Physician 2nd Quarter 2016 IRR – Joint Surgery Case Study #2
76yoM with prior authorization request for total hip arthroplasty CPT 27130.
Patient has severe left hip pain for the last 8 months which has interfered with ADLs.
He has taken NSAIDs and pursued physical therapy without relief for the last 6 months. He also uses a cane.
Physical examination revealed antalgic gait with ROM 0-80 degrees with no rotation.
X-rays show end-stage DJD of the left hip joint with sclerosis and osteophytes and complete loss of joint space.
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