Prior Auth Required

27137 - Revision of total hip arthroplasty; Prior Authorization Required Medical Necessity Submit history and physical, procedure

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceRevision of total hip arthroplasty; Prior Authorization Required Medical Necessity Submit history and physical, procedure
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - allograft necessity. No review needed for members under age 18. 27137 Revision of total hip arthroplasty; Prior Authorization Required Medical Necessity Submit history and physical, procedure acetabular component only, with or without report and documentation of medical autograft or allograft necessity. No review needed for

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.