Cpt code 27447 inpatient. Nov 6, 2025 · In this blog, we’ll explore the...
Cpt code 27447 inpatient. Nov 6, 2025 · In this blog, we’ll explore the details of CPT 27447, coding guidelines, documentation requirements, and common billing challenges — along with how Allzone Management Services can help streamline orthopedic billing operations. CMS will be removing CPT code 27447 (arthroplasty, knee, condyle and plateau; medical and lateral compartments with or without patella resurfacing [total knee arthroplasty]) from the inpatient-only list in 2018 after soliciting provider feedback on the procedure over the last two rulemaking cycles. What is the difference between CPT code 27447 and 27446? Zimmer Biomet Coding Reference Guide Disclaimer Providers, not Zimmer Biomet, are solely responsible for ensuring compliance with Medicare, Medicaid, and all other third-party payer requirements, as well as accurate coding, documentation and medical necessity for the services provided. Jun 26, 2025 · CPT code 27447 refers specifically to total knee arthroplasty, a surgical procedure that involves the replacement of a knee joint with a prosthesis. AAPC Appendix C Inpatient-only procedure codes CPT® Code 44625 44626 44640 44650 44660 44661 44680 44700 44715 44720 44721 44800 44820 44850 44899 44900 44960 45110 45111 45112 45113 45114 45116 45119 45120 45121 45123 45126 45130 45135 45136 45395 45397 45400 45402 45540 45550 45562 45563 45800 45805 45820 45825 46705 46710 46712 46715 46716 The CPT code for total knee arthroplasty is 27447. Patient eligibility for CPT code 27447 is based on the presence of severe arthritis and failed conservative therapies. Proper documentation is crucial for coverage and reimbursement for this procedure. The Current Procedural Terminology (CPT ®) code 27447 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Femur (Thigh Region) and Knee Joint. CPT code 27447 is used to describe total knee arthroplasty, or knee replacement surgery. CPT code 27447 is a medical billing code used to describe a total knee arthroplasty procedure for accurate healthcare billing and documentation. Is CPT code 27447 inpatient only? No, CPT 27447 is not inpatient-only. Zimmer Biomet Coding Reference Guide Disclaimer Providers, not Zimmer Biomet, are solely responsible for ensuring compliance with Medicare, Medicaid, and all other third-party payer requirements, as well as accurate coding, documentation and medical necessity for the services provided. Sep 7, 2016 · Use this page to view details for the Local Coverage Determination for Total Knee Arthroplasty. The procedure code remains 27447 across diagnoses, but ICD-10 coding supports coverage. Feb 5, 2019 · When CPT code 01402 is reported with CPT code 27447, Arthroplasty, knee, condyle and plateau; medical and lateral compartments with or without patella resurfacing (total knee arthroplasty), this code is paid under the OPPS and payment for this service is packaged into the payment for CPT code 27447. Resources to Support Appeals of TKA Code Denials January 2018 marked a major win for AAOS’ advocacy efforts, when the Centers for Medicare & Medicaid Services (CMS) removed the Current Procedural Terminology (CPT®) code 27447, describing the total knee arthroplasty (TKA) procedure, from the Medicare Inpatient-Only (IPO) list. This code represents the surgical replacement of the entire knee joint with a prosthetic implant, typically performed to relieve pain and restore function in patients with severe arthritis or joint degeneration. CPT 27447 is the core code for a primary total knee arthroplasty (TKA). Use this page to view details for the Local Coverage Article for Billing and Coding: Total Joint Arthroplasty. While total knee arthroplasty has traditionally been performed in inpatient settings, many payers—including Medicare—now allow it in outpatient settings when the patient meets clinical and safety criteria. . Use the most specific, laterality-correct code that reflects the condition driving the replacement. It describes replacement of the tibiofemoral joint surfaces in both compartments using prosthetic components, and it includes typical intra-operative steps needed to implant the prosthesis and restore alignment, stability, and motion. bfw mxs qqq rdw zgh miy cjm dnm cer wfm kzg apg wos woi oro
