The ins and outs of coding for hip resurfacing

By Mary LeGrand, RN, MA, CCS-P, CPC, with M. Bradford Henley, MD, MBA; Frank R. Voss, MD; Kevin J. Bozic, MD, MBA; Robert L. Barrack, MD; and Thomas P. Schmalzried, MD

Coding for a total hip arthroplasty using resurfacing implants was last addressed in the October 2005 AAOS Bulletin. At that time, the AAOS Coding, Coverage, and Reimbursement Committee recommended using the hemiarthroplasty code when only the femoral side of the joint was replaced.

But what code or codes should be reported when both the femoral head and acetabulum are treated with resurfacing implants? A discussion of these procedures and the current CPT codes available for consideration can help answer that question.

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