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Hip Arthroplasty 7.01.96

Excellus BlueCross BlueShield·NY · Orthopedics, General Surgery, Sports Medicine·Bone & Joints (Orthopedic)
Effective date
Feb 16, 2026
We identified it
Jul 16, 2026
Days to comply

Summary

Excellus BlueCross BlueShield updated its Hip Arthroplasty policy (7.01.96) effective February 16, 2026, establishing new medical necessity criteria for partial hip replacement, total hip replacement, and revision procedures. The policy introduces specific imaging requirements (Tönnis Grade 2-3 for osteoarthritis), mandates 3 months of function-limiting pain documentation and failed conservative management, includes exception clauses when non-surgical management is inappropriate, and excludes patients on dialysis from total hip replacement coverage. Billing teams must immediately verify patient eligibility against these criteria before claim submission to avoid denials.

Action Required

Action needed
By February 16, 2026: Billing team must immediately update pre-authorization and claims review processes to enforce the new Excellus BlueCross BlueShield Hip Arthroplasty policy 7.01.96. SPECIFIC ACTIONS: (1) Update billing software validation rules to require documentation of Tönnis Grade 2-3 imaging for osteoarthritis cases via CPT 27130, 27132, 27134, 27137, 27140, 27145, 27146, 27147, 27156, 27157, 27161, 27162, 27163, 27164, 27165, 27167, 27175, 27176, 27177, 27178, 27179; (2) Create pre-authorization checklist requiring: imaging confirmation, 3-month function-limiting pain documentation (walking <0.25 mile or 2 city blocks), evidence of failed conservative management (physical therapy, medications, injections), or documented exception explaining why non-surgical management is inappropriate; (3) Add validation rule to DENY all total hip replacement claims for patients coded as dialysis-dependent (ICD-10: Z99.2); (4) Flag claims for revision hip procedures (CPT 27134-27138) to confirm post-operative complication documentation (dislocation, aseptic loosening, infection, fracture, instability, leg length discrepancy, osteolysis, elevated metal levels, or 6+ months unexplained pain unresponsive to non-surgical management); (5) Update encounter forms and provider templates to include exception documentation fields; (6) Train billing and authorization staff on Tönnis grading criteria and the 3 criteria exceptions. OWNERSHIP: Billing team (software updates and pre-auth), Providers (medical record documentation), Revenue Cycle Manager (staff training). CONSEQUENCE: Claims submitted without proper documentation or failing to meet medical necessity criteria will be denied, resulting in claim rejections and potential provider recredentialing issues.

Affected Billing Codes

27130
27131
27132
27134
27137
27138
27140
27145
27146
27147
27151
27156
27157
27158
27161
27162
27163
27164
27165
27167
27170
27175
27176
27177
27178
27179