2018/2019 ICD-10-CM Diagnosis Code Z47.89. Encounter 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.
Remember, there are a number of orthopedic aftercare codes for specific surgeries—all of which you can find in the ICD-10 tabular list under Z47, Orthopedic aftercare. You got it! The download you requested will be sent to you in a few minutes. A single aftercare code might not be enough.
The appropriate codes for this scenario, according to this presentation, would be: 1 ICD-10: Z47.1, aftercare following surgery for joint replacement 2 ICD-10: Z96.651, Status (post), organ replacement, by artificial or mechanical device or prosthesis of, joint, knee-see... 3 ICD-10: R26.9 Abnormality, gait More ...
Z47.82 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Encounter for orth aftercare following scoliosis surgery. The 2018/2019 edition of ICD-10-CM Z47.82 became effective on October 1, 2018.
Code Z47. 81 (encounter for orthopaedic aftercare following surgical amputation) is used for visits following a surgical amputation and must be accompanied by an additional code that identifies the amputated limb (Table 2).
ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.
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.
Encounter 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 2022 edition of ICD-10-CM Z47. 89 became effective on October 1, 2021.
Follow-up. The difference between aftercare and follow-up is the type of care the physician renders. Aftercare implies the physician is providing related treatment for the patient after a surgery or procedure. Follow-up, on the other hand, is surveillance of the patient to make sure all is going well.
ICD-10: Z47. 1, Aftercare following surgery for joint replacement.
ORIF utilizes open surgery to set the fracture followed by the use of plates, pins, and screws to hold the bones in place. THA involves surgically removing both the femoral head and acetabular cartilage, and replacing them with an artificial femoral head and acetabular cup.
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.
79.35 Open reduction of fracture with internal fixation, femur.
D (subsequent encounter) describes any encounter after the active phase of treatment, when the patient is receiving routine care for the injury during the period of healing or recovery. S (sequela) indicates a complication or condition that arises as a direct result of an injury.
Z98.1ICD-10-CM Code for Arthrodesis status Z98. 1.
Code M25. 50 is the diagnosis code used for Pain in the Unspecified Joint. It falls under the category of Diseases of the musculoskeletal system and connective tissue.
Encounter for orthopedic aftercare following scoliosis surgery 1 Z47.82 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Encounter for orth aftercare following scoliosis surgery 3 The 2021 edition of ICD-10-CM Z47.82 became effective on October 1, 2020. 4 This is the American ICD-10-CM version of Z47.82 - other international versions of ICD-10 Z47.82 may differ.
The 2022 edition of ICD-10-CM Z47.82 became effective on October 1, 2021.
Remember, there are a number of orthopedic aftercare codes for specific surgeries—all of which you can find in the ICD-10 tabular list under Z47, Orthopedic aftercare.
Z codes also apply to post-op care when the condition that precipitated the surgery no longer exists —but the patient still requires therapeutic care to return to a healthy level of function. In situations like these, ICD-10 provides a few coding options, including:
For example, if you were treating a patient who had a total knee replacement, you would want to submit Z47.1, Aftercare following joint replacement surgery, as well as Z96.651 (to indicate that the joint replaced was the knee). Taking this one step further, let’s say the patient was receiving treatment for gait abnormality following a total knee replacement of the right knee due to osteoarthritis in that knee. Let’s also assume that, as a result of the surgery, the patient is no longer suffering from osteoarthritis. The appropriate codes for this scenario, according to this presentation, would be:
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.
ICD-10 introduced the seventh character to streamline the way providers denote different encounter types—namely, those in volving active treatment versus those involving subsequent care. However, not all ICD-10 diagnosis codes include the option to add a seventh character. For example, most of the codes contained in chapter 13 of the tabular list (a.k.a. the musculoskeletal chapter) do not allow for seventh characters. And that makes sense considering that most of those codes represent conditions—including bone, joint, or muscle conditions that are recurrent or resulting from a healed injury—for which therapy treatment does progress in the same way it does for acute injuries.
You should add any comorbidities that may impact the rehab episode of care. You should not include osteoarthritis in the diagnostic set unless it affects other joints that will affect the episode." I hope that's helpful!
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.