CPT code 27134 is used to describe the surgical procedure for revising a hip joint replacement. This code indicates that a healthcare provider is performing a corrective operation on a previously implanted hip prosthesis due to complications such as wear, loosening, or infection., Instead of recommending 27132 for removal of the articulating spacer followed by insertion of a new total hip, the AAOS suggested reporting 27134 instead because the work of removing an articulating spacer is similar to that of removing the original permanent hip prosthesis., Xrays: evaluate for periosteal reaction, scattered foci of osteolysis, bone resoprtion, implant wear, progressive radiolucencies, osteopenia, . Pedestal sign: endosteal new bone formation below the distal end of the stem., Revision of total hip arthroplasty is a surgical procedure to replace both the acetabular (hip socket) and femoral (thigh bone) components of a previously implanted artificial hip joint. This may involve the use of bone grafts from the patient (autograft) or a donor (allograft)., CPT code 27134 is used when a surgeon performs a complete revision of a total hip arthroplasty, replacing both the femoral and acetabular components. It is essential to document the reasons for the revision, such as implant failure or complications, to justify the use of this code., Failed Total Hip Arthroplasty Revision is performed when the initial total hip replacement has failed, which may be due to various factors such as implant loosening, infection, or mechanical failure..