CPT 27130 · Other Procedure · Florida Blue
Total Hip Arthroplasty (THA) at Florida Blue.
How Florida Blue approaches CPT 27130 (Total Hip Arthroplasty (THA)) for prior-authorization review: at last review on 2025-12-01, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2025-12-01
Policy number
MCG 02-20000-50Criteria summary
High-level themes from the Florida Blue policy of record for CPT 27130. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 12 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: Florida Blue Medical Coverage Guideline — Hip Arthroplasty (MCG 02-20000-50)
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