Valid for SubmissionICD-10:Z96.611Short Description:Presence of right artificial shoulder jointLong Description:Presence of right artificial shoulder joint
Z96.612Presence of left artificial shoulder joint Z96. 612 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. 612 became effective on October 1, 2021.
Shoulder replacement removes damaged areas of bone and replaces them with parts made of metal and plastic (implants). This surgery is called shoulder arthroplasty (ARTH-row-plas-tee). The shoulder is a ball-and-socket joint.Aug 18, 2021
Total Shoulder Arthroplasty (TSA, including Reverse TSA) is billed as CPT code 23472; Shoulder Hemi-arthroplasty is CPT code 23470; Revision Shoulder Arthroplasty (one component- ball or socket revision) is CPT code 23473; Revision Shoulder Arthroplasty (both ball and socket) is CPT code 23474.
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. Various types of arthritis may affect the joints.
A reverse total shoulder replacement is a special type of shoulder surgery. During the surgery, your surgeon removes the damaged parts of the shoulder and replaces them with artificial parts. The shoulder joint is made up of the upper arm bone (humerus) and the shoulder blade (scapula).
There are three types of shoulder replacement surgeries:Total shoulder replacement: This is the most common type. ... Partial shoulder replacement: Only the ball gets replaced.Reverse shoulder replacement: Usually, you'd get this if you have a torn rotator cuff.Dec 15, 2021
The loss of the rotator cuff can produce pain and also loss of motion. A normal shoulder replacement is designed to work only if those tendons are intact. In contrast, a reverse prosthesis is designed for situations where the rotator cuff is torn or malfunctioning.
As the somewhat confusing name implies, reverse total shoulder replacement surgery involves a reversal in the process. In traditional total shoulder replacement the procedure involves replacing the ball and socket of the shoulder joint. Reverse total shoulder replacement also replaces this ball and socket.
If you are planning at a later date to perform further debridement of the bone and then finally performing the total shoulder arthroplasty, you would code each of the follow-up debridements with a modifier -58 and also attach that modifier to the total shoulder code (23472), letting the insurance carrier know that ...
The physician, in the electronic medical record (EMR) appropriately selects ICD-10 code S46. 011A. Because the ICD-10 code book reflects the industry description, the EMR printout of the medical documentation may state “strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder”.
As with all arthroscopic procedures, code 29805 (Arthroscopy, shoulder, diagnostic with or without synovial biopsy) is reported only when nothing else is done. If any other code is used, it is not appropriate to report the diagnostic code, even if the diagnostic arthro- scopy is followed by an open procedure.
Z96.611 is a billable diagnosis code used to specify a medical diagnosis of presence of right artificial shoulder joint. The code Z96.611 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code Z96.611 might also be used to specify conditions or terms like history of bilateral shoulder arthroplasty, history of hemiarthroplasty of right shoulder, history of left shoulder arthroplasty, history of reverse prosthetic total arthroplasty of right shoulder, history of revision of right total shoulder arthroplasty , history of right shoulder arthroplasty, etc.#N#The code Z96.611 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.
If you are missing an arm or leg, an artificial limb can sometimes replace it. The device, which is called a prosthesis, can help you to perform daily activities such as walking, eating, or dressing. Some artificial limbs let you function nearly as well as before. [ Learn More in MedlinePlus ]
Non-specific codes like Z96.61 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for presence of artificial shoulder joint:
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code (s). The following references for the code Z96.61 are found in the index: