0SHD08Z is a valid billable ICD-10 procedure code for Insertion of Spacer into Left Knee Joint, Open Approach. It is found in the 2021 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021.
Articulating spacers are implants done for revisions and should be reported using CPT code 27487 (Revision of total knee arthroplasty, with or without allograft; 1 component). The 2020 AMA CPT Manual includes 2 new Category III codes for implants created by harvesting adipose tissue and injected into the knee for treatment of osteoarthritis:
there is no specific CPT code and lists implantation of antibiotic beads as a service that is a component of another service and never separately billable to the Contractor or to the Patient. Commercial Plan Policy SelectHealth follows CMS policy in considering the use of 11981 for insertion of
The patient had TKA and this was removed with insertion of an antibiotic spacer (27488 w/11981). The infection has still not cleared so the antibiotic spacer is removed and replaced with another antibiotic spacer.
Long term (current) use of antibiotics Z79. 2 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 Z79. 2 became effective on October 1, 2021.
The root operation “insertion” is defined as “putting in a nonbiological appliance that monitors, assists, or prevents a physiological function but does not physically take the place of a body part.” Table 0SH was not revised to include the new device character for articulating spacer, character value E.
Presence of other orthopedic joint implants The 2022 edition of ICD-10-CM Z96. 698 became effective on October 1, 2021.
ICD-10 code Z79. 2 for Long term (current) use of antibiotics is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Proponents of articulating spacers argue that they prevent scarring of the musculature surrounding the knee resulting in easier reimplantation, improved long-term knee function, and improved range of motion.
Total Knee ArthroplastyCodeDescription27486REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHOUT ALLOGRAFT; 1 COMPONENT27487REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHOUT ALLOGRAFT; FEMORAL AND ENTIRE TIBIAL COMPONENT2 more rows
Presence of cardiac and vascular implant and graft, unspecified. Z95. 9 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 Z95.
ICD-10-CM Diagnosis Code Z97 Z97.
Presence of other bone and tendon implants The 2022 edition of ICD-10-CM Z96. 7 became effective on October 1, 2021.
9: Fever, unspecified.
ICD-10-PCS GZ3ZZZZ is a specific/billable code that can be used to indicate a procedure.
Encounter for other prophylactic measures "Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.