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CPT 27284: Hip Arthrodesis with Autologous Bone Graft
CPT code 27284 denotes surgical hip arthrodesis (fusion) performed with an autologous bone graft. The procedure is used to stabilize the hip joint and eliminate pain by creating a bony fusion between hip articulating surfaces. This code matters nationally because hip arthrodesis, while less common than joint replacement, remains a critical option for complex cases where reconstruction or arthroplasty is unsuitable.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for CPT code 27284, typical sites of service, and how this service is classified for billing purposes. The publication outlines common billing considerations and related code groupings, presents national benchmarks where available, and summarizes relevant policy or coverage themes that affect prior authorization and claims processing.
This executive summary prepares clinicians, coding professionals, and policy analysts to understand where CPT code 27284 fits in surgical orthopedics, which payers commonly adjudicate claims for this service, and what operational and policy topics to expect in the detailed sections that follow. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 27284 describes arthrodesis (fusion) of the hip joint using a bone graft harvested from another site on the patient (autograft). The procedure is a surgical orthopedic intervention aimed at eliminating motion at the hip joint to relieve pain or stabilize the joint.
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Service type: Surgical orthopedic procedure — hip arthrodesis with autologous bone graft
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Typical site of service: Hospital inpatient or hospital outpatient surgical setting; may also be performed in an ambulatory surgery center depending on clinical circumstances