CPT 27134 · Arthroplasty — Hip · BCBS Texas
Revision THA — Both Components at BCBS Texas.
How BCBS Texas approaches CPT 27134 (Revision THA — Both Components) 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
SUR703.029Criteria summary
High-level themes from the BCBS Texas policy of record for CPT 27134. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
- Prior diagnostic procedure documentation required.
Source: BCBS Texas (HCSC) Medical Policy — Total Joint Arthroplasty
See the full BCBS Texas criteria.
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