CPT 27132 · Procedure (templated) · Medicare (CGS MAC)
THA Conversion (from Prior Hemi or Surface Replacement) at Medicare (CGS MAC).
How Medicare (CGS MAC) approaches CPT 27132 (THA Conversion (from Prior Hemi or Surface Replacement)) 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
Criteria summary
High-level themes from the Medicare (CGS MAC) policy of record for CPT 27132. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 6 weeks of conservative care typically required.
- Imaging concordance documentation required.
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