CPT 27130 · Other Procedure · Medicare (NGS MAC)
Total Hip Arthroplasty (THA) at Medicare (NGS MAC).
How Medicare (NGS MAC) approaches CPT 27130 (Total Hip Arthroplasty (THA)) for prior-authorization review: at last review on 2025-02-01, the policy covers this code without prior authorization.
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Coverage
Covered
Prior auth
No prior auth
Last reviewed
2025-02-01
Policy number
NGS-OPD-PACriteria summary
High-level themes from the Medicare (NGS MAC) policy of record for CPT 27130. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
Source: National Government Services (NGS) — OPD Prior Authorization Process
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