Presence of artificial knee joint, bilateral The 2022 edition of ICD-10-CM Z96. 653 became effective on October 1, 2021. This is the American ICD-10-CM version of Z96.
ICD-10: Z96. 651, Status (post), organ replacement, by artificial or mechanical device or prosthesis of, joint, knee-see presence of knee joint implant.
Bilateral TKR could be performed simultaneously or in a staged. Simultaneous TKR is defined as the replacement of both knees in a single surgery. The major advantage of this surgery is that it requires only one hospital stay and rehabilitation period to recover both knees.
A bilateral knee replacement is when both knees are replaced during the same surgical procedure.
Article - Billing and Coding: Total Knee Arthroplasty (A57685)
Total knee replacement is classified to code 81.54 and involves replacing the articular surfaces of the femoral condyles, tibial plateau, and patella.
Unilateral: 1 knee replaced within 1 year; simultaneous bilateral: both knees replaced during the same operation; staged bilateral: both knees replaced in separate operations within 1 year.
If you need to replace both knees, you can choose for either a simultaneous bilateral knee replacement (both knees replaced during the same surgery) or a staged bilateral knee replacement (two surgeries performed a few months apart).
Getting a knee replaced requires surgery. And since Medicare only covers surgical procedures that are deemed medically necessary, your knee replacement surgery must be deemed medically necessary by your doctor for Medicare to cover it.
Some people get OA in just one knee, which is known as unilateral OA. Bilateral knee arthritis occurs when both knees are affected with OA. OA is a painful, degenerative condition that can reduce your mobility and make daily tasks difficult to manage.
Simultaneous Joint Replacement Simultaneous bilateral total joint replacement is when both hips or knees are replaced on the same day under the same anesthetic.
Double knee replacement recovery time is usually at least 13 weeks. Your commitment to your rehabilitation program and how well you follow your therapist's instructions will determine how quickly you recover. After three months, you should be ready to resume your regular activities.
People who have a double knee replacement only have to schedule one recovery period, and miss less work. For example, experts suggest that a person may return to a desk job 4 to 6 weeks after knee replacement surgery. A person who has two separate knee replacements will take 4 to 6 weeks off work for each knee.
This procedure typically takes three to four hours to complete, while staged bilateral knee replacement only takes two hours. Since simultaneous bilateral knee replacement requires more time and heavier doses of anesthesia, there is an increased risk of complications.
One to three weeks after surgery Typically, you'll be able to bend your knees at a 90 degree angle, fully straighten your knee, and walk for at least 10 consecutive minutes during this stage of physical therapy. You can expect to use assistive devices like walkers, crutches or canes during this phase of recovery.
Knee pain can be mild, moderate or severe. The reasons for pain can vary such as injury, overuse, infection and inflammation. Sometimes there may be swelling and redness depends on the cause. We need to visit doctor as per the severity and as per how long the pain lasts.
Physician will do extremity examination to check if there is any swelling, inflammation or injury. There may be need of radiological tests (X-ray, CT, MRI, ultrasound) or arthrocentesis (lab analysis of knee joint fluid) for further evaluation to check for infections or injury to tendon or ligament.
ICD 10 Code for knee pain is found in chapter 13 of ICD-10 CM manual – diseases of musculoskeletal system and connective tissue, code range M00 – M99