ICD-10: Z47.1, Aftercare following surgery for joint 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: R26.9 Abnormality, gait
The great toe has only a proximal and distal phalanx, but the four lesser toes each have proximal, middle, and distal phalanges, which are much small than those of the great toe. There are two sesamoid bones embedded in the flexor hallucis brevis tendons that sit under the first metatarsal at the level of the great toe joint (1st ...
Pain on the outer (or lateral) part of the knee can be caused by an injury. It may also be the result of inflammation in a band of tough fibrous tissue that runs down the outside of the thigh, and attaches to the front of the tibia (shin bone). Pain in this area may also be caused by arthritis.
code description 27447 arthroplasty, knee, condyle and plateau; medial and lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 revision of total knee arthroplasty, with or without allograft; 1 component 27487 revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component
§The ICD-10-PCS (procedure code), if utilized to map the resident into a surgical clinical category, must be recorded on the second line of item I8000. PT and OT Components Major Joint Replacement or Spinal Surgery ICD-10-CM Code Description
ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.
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.
652.
ICD-10-CM Code for Encounter for other orthopedic aftercare Z47. 89.
18.
ICD-10 code Z98. 890 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Z47. 1 - Aftercare following joint replacement surgery | ICD-10-CM.
Introduction. 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).
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
Z aftercare codes are used in office follow-up situations in which the initial treatment of a disease is complete and the patient requires continued care during the healing or recovery phase or for long-term consequences of the disease.
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.
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.
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
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.
Even so, therapists should only use ICD-10 aftercare codes to express patient diagnoses in a very select set of circumstances.
Postoperative pain not associated with a specific postoperative complication is reported with a code from Category G89, Pain not elsewhere classified, in Chapter 6, Diseases of the Nervous System and Sense Organs. There are four codes related to postoperative pain, including:
Postoperative pain typically is considered a normal part of the recovery process following most forms of surgery. Such pain often can be controlled using typical measures such as pre-operative, non-steroidal, anti-inflammatory medications; local anesthetics injected into the operative wound prior to suturing; postoperative analgesics;
Determining whether to report postoperative pain as an additional diagnosis is dependent on the documentation, which, again, must indicate that the pain is not normal or routine for the procedure if an additional code is used. If the documentation supports a diagnosis of non-routine, severe or excessive pain following a procedure, it then also must be determined whether the postoperative pain is occurring due to a complication of the procedure – which also must be documented clearly. Only then can the correct codes be assigned.
Only when postoperative pain is documented to present beyond what is routine and expected for the relevant surgical procedure is it a reportable diagnosis. Postoperative pain that is not considered routine or expected further is classified by whether the pain is associated with a specific, documented postoperative complication.