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* 1. Seventy-five years old female with a history of hypertension and advanced arthritis who had total hip arthroplasty performed with CPT 27130.  While in the recovery room, a problem was noted in the first surgery, and the patient had to go back to the operating room for another surgery, coded under CPT 27134 as a revision. The patient remained hemodynamically stable post-op, and her pain was managed with oral narcotics. The patient was discharged home the following day with home healthcare and home physical therapy.

Q1: What is the appropriate status for this case before the first procedure of total hip arthroplasty was performed?

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* 2. Q2: What is the appropriate status for this case after the second procedure of hip revision with discharge in less than 2 midnights of hospital level care?

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* 3. Q3: Will your answer change if the patient had Medicare Advantage plan?

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* 4. Q4 – Will your answer change if patient had commercial insurance product (Non-Medicare and Non-Medicaid)?

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