Hip CPT codes

Radical resection of a tumor or infection involving the total innominate bone (ilium, ischium, and pubis as a composite structure), with wide excision margins extending into surrounding healthy tissue.

Radical resection of a pelvic or hip tumor involving the ilium with acetabulum, both pubic rami, or the ischium with acetabulum — removing the tumor plus a margin of surrounding healthy bone and tissue.

Radical resection of a tumor involving a wing of the ilium, one pubic or ischial ramus, or the symphysis pubis, with removal of a margin of surrounding healthy tissue.

Radical resection of tumor involving the ischial tuberosity and greater trochanter of the femur, with wide excision margins including surrounding healthy tissue.

Revision of total hip arthroplasty involving replacement of both the femoral and acetabular components in a single operative session.

Open surgical repair of complex acetabular fractures involving both anterior and posterior columns, including T-type, both-column, and single-column or transverse patterns with associated wall fracture, with internal fixation.

Radical resection of a soft tissue tumor (e.g., sarcoma) of the pelvis and hip area measuring 5 cm or greater, including removal of surrounding tissue margins.

Osteotomy of the iliac, acetabular, or innominate bone with concurrent femoral osteotomy and reduction of hip dislocation

Conversion of a previously operated hip — any prior surgery except total hip arthroplasty — to a complete total hip arthroplasty, replacing both femoral and acetabular components, with or without bone graft.

Open treatment of acetabular fracture(s) involving the posterior wall, posterior column, or both, with internal fixation.

Open arthrodesis of the hip joint performed via a subtrochanteric osteotomy approach, fusing the hip in a functional position while simultaneously correcting deformity at the subtrochanteric level.

Hindquarter amputation removing the entire lower extremity and the ipsilateral half of the pelvis through the sacroiliac joint and pubic symphysis.

Complicated removal of a total hip prosthesis, including extraction of bone cement (methylmethacrylate), with or without placement of a spacer in the vacated joint space.

Open fusion of the hip joint with autograft bone harvested at the same operative session.

Iliac, acetabular, or innominate bone osteotomy performed in conjunction with a femoral osteotomy to correct hip joint alignment.

Open surgical correction of spontaneous hip dislocation (developmental, congenital, or pathological origin) with femoral head replacement into the acetabulum and femoral shaft shortening osteotomy.

Revision of total hip arthroplasty involving removal and replacement of the femoral component only, with or without bone graft.

Osteotomy of the iliac, acetabular, or innominate bone performed with open reduction of the hip joint to correct dislocation and restore normal alignment.

Revision of a total hip arthroplasty involving the acetabular component only, with or without autograft or allograft

Radical resection of a soft tissue tumor in the hip or pelvis region measuring less than 5 cm, performed via open surgery with wide excision margins.

Open arthrodesis of the sacroiliac joint, including bone graft harvest and instrumentation when used

Bilateral pelvic osteotomy performed to correct congenital or developmental pelvic malalignment, typically in pediatric patients

Intertrochanteric or subtrochanteric femoral osteotomy with internal or external fixation and/or cast application to correct deformity or malalignment in the proximal femur.

Surgical reshaping or reconstruction of the acetabulum (hip socket) to correct deformity, relieve impingement, or address dysplasia — performed without prosthetic joint replacement.

Osteotomy of the iliac, acetabular, or innominate bone without open reduction of the hip joint

Primary total hip arthroplasty replacing both the acetabular socket and proximal femoral components with prosthetic implants, with or without bone graft.

Open surgical treatment of a traumatic hip dislocation combined with fractures of the acetabular wall and femoral head, with or without internal or external fixation.

Surgical removal of the entire lower extremity by disarticulating through the hip joint, separating the femur and surrounding soft tissues at the acetabulum.

Open surgical treatment of a fracture at the proximal femur involving the femoral head, with internal fixation applied when indicated.

