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Hip Resurfacing

Total hip resurfacing (HR) is proposed as a bone-conserving alternative to the total hip arthroplasty (THA) to treat severe degenerative diseases of the hip. Modern total HR components consist of high-carbide cobalt chrome metal-on-metal (MoM) bearings that articulate against an intermediate synovial fluid film, a design that results in low surface wear. Recently the data from national total joint registries as well as peer-reviewed journal publications and presentations at scientific meetings have suggested increasing rates of potential safety issues associated with the MoM hip resurfacing procedure.

The State Health Technology Clinical Committee (HTCC) re-reviewed hip resurfacing on November 15, 2013. The committees determination, based on a systematic review of the evidence of safety, efficacy and cost-effectiveness, is that hip resurfacing is not a covered benefit. Complete information on this HTCC determination is available here: http://www.hca.wa.gov/hta/Pages/hip_review.aspx.

Coverage decision: Not Covered (Effective date April 1, 2014).

Billing codes

ICD-9 codes: 00.85, 00.86 and 00.87
CPT© code: 27299
HCPCS code: S2118

 

Regulatory authority and related information

 

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