ICD-10-PCS 27132 Conversion of previous hip surgery to total hip arthroplasty 27134 Revision of total hip arthroplasty; both components
Diagnosis Code V43.64. ICD-9: V43.64. Short Description: Joint replaced hip. Long Description: Hip joint replacement. This is the 2014 version of the ICD-9-CM diagnosis code V43.64.
Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Open Approach. ICD-10-PCS 0SRB04Z is a specific/billable code that can be used to indicate a procedure.
ICD-10-PCS Code 0SR9019 - Replacement of Right Hip Joint with Metal Synthetic Substitute, Cemented, Open Approach - Codify by AAPC.
Failure of a hip replacement requiring revision surgery occurs at a rate of approximately 1% per year for the first 15 years. Beyond eight years acetabular component loosening is more common than failure of the femoral component.
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.
Presence of right artificial hip joint The 2022 edition of ICD-10-CM Z96. 641 became effective on October 1, 2021.
Table 2Root operation (third character)DefinitionRevisionCorrecting, to the extent possible, a portion of a malfunctioning device or the position of a displaced deviceSupplementPutting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part3 more rows•May 30, 2019
If the bone destruction is severe enough, the components of the replaced hip may become loose (Figure 3). A loose component can move against the surrounding bone, compounding the bone loss. If the bone loss is severe enough, a spontaneous bone fracture can occur (known as a pathologic fracture).
The most common reasons for failure were instability (49 of 141 hips, 35%), aseptic loosening (42 of 141 hips, 30%), osteolysis and/or wear (17 of 141 hips, 12%), infection (17 of 141 hips, 12%), miscellaneous (13 of 141 hips, 9%), and periprosthetic fracture (three of 141 hips, 2%).
For hip or knee replacement failures, you may experience the following symptoms:loosening or instability,infection,frequent or recurring hip dislocations,fracture, or.a metal allergy.
Code 27132 includes removal of old hardware." When a previous hip dysplasia was treated with a Pavlik harness: "A harness is not surgery, so use of code 27132 would not be appropriate in this instance. However, should the infant have undergone surgery, then code 27132 would be applicable."
**For Part B of A services, the following CPT codes should be used:CodeDescription27134REVISION OF TOTAL HIP ARTHROPLASTY; BOTH COMPONENTS, WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT27137REVISION OF TOTAL HIP ARTHROPLASTY; ACETABULAR COMPONENT ONLY, WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT3 more rows
For a TKA revision (27486 Revision of total knee arthroplasty, with or without allograft; 1 component and 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component), watch for key words such as “removal and replacement of polyetheline liner” or “poly exchange,” and ...
CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L33618 Major Joint Replacement (Hip and Knee). Please refer to the LCD for reasonable and necessary requirements.
All those not listed under the “ICD-10 Codes that Support Medical Necessity” section of this article.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.
Hip replacement surgery involves removing the diseased hip joint and replacing it with artificial prosthetic components. Conditions that may damage the hip, necessitating a hip replacement, include osteoarthritis, rheumatoid arthritis, posttraumatic arthritis, hip fracture, avascular necrosis/osteonecrosis, a bone tumor, and childhood hip disease.
A partial hip replacement is done mainly to repair fractured hips.
The typical life span of a hip prosthesis is 10 to 15 years.
The “socket” part of the acetabulum is removed and replaced with a metal socket. A plastic, ceramic, or metal spacer (also called a liner or insert) is placed between the new femoral head and socket to allow for a smooth surface. Physicians often use the terms “arthroplasty” and “replacement” interchangeably.
Replacement: putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part. Removal: taking out or off a device from a body part. Revision: Correcting to the extent possible a portion of a malfunctioning device or the position of a displaced device.
In a replacement procedure, the objective is to replace the body part or a portion of the body part. This seems pretty straightforward. A caveat to remember