Presence of right artificial hip joint. ICD-10 Z96.641 is a billable code used to specify a medical diagnosis of presence of right artificial hip joint. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.
Presence of artificial hip joint, bilateral. Z96.643 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM Z96.643 became effective on October 1, 2018.
Tight hips may also be caused by:
Presence of right artificial hip joint The 2022 edition of ICD-10-CM Z96. 641 became effective on October 1, 2021. This is the American ICD-10-CM version of Z96.
The goal of replacement surgery is to relieve pain and restore mobility and function of the damaged hip joint. In a total hip replacement (ICD-9-CM code 81.51), the femoral head is removed and replaced with a metal stem, which is placed into the center of the femur, and a metal or ceramic ball.
Presence of artificial hip joint, bilateral Z96. 643 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. 643 became effective on October 1, 2021.
ICD-10: Z47. 1, Aftercare following surgery for joint replacement.
ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.
Z96.642642.
In a total hip replacement (also called total hip arthroplasty), the damaged bone and cartilage is removed and replaced with prosthetic components. The damaged femoral head is removed and replaced with a metal stem that is placed into the hollow center of the femur.
Current Procedural Terminology (CPT) codes For this study, CPT 27130 was used to identify primary THA, while CPT 27132 was used to identify conversion THA.
Aftercare following explantation of hip joint prosthesis The 2022 edition of ICD-10-CM Z47. 32 became effective on October 1, 2021.
ICD-10-CM Code for Encounter for other orthopedic aftercare Z47. 89.
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.
Hip replacement, also referred to as total hip arthroplasty, is a surgical procedure to replace an unhealthy hip joint with an artificial joint. Hip replacement surgery aims to relieve pain and restore the alignment and function of a diseased hip joint after conservative treatment options have failed.
Conditions that damage the hip, necessitating a hip replacement, include arthritis, fracture, avascular necrosis, bone tumors or cysts, and hip dysplasia. The implant fits into the hip.
In a total hip replacement, 27130 Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft, the damaged bone and cartilage are removed and replaced with prosthetic components, which come in many different materials and designs. The femur is first hollowed out and the femoral head removed. A metal stem is then cemented or “press fit” directly into the hollowed-out femur. A metal or ceramic ball or “head” is placed on top of the stem to replace the damaged femoral head that was removed. The surface of the acetabulum is then reamed out and inserted with a metal socket, or “cup.” Screws or cement secure the socket in place. A spacer, sometimes called a “liner,” is inserted between the new ball and socket to create a smooth surface for the new joint to glide.#N#Although hip replacements relieve pain and restore the function of a hip joint, they do not last forever. A successful hip prosthesis typically lasts about 15 years, and some patients need one or more revisions of a hip replacement in their lifetime, particularly if:
The most common reasons for a hip revision are recurrent dislocation of the prosthetic joint, infection, and mechanical failure. Mechanical failure consists of normal wear and tear or breakage of the prosthesis.
If an infection following a hip replacement develops, treatment typically includes surgery or multiple surgeries and antibiotics. Sometimes the surgeon performs a thorough debridement of the bone to clean out the infection, coded with 27030 Arthrotomy, hip, with drainage (eg, infection). If the surgeon debrides only tissue and/or muscle but not bone, look to debridement codes 11040-11043.#N#To prevent further infection, the surgeon might replace part of a hip replacement component, such as the polyethylene liner and/or the prosthetic head, coded with 27137 Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft and modifier 52 Reduced services. (Modifier 52 indicates the full description of the given code was not performed, as only part of the hip replacement component is exchanged. It may be necessary to include a copy of the operative report with the claim submission when using modifier 52.)#N#Another surgical treatment for infection following a hip replacement is a complete exchange of prosthetic joint, done in two (or more) operative sessions. The first stage involves complete removal of the hip replacement, debridement and cleaning of the bone, and implantation of a temporary cement spacer. The first stage of surgery is coded with 27091 Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer. If the temporary spacer delivers antibiotics to the hip area, you may also report 11981 Insertion, non-biodegradable drug delivery implant.#N#During the next surgery, which usually occurs six weeks later, the physician removes the temporary spacer and implants new total hip replacement components. Report this surgery with 27132 Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft. Do not report revision code 27134 unless both the removal and exchange of the hip replacement component (s) occur during the same operative session.#N#Reporting a conversion code means the patient had a previous open hip surgery and the area being operated on is altered in some way. The value of the conversion code reflects the additional complexity compared to a primary arthroplasty procedure. Use the conversion code when the patient has had a prior open procedure, such as a hemiarthroplasty, open reduction and internal fixation (ORIF), or arthroscopy, and subsequently undergoes a total hip replacement.#N#Example: A patient had a hip arthroscopy as a teenager and years later presents for a total hip replacement surgery due to severe osteoarthritis. Coding for the hip replacement surgery is 27132.
Progress notes should consist of more than just conclusive statements. Therefore, the medical record of the joint replacement surgical patient must specifically document a complete description of the patient’s historical and clinical findings. Both physicians (includes physician treatment, evaluation and consultation records from the office to document medical necessity for surgery) and hospitals are responsible for ensuring a complete and accurate record.
Note, however, that modifier 62 may only be used when the co-surgeons are of different specialties and are working together on the same procedure.