CPT 27130 · Arthroplasty — Hip · New Jersey Workers' Comp
Total Hip Arthroplasty (THA) at New Jersey Workers' Comp.
How New Jersey Workers' Comp approaches CPT 27130 (Total Hip Arthroplasty (THA)) for prior-authorization review: at last review on 2026-05-02, the policy covers this code with prior authorization required.
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NJWC-2026Criteria summary
High-level themes from the New Jersey Workers' Comp policy of record for CPT 27130. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 16 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: NJ Workers' Comp Court — ODG-aligned utilization review
See the full New Jersey Workers' Comp criteria.
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