icd-10 code for elective surgery total knee replacement

by Scottie Schmeler 10 min read

Presence of right artificial knee joint
Z96. 651 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 Z96. 651 became effective on October 1, 2021.

Full Answer

What is the diagnosis code for total knee replacement?

Total knee replacement is classified to code 81.54 and involves replacing the articular surfaces of the femoral condyles, tibial plateau, and patella. What is ICD 10 code for knee replacement? ICD-10: Z96. 651, Status (post), organ replacement, by artificial or mechanical device or prosthesis of, joint, knee-see presence of knee joint implant.

Is a total knee replacement worth it?

Yes, the recuperation process is timely, painful, and a lot of work. It is worth it no matter how much pain is involved. The pain and recuperation is temporary. Having the ability to walk without pain is not. My love of walking outweighs the pain of recuperation- without any doubt. Hope this helps others going through the same thing.

Do I need a partial or a total knee replacement?

“We would also do a total if the patient has a complication such as deformity caused by long-term arthritis, or if they have severe ligament instability. These can’t be corrected with a partial replacement.” Most patients who need knee replacement surgery need total joint replacement.

Do you qualify for a total knee replacement?

To qualify for a knee replacement, you need to meet two major requirements. One is that you have a sufficient amount of loss of cartilage. The other is that the loss is bad enough that it’s having a negative impact on your quality of life—due to either pain, limited function or a combination of the two.

What is the ICD-10 code for a total knee replacement?

ICD-10: Z96. 651, Status (post), organ replacement, by artificial or mechanical device or prosthesis of, joint, knee-see presence of knee joint implant. ICD-10: R26.

Is total knee replacement elective surgery?

Total knee replacement is elective surgery. With few exceptions it does not need to be done urgently and can be scheduled around important life-events.

How do you code a total knee replacement?

This procedure would be reported using code 27447-58, 22—Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty).

What is the ICD-10 code for history of knee replacement?

ICD-10 code Z96. 652 for Presence of left artificial knee joint is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is classified as an elective surgery?

Elective surgeries can include cosmetic procedures like removing a mole or a wart. But they can also include more serious conditions like hernia surgery; removing kidney stones or an appendix; and hip replacements. “Elective surgeries are vital to a patient's health and well-being,” Dr.

What category surgery is a knee replacement?

A knee replacement is an elective surgery, replacing the bottom end of the femur and the top end of the tibia with a man made device (prosthesis).

What is the difference between CPT code 27130 and 27132?

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.

What is a revision of a total knee replacement?

If your knee replacement fails, your doctor may recommend that you have a second surgery—revision total knee replacement. In this procedure, your doctor removes some or all of the parts of the original prosthesis and replaces them with new ones.

What is the difference between CPT 27486 and 27487?

For a TKA revision (27486 Revision of total knee arthroplasty, with or without allograft; 1 component and 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component), watch for key words such as “removal and replacement of polyetheline liner” or “poly exchange,” and ...

What is the ICD 10 code for right knee replacement?

Presence of right artificial knee joint The 2022 edition of ICD-10-CM Z96. 651 became effective on October 1, 2021.

What is the ICD 10 code for status post arthroplasty?

Aftercare following joint replacement surgery Z47. 1 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 Z47. 1 became effective on October 1, 2021.

What is the ICD 10 code for status post surgery?

ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.

What is the best age to have a knee replacement?

In summary, TKA performed between the ages of 70 and 80 years has the best outcome. With respect to mortality, it would be better to perform TKA when the patients are younger. Therefore, the authors of these studies believe that from 70 to 80 years of age is the optimal range for undergoing TKA.

How long does it take to walk after a full knee replacement?

Fortunately, walking with an assisted device such as a walker, cane, or crutches will begin within 24 hours of surgery. If all goes well, patients are discharged home within 2-3 days after surgery. Physical therapy can be completed at an outpatient clinic or at home. Full rehabilitation will take approximately 8 weeks.

How long do you stay in the hospital after knee replacement surgery?

You will stay in the hospital for 1 to 3 days after having hip or knee joint replacement surgery. During that time you will recover from your anesthesia and the surgery.

How long does it take to recover from total knee replacement?

Knee replacement surgery can relieve pain and restore function when your knee is severely damaged by arthritis or injury. The average recovery time from knee replacement surgery is approximately six months, but it can take roughly 12 months to fully return to physically demanding activities.

Document Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

This LCD supplements but does not replace, modify or supersede existing Medicare applicable National Coverage Determinations (NCDs) or payment policy rules and regulations for Major Joint Replacement (Hip and Knee). Federal statute and subsequent Medicare regulations regarding provision and payment for medical services are lengthy.

Coverage Guidance

Joint replacement surgery has been performed on millions of people over the past several decades and has proved to be an important medical advancement in the field of orthopedic surgery. The hip and knee are the two most commonly replaced joints.