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Readmission following total joint arthroplasty has become a closely watched metric for many hospitals in the United States due to financial penalties imposed by Centers for Medicare and Medicaid Services. The purpose of this study was to identify both preoperative and postoperative reasons for readmission within 30 days following primary total hip and total knee arthroplasty (TKA). Retrospective data were collected for patients who underwent elective primary total hip arthroplasty (THA; CPT code 2713 and TKA (27447) from 2008 to 2013