Z96. 651 - Presence of right artificial knee joint. ICD-10-CM.
ICD-10-CM Code for Encounter for other orthopedic aftercare Z47. 89.
ICD-10 code Z47. 1 for Aftercare following joint replacement surgery is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Total Knee ArthroplastyCodeDescription27445ARTHROPLASTY, KNEE, HINGE PROSTHESIS (EG, WALLDIUS TYPE)27447ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY)27486REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHOUT ALLOGRAFT; 1 COMPONENT1 more row
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.
Z48. 81 - Encounter for surgical aftercare following surgery on specified body systems. ICD-10-CM.
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 .
Encounter for other specified aftercare Z51. 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 Z51. 89 became effective on October 1, 2021.
Z96. 653 - Presence of artificial knee joint, bilateral. ICD-10-CM.
ICD-10-CM Code for Unilateral primary osteoarthritis, left knee M17. 12.
M25. 562 Pain in left knee - ICD-10-CM Diagnosis Codes.
CMS also identified CPT code 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment as a Harvard-valued service with Annual Allowed Charges Greater than $10 million.
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.
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.
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.
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.".
Even so, therapists should only use ICD-10 aftercare codes to express patient diagnoses in a very select set of circumstances.