2018/2019 ICD-10-CM Diagnosis Code Z47.32. Aftercare following explantation of hip joint prosthesis. Z47.32 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Aftercare following explantation of hip joint prosthesis. 2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt. Z47.32 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM Z47.32 became effective on October 1, 2019.
Aftercare following joint replacement surgery. 2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt. Z47.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
MDS item I0020B, the primary diagnosis is Z47.1 - Aftercare following joint replacement surgery and MDS item J2310: Hip replacement, partial or total, should be checked. This would fall under the Major Joint Replacement or Spinal Surgery PDPM Clinical Category.
Presence of right artificial hip joint The 2022 edition of ICD-10-CM Z96. 641 became effective on October 1, 2021.
ICD-10: Z47. 1, Aftercare following surgery for joint replacement.
Table 2Root operation (third character)DefinitionRevisionCorrecting, to the extent possible, a portion of a malfunctioning device or the position of a displaced deviceSupplementPutting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part3 more rows•May 30, 2019
ICD-10-CM Code for Encounter for other orthopedic aftercare Z47. 89.
ICD-10-CM Code for Presence of artificial hip joint Z96. 64.
Avoid activities and exercise that cause joint pain. You may need to see a physical or occupational therapist. These therapists teach you how to safely move with your new joint. They teach you activities and exercises that help make your bones and muscles stronger.
**For Part B of A services, the following CPT codes should be used:CodeDescription27134REVISION OF TOTAL HIP ARTHROPLASTY; BOTH COMPONENTS, WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT27137REVISION OF TOTAL HIP ARTHROPLASTY; ACETABULAR COMPONENT ONLY, WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT3 more rows
Current Procedural Terminology (CPT) codes For this study, CPT 27130 was used to identify primary THA, while CPT 27132 was used to identify conversion THA.
The root operation is the third character in the PCS code and describes the intent or the objective of the procedure. The majority of PCS codes reported for the inpatient setting are found in the Medical and Surgical section of ICD-10-PCS.
Encounter for other specified surgical aftercare Z48. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z48. 89 became effective on October 1, 2021.
Presence of other orthopedic joint implants The 2022 edition of ICD-10-CM Z96. 698 became effective on October 1, 2021. This is the American ICD-10-CM version of Z96.
ICD-10 code I95. 1 for Orthostatic hypotension is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
Hip replacement, also referred to as total hip arthroplasty, is a surgical procedure to replace an unhealthy hip joint with an artificial joint. Hip replacement surgery aims to relieve pain and restore the alignment and function of a diseased hip joint after conservative treatment options have failed.
In a total hip replacement, 27130 Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft, the damaged bone and cartilage are removed and replaced with prosthetic components, which come in many different materials and designs. The femur is first hollowed out and the femoral head removed. A metal stem is then cemented or “press fit” directly into the hollowed-out femur. A metal or ceramic ball or “head” is placed on top of the stem to replace the damaged femoral head that was removed. The surface of the acetabulum is then reamed out and inserted with a metal socket, or “cup.” Screws or cement secure the socket in place. A spacer, sometimes called a “liner,” is inserted between the new ball and socket to create a smooth surface for the new joint to glide.#N#Although hip replacements relieve pain and restore the function of a hip joint, they do not last forever. A successful hip prosthesis typically lasts about 15 years, and some patients need one or more revisions of a hip replacement in their lifetime, particularly if:
Conditions that damage the hip, necessitating a hip replacement, include arthritis, fracture, avascular necrosis, bone tumors or cysts, and hip dysplasia. The implant fits into the hip.
The most common reasons for a hip revision are recurrent dislocation of the prosthetic joint, infection, and mechanical failure. Mechanical failure consists of normal wear and tear or breakage of the prosthesis.
If an infection following a hip replacement develops, treatment typically includes surgery or multiple surgeries and antibiotics. Sometimes the surgeon performs a thorough debridement of the bone to clean out the infection, coded with 27030 Arthrotomy, hip, with drainage (eg, infection). If the surgeon debrides only tissue and/or muscle but not bone, look to debridement codes 11040-11043.#N#To prevent further infection, the surgeon might replace part of a hip replacement component, such as the polyethylene liner and/or the prosthetic head, coded with 27137 Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft and modifier 52 Reduced services. (Modifier 52 indicates the full description of the given code was not performed, as only part of the hip replacement component is exchanged. It may be necessary to include a copy of the operative report with the claim submission when using modifier 52.)#N#Another surgical treatment for infection following a hip replacement is a complete exchange of prosthetic joint, done in two (or more) operative sessions. The first stage involves complete removal of the hip replacement, debridement and cleaning of the bone, and implantation of a temporary cement spacer. The first stage of surgery is coded with 27091 Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer. If the temporary spacer delivers antibiotics to the hip area, you may also report 11981 Insertion, non-biodegradable drug delivery implant.#N#During the next surgery, which usually occurs six weeks later, the physician removes the temporary spacer and implants new total hip replacement components. Report this surgery with 27132 Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft. Do not report revision code 27134 unless both the removal and exchange of the hip replacement component (s) occur during the same operative session.#N#Reporting a conversion code means the patient had a previous open hip surgery and the area being operated on is altered in some way. The value of the conversion code reflects the additional complexity compared to a primary arthroplasty procedure. Use the conversion code when the patient has had a prior open procedure, such as a hemiarthroplasty, open reduction and internal fixation (ORIF), or arthroscopy, and subsequently undergoes a total hip replacement.#N#Example: A patient had a hip arthroscopy as a teenager and years later presents for a total hip replacement surgery due to severe osteoarthritis. Coding for the hip replacement surgery is 27132.