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PIP, Workers’ Comp, Medicare Advantage & ASC challenges — expert guide to the best orthopedic RCM partners for surgeons, groups & ASCs in Florida.

Total joint replacement is one of the highest-reimbursing procedure categories in orthopedic surgery and one of the highest-risk for denials when coding and documentation fall short. This 2026 guide breaks down CPT 27130 (total hip), 27447 (total knee), and 23472 (total shoulder) arthroplasty billing: global periods, modifier rules, ICD-10 pairings, documentation requirements, and the denial patterns that quietly cost orthopedic practices real revenue per case.

One wrong modifier on a joint injection claim can mean the difference between clean payment and a compliance flag. This 2026 guide breaks down exactly how to bill CPT 20610 when to use it instead of 20611, which modifiers apply and when they vary by payer, the ICD-10 codes that support medical necessity, and the documentation that keeps these claims from getting audited.