27091 Removal of hip prosthesis
Also known as: complex hip prosthesis removal, revision hip removal, difficult hip implant removal
Surgical removal of hip joint prosthesis with complex extraction including removal of bone ingrowth or cementing material.
In Plain Language
removing firmly attached hip replacement; complex hip implant removal
Clinical Context
Used for difficult hip prosthesis removal with significant bone ingrowth, cementing material, or extensive soft tissue involvement.
RVU Breakdown
| Work RVU | 23.74 |
| Total RVU | 23.74 |
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 23.74, this code ranks in the 87th percentile among Surgery codes — 3.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27091?
CPT 27091 (Removal of hip prosthesis) is a Surgery code. Surgical removal of hip joint prosthesis with complex extraction including removal of bone ingrowth or cementing material.
What is the wRVU value for CPT 27091?
The work RVU for CPT 27091 is 23.74. This code is primarily used by Orthopedic Surgery, Joint Reconstruction. It has a 90-day global period.
When is CPT 27091 used?
Used for difficult hip prosthesis removal with significant bone ingrowth, cementing material, or extensive soft tissue involvement.
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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.