partial, Reverse, Revision and Resurfacing)univerahealthcare2026-10-15
    Artificial Lumbar Intervertebral Disc (Lumbar Total Disc Arthroplasty)univerahealthcare2026-10-15
    Osteochondral Grafting of the Kneeuniverahealthcare2026-10-15
    Lumbar Fusion (arthrodesis) with decompressionuniverahealthcare2026-10-15
    Metal-on-Metal Total Hip Resurfacinguniverahealthcare2026-10-15

    Related Codes

    CPT-27097-HAMSTRING-PROXIMAL-RELEASE

    CPT 27097: Proximal Hamstring Release

    CPT-27098-ADDUCTOR-TENDON-TRANSFER-ISCHIAL-REATTACHMENT

    CPT 27098: Adductor Tendon Transfer to Ischium

    CPT-27100-EXTERNAL-OBLIQUE-TRANSFER-HIP-ABDUCTOR-RECONSTRUCTION

    CPT 27100: External Oblique Muscle Transfer to Greater Trochanter

    CPT-27105-PARASPINAL-MUSCLE-TRANSFER-TO-HIP-RECONSTRUCTIVE

    CPT 27105: Paraspinal Muscle Transfer to Hip with Fascial/Tendon Graft

    CPT-27110-ILIOPSOAS-TRANSFER-GREATER-TROCHANTER

    CPT 27110: Iliopsoas Transfer from Lesser to Greater Trochanter

    CPT-27111-ILIOPSOAS-TRANSFER-FEMORAL-NECK-HIP-STABILITY

    CPT 27111: Iliopsoas Transfer to Femoral Neck for Hip Stability

    CPT-27120-ACETABULOPLASTY-HIP-RECONSTRUCTION

    CPT 27120: Acetabuloplasty of Hip Socket

    CPT-27122-ACETABULOPLASTY-AND-FEMORAL-HEAD-RESECTION

    CPT 27122: Acetabuloplasty with Femoral Head Resection

    CPT-27125-FEMORAL-HEAD-REPLACEMENT-HEMIARTHROPLASTY-STABILIZATION

    CPT 27125: Hip Hemiarthroplasty, Femoral Head Replacement

    CPT-27130-TOTAL-HIP-ARTHROPLASTY-BOTH-COMPONENTS

    CPT 27130: Total Hip Arthroplasty, Both Components

    Showing 1–10 of 30

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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    Description
    Relationship to This Procedure
    27091Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacerMay be performed immediately prior to or as part of a staged exchange when explantation of prior prosthesis or complex hardware removal is required.
    27165Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or castMay be performed concomitantly or in a staged fashion to correct deformity or adjust femoral alignment/leg length during reconstructive hip surgery.