Orthopedic surgery: out-of-network denials and recovery

Total hip replacement

CPT 27130 · hip

Partial hip replacement (hemiarthroplasty)

CPT 27125 · hip

Conversion to total hip replacement

CPT 27132 · hip

Total knee replacement

CPT 27447 · knee

Partial knee replacement

CPT 27446 · knee

Knee replacement revision, one component

CPT 27486 · knee

Knee replacement revision, femoral and tibial

CPT 27487 · knee

Total shoulder replacement

CPT 23472 · shoulder

Shoulder replacement revision

CPT 23474 · shoulder

Total elbow replacement

CPT 24363 · elbow

Knee arthroscopy with meniscectomy

CPT 29881 · knee

Knee arthroscopy with meniscectomy, both compartments

CPT 29880 · knee

Shoulder arthroscopy with rotator cuff repair

CPT 29827 · shoulder

Shoulder arthroscopy with subacromial decompression

CPT 29826 · add-on · shoulder

Shoulder arthroscopy with capsulorrhaphy

CPT 29806 · shoulder

Arthroscopic ACL reconstruction

CPT 29888 · knee

Knee arthroscopy with chondroplasty

CPT 29877 · knee

Hip fracture repair with replacement or fixation

CPT 27236 · hip

Femur fracture repair with plate or screws

CPT 27244 · hip/femur

Femur fracture repair with intramedullary nail

CPT 27245 · hip/femur

Wrist fracture repair, extra-articular

CPT 25607 · wrist

Wrist fracture repair, intra-articular, two fragments

CPT 25608 · wrist

Wrist fracture repair, intra-articular, three or more fragments

CPT 25609 · wrist

Shoulder fracture repair (proximal humerus)

CPT 23615 · shoulder

Tibia fracture repair with intramedullary nail

CPT 27759 · tibia

Open rotator cuff repair

CPT 23410 · shoulder

Chronic rotator cuff repair, open

CPT 23412 · shoulder

Biceps tendon repair (tenodesis)

CPT 23430 · shoulder

Shoulder arthroscopy with SLAP repair

CPT 29807 · shoulder

Shoulder arthroscopy with distal clavicle excision

CPT 29824 · shoulder

Shoulder arthroscopy with biceps tenodesis

CPT 29828 · shoulder

Knee arthroscopy with meniscus repair, single

CPT 29882 · knee

Knee arthroscopy with meniscus repair, both compartments

CPT 29883 · knee

Knee arthroscopy with microfracture or abrasion

CPT 29879 · knee

Arthroscopic PCL reconstruction

CPT 29889 · knee

Hip arthroscopy with labral repair

CPT 29916 · hip

Hip arthroscopy with femoroplasty

CPT 29914 · hip

Open cruciate ligament repair, knee

CPT 27407 · knee

Removal of knee replacement components

CPT 27488 · knee

Total ankle replacement

CPT 27702 · ankle

Ankle fusion

CPT 27870 · ankle

Ankle fracture repair, bimalleolar

CPT 27814 · ankle

Ankle fracture repair, trimalleolar

CPT 27822 · ankle

Bunion correction with osteotomy

CPT 28296 · foot

Bunion correction with fusion (Lapidus)

CPT 28297 · foot

Humerus shaft fracture repair with plate

CPT 24515 · humerus

Repair of complete shoulder cuff avulsion, chronic

CPT 23420 · shoulder

Lateral retinacular release, open

CPT 27425 · knee

Knee ligament reconstruction, extra-articular

CPT 27427 · knee

Knee ligament reconstruction, intra-articular

CPT 27428 · knee

Tibia shaft fracture repair with plate

CPT 27758 · tibia

Medial malleolus fracture repair

CPT 27766 · ankle

Fibula fracture repair

CPT 27784 · fibula

Metacarpal fracture repair

CPT 26615 · hand

Finger fracture repair, intra-articular

CPT 26746 · hand

Elbow joint resurfacing arthroplasty

CPT 24360 · elbow