CPT 27130 · Arthroplasty — Hip · Texas Medicaid
Total Hip Arthroplasty (THA) at Texas Medicaid.
How Texas Medicaid 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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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-02
Policy number
TXMed-Surg-2026Criteria summary
High-level themes from the Texas Medicaid 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: Texas Medicaid Provider Procedures Manual — Surgical Services
See the full Texas Medicaid criteria.
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