CPT 27134 · Other Procedure · Medicare (Novitas MAC)
Revision THA — Both Components at Medicare (Novitas MAC).
How Medicare (Novitas MAC) approaches CPT 27134 (Revision THA — Both Components) for prior-authorization review: at last review on 2026-05-09, the policy covers this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
Criteria summary
High-level themes from the Medicare (Novitas MAC) 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: Novitas — 27134 revision THA, governed by HOPD prior-authorization (no stand-alone LCD)
See the full Medicare (Novitas MAC) criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →