Valid for SubmissionICD-10:Z96.652Short Description:Presence of left artificial knee jointLong Description:Presence of left artificial knee joint
Z47.89Encounter for other orthopedic aftercare Z47. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The ICD-10-CM code Z96. 659 might also be used to specify conditions or terms like artificial knee joint present or history of total knee arthroplasty. The code Z96. 659 describes a circumstance which influences the patient's health status but not a current illness or injury.
This is reported using current procedural terminology (CPT) code 27487—Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component.Sep 1, 2007
ICD-10 code Z48. 81 for Encounter for surgical aftercare following surgery on specified body systems is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Z96.651ICD-10: Z96. 651, Status (post), organ replacement, by artificial or mechanical device or prosthesis of, joint, knee-see presence of knee joint implant.Aug 6, 2021
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.
Arthroplasty is a surgical procedure to restore the function of a joint. A joint can be restored by resurfacing the bones. An artificial joint (called a prosthesis) may also be used.
Total knee replacement (TKR), also referred to as total knee arthroplasty (TKA), is one of the most common surgical procedures performed for patients with severe arthritis of the knee (Mahomed et al., 2005).
Article - Billing and Coding: Total Knee Arthroplasty (A57685)
M17.12M17. 12, unilateral primary osteoarthritis, left knee.Dec 11, 2020
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 ...Dec 1, 2015
When the reason for an encounter is aftercare following a procedure or injury, the 2012 ICD-10-CM Official Guidelines and Reporting should be consulted to ensure that the correct code is assigned. Codes for reporting most types of aftercare are found in Chapter 21. However, aftercare related to injuries is reported with codes from Chapter 19, using seventh-character extensions to identify the service as aftercare.
Aftercare visit codes cover situations occurring when the initial treatment of a disease has been performed and the patient requires continued care during the healing or recovery phase, or care for the long-term consequences of the disease.
Codes for encounters for antineoplastic radiation, chemotherapy and immunotherapy (Z51.0, Z51.1-) are assigned if the sole reason for the encounter is antineoplastic therapy – even if the patient still has the neoplastic disease.
If the line between acceptable and unacceptable uses of aftercare codes still seems a bit fuzzy, just remember that in most cases, you should only use aftercare codes if there’s no other way for you to express that a patient is on the “after” side of an aforementioned “before-and-after” event.
In many cases, yes; a patient who undergoes surgery mid-plan of care should receive a re-evaluation. However, per the above-linked article, "some commercial payers may consider the post-op treatment period a new episode of care, in which case you’d need to use an evaluation code.".
Essentially, you are indicating that the patient is receiving aftercare for the injury. Thus, you should not use aftercare codes in conjunction with injury codes, because doing so would be redundant. 3. You can use Z codes to code for surgical aftercare.
In situations where it’s appropriate to use Z codes, “aftercare codes are generally the first listed diagnosis,” Gray writes. However, that doesn’t mean the Z code should be the only diagnosis code listed for that patient.
Even so, therapists should only use ICD-10 aftercare codes to express patient diagnoses in a very select set of circumstances.
Z47.33 is a valid billable ICD-10 diagnosis code for Aftercare following explantation of knee joint prosthesis . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .
DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically. See also: Aftercare Z51.89 see also Care.
CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Title XVIII of the Social Security Act, §1833 (e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim.
The following billing and coding guidance is to be used with its associated Local Coverage Determination.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.
97110 – Therapeutic exercises to develop strength and endurance, range of motion, and flexibility.
27570 – Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices)
29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)
There is no specific code for open lysis of adhesions of knee. The related codes are,
27486 – Revision of total knee arthroplasty, with or without allograft; one component