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What code are you using for a reimplantation of a total hip arthroplasty (hip was explanted weeks prior and antibiotic spacer was placed)? 27132 conversion with a 58 modifier (staged) since a spacer was inplanted after the removal of the prosthesis.
Based on the case details presented, you're right to code 27487 for the revision of the total knee. Don't forget modifier -58 and to code for the antibiotic spacer removal using 11982-58. Marilu Perez Sumner, ACPAR, CBCS, RMC, CPC, COSC
Total traumatic cataract, right eye Right total traumatic cataract; Total right traumatic cataract ICD-10-CM Diagnosis Code H33.051 [convert to ICD-9-CM] Total retinal detachment, right eye
Per AAOS, 27487 would be incorrect for a reimplantation because revision surgery requires that an exchange of prosthesis be done at the same surgical session. You've indicated that your patient had already had the prosthesis removed.
ICD-10: Z96. 651, Status (post), organ replacement, by artificial or mechanical device or prosthesis of, joint, knee-see presence of knee joint implant.
Z96. 653 - Presence of artificial knee joint, bilateral. ICD-10-CM.
Presence of right artificial knee joint The 2022 edition of ICD-10-CM Z96. 651 became effective on October 1, 2021. This is the American ICD-10-CM version of Z96.
A single-stage procedure This is reported using current procedural terminology (CPT) code 27487—Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component.
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).
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 .
A knee revision is the replacement of prosthetic implants in a person who previously had a total knee replacement. In this surgery, known as a "reoperation," an original prosthesis is removed and a new prosthesis put in place.
Knee replacement, also called knee arthroplasty or total knee replacement, is a surgical procedure to resurface a knee damaged by arthritis. Metal and plastic parts are used to cap the ends of the bones that form the knee joint, along with the kneecap.
During a total knee replacement, the end of the femur bone is removed and replaced with a metal shell. The end of the lower leg bone (tibia) is also removed and replaced with a channeled plastic piece with a metal stem.
For 1-stage revisions, CPT code 27486 (revision of total knee arthroplasty, with or without allograft; 1 component) was used for aseptic 1-component revision; and CPT code 27487 (revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component) was used for aseptic and septic 2- ...
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.
CPT® Code 27447 in section: Arthroplasty, knee, condyle and plateau.
The 2022 edition of ICD-10-CM Z96.651 became effective on October 1, 2021.
Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status
Two-Stage Reimplantation in Infected Total Knee Arthroplasty
Two-stage reimplantation is considered the gold standard for the management of periprosthetic joint infection. The first stage involves the removal of the prosthesis, followed by extensive debridement of all nonviable tissues, synovectomy, irrigation, and reaming of the medullary canals. Once the jo …