Open fixation of an intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture using a plate/screw-type implant, with or without cerclage.

Open treatment of an intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture using an intramedullary implant, with or without interlocking screws and/or cerclage.

Femoral neck osteotomy in which a wedge of bone is resected from the femoral neck to correct alignment between the femoral head and shaft.

Open treatment of a proximal femoral fracture at the femoral neck, using internal fixation hardware or prosthetic replacement to stabilize the fracture site.

Repair of femoral nonunion or malunion (distal to femoral head and neck) using compression or other technique, without bone graft.

Bone grafting of the femoral head, neck, intertrochanteric, or subtrochanteric area, including harvest of the autograft from the patient's own body.

Surgical removal of the femoral head with replacement by a prosthetic implant; the native acetabulum is left in place (hemiarthroplasty).

Surgical denervation of the hip joint by cutting or ablating the intra-articular nerve branches of the sciatic, femoral, or obturator nerves, performed via an intrapelvic or extrapelvic approach to reduce arthritic hip pain.

Open treatment of slipped femoral capital epiphysis with osteotomy and internal fixation

Open surgical treatment of slipped capital femoral epiphysis (SCFE) using single or multiple pins, screws, or bone graft fixation to stabilize the displaced femoral head on the femoral neck.

Open reduction of a spontaneous (developmental, congenital, or pathological) hip dislocation with replacement of the femoral head into the acetabulum, including adductor tenotomy when performed.

Acetabuloplasty with resection of the femoral head — the Girdlestone procedure — performed to relieve pain when infection or bone quality precludes joint reconstruction.

Open surgical repair of a posterior or anterior acetabular wall fracture using internal fixation hardware such as plates, screws, or pins.

Excision of a bone cyst or benign tumor from the iliac wing, symphysis pubis, or greater trochanter of the femur, with autogenous bone grafting through a separate incision to reconstruct the defect.

Surgical incision through the bone cortex of the pelvis and/or hip joint to drain infection or abscess — typically performed for osteomyelitis or a bone abscess in that region.

Open hip capsulectomy or capsulotomy, with or without heterotopic bone excision and release of hip flexor muscles including gluteus medius, gluteus minimus, and iliopsoas.

Arthroscopic hip surgery addressing a pincer-type femoroacetabular impingement by reshaping the acetabular rim

Arthroscopic surgical procedure on the hip joint that includes repair of the acetabular labrum.

Decompression fasciotomy of one or more pelvic (buttock) compartments, including debridement, for acute compartment syndrome involving gluteal or iliopsoas musculature.

Prophylactic reinforcement of the femoral neck and proximal femur using internal fixation implants — nails, plates, or screws — with or without bone cement (methylmethacrylate), to prevent pathologic fracture.

Deep partial excision of the iliac wing, symphysis pubis, or greater trochanter of the femur, including techniques such as craterization or saucerization.

Closed treatment of an acetabular (hip socket) fracture with manual manipulation to restore bone alignment, with or without skeletal traction.

Arthroscopic hip surgery to reshape the femoral head by removing a cam lesion causing femoroacetabular impingement.

Open revision of the femoral head and/or neck, including procedures to reshape, recontour, or reconstruct the proximal femur outside of a total hip arthroplasty context.

Surgical transfer of the iliopsoas muscle from the lesser trochanter to the greater trochanter of the femur to restore hip abductor function.

Closed treatment of an intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture with manipulation, with or without skin or skeletal traction applied.

Open arthrotomy of the hip joint for exploration and removal of loose bodies or foreign material

Open treatment of a femoral shaft fracture using plate and screw fixation, with or without cerclage wire.

Surgical incision of the fascia in the hip or thigh region, any technique, to relieve compartment pressure or facilitate access to underlying structures.

Open treatment of a traumatic hip dislocation without the use of internal fixation hardware

Open surgical incision into the hip joint to drain infectious fluid or pus, with exploration and irrigation of the joint space.