CPT 27130 · Arthroplasty — Hip · Humana
Total Hip Arthroplasty (THA) at Humana.
How Humana approaches CPT 27130 (Total Hip Arthroplasty (THA)) for prior-authorization review: at last review on 2025-10-01, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2025-10-01
Policy number
HUM-ORTHO-27130Criteria summary
High-level themes from the Humana 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.
See the full Humana criteria.
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