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    OpenPayerBilling CodesArthrodesis Procedures on the Pelvis and Hip JointCPT cpt-27286-hip-immobilization-with-graft-and-subtrochanteric-osteotomy
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    CPT 27286: Hip Arthrodesis with Autograft and Subtrochanteric Osteotomy

    Medicare pays $1501 on average nationally for this procedure.

    CPT code 27286 describes a surgical procedure for hip arthrodesis with fixation and autograft that includes inducing bone formation in the hip joint and performing a subtrochanteric femoral osteotomy; the service is an open orthopedic reconstructive procedure typically performed in an operating room or inpatient surgical setting for patients requiring surgical immobilization of the hip with internal fixation and autologous bone grafting.

    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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    Table of contents

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    Clinical & Coding Specifications

    Clinical Context

    A 32-year-old adult with a history of developmental dysplasia of the hip and progressive pain and instability presents for surgical reconstruction. Conservative management failed. Preoperative imaging demonstrates femoral deformity with abnormal neck-shaft angle and joint incongruity. The orthopedic surgeon plans a surgical hip arthrodesis with autologous bone grafting and a subtrochanteric osteotomy to correct femoral alignment and stabilize the hip.

    The clinical workflow includes: preoperative assessment and optimization, informed consent specifying autograft harvest site (commonly iliac crest), operative fixation of the hip joint with internal fixation devices, harvest and placement of autogenous bone graft to promote fusion, performance of a subtrochanteric osteotomy to correct femoral deformity, intraoperative fluoroscopy for alignment and hardware placement, postoperative pain control and DVT prophylaxis, inpatient recovery with early mobilization as allowed, and outpatient follow-up for wound checks, radiographic assessment of fusion, and hardware evaluation.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    27130Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty)Alternative surgical option for painful, arthritic hips; may be performed instead of fusion in some patients
    27310Revision of femoral prosthesis, with or without allograft; with total prosthesis removalRelated to cases where prior arthroplasty fails and complex femoral procedures are required prior to fusion or reconstruction
    20937Autograft for spine surgery only — Data not available in the input.Data not available in the input.
    20680Removal of deep implant, complexMay be used if prior hardware must be removed before arthrodesis and osteotomy
    76000Fluoroscopic guidance for therapeutic proceduresIntraoperative fluoroscopy commonly used to confirm alignment and hardware placement during osteotomy and fixation

    Related Modifiers

    8 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…
    23Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…
    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…
    66Modifier 66 (Surgical Team) is used when three or more surgeons act as primary surgeons on a single, highly complex procedure. The AMA defines it for use when a surgical team — often composed of…- Use modifier 66 when three or more surgeons act as primary surgeons working collaboratively as a surgical team on a single, highly complex or difficult procedure (for example organ…
    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…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207X00000X
    207L00000X
    225XG0600X
    213ER0200X
    171W00000X
    207YX0602X
    225XF0002X
    207RG0300X

    Related Payer Policy Updates

    Specialty: Orthopedics/Musculoskeletal1 / 2

    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
    Shoulder Arthroplasty (Total, Partial, Reverse, Revision and Resurfacing)univerahealthcare2026-10-15
    Hip Arthroplasty (partial and total hip replacement)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-27278-SACROILIAC-JOINT-FUSION-PERCUTANEOUS-MINIMALLY-INVASIVE

    CPT 27278: Unilateral Sacroiliac Joint Fusion, Percutaneous

    CPT-27279-SACROILIAC-JOINT-FUSION-PERCUTANEOUS-UNILATERAL

    CPT 27279: Unilateral Minimally Invasive Sacroiliac Joint Fusion

    CPT-27280-SACROILIAC-JOINT-FUSION-OPEN-WITH-AUTOGRAFT

    CPT 27280: Open Sacroiliac Joint Fusion with Autograft

    CPT-27282-PUBIC-SYMPHYSIS-ARTHRODESIS-WITH-AUTOGRAFT-AND-FIXATION

    CPT 27282: Pubic Symphysis Arthrodesis with Autograft and Fixation

    CPT-27284-HIP-ARTHRODESIS-WITH-AUTOGRAFT

    CPT 27284: Hip Arthrodesis with Autograft

    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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