CPT 27134 · Other Procedure · Independence BCBS PA
Revision THA — Both Components at Independence BCBS PA.
How Independence BCBS PA approaches CPT 27134 (Revision THA — Both Components) for prior-authorization review: at last review on 2026-05-03, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the Independence BCBS PA policy of record for CPT 27134. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
Source: Independence BCBS Medical Policy — Revision Total Hip Arthroplasty — Both Components (CPT 27134)
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