27090 Removal of hip prosthesis
Also known as: hip prosthesis removal, hip implant removal, hip replacement removal
Surgical removal of hip joint prosthesis (implant) with standard extraction technique and appropriate soft tissue handling.
In Plain Language
removing hip replacement; hip implant surgery
Clinical Context
Indicated for infected hip prosthesis, aseptic loosening, or prosthetic failure requiring removal for revision or resurfacing.
RVU Breakdown
| Work RVU | 11.40 |
| Total RVU | 11.40 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 11.40, this code ranks in the 63rd percentile among Surgery codes — 1.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27090?
CPT 27090 (Removal of hip prosthesis) is a Surgery code. Surgical removal of hip joint prosthesis (implant) with standard extraction technique and appropriate soft tissue handling.
What is the wRVU value for CPT 27090?
The work RVU for CPT 27090 is 11.40. This code is primarily used by Orthopedic Surgery, Joint Reconstruction. It has a 90-day global period.
When is CPT 27090 used?
Indicated for infected hip prosthesis, aseptic loosening, or prosthetic failure requiring removal for revision or resurfacing.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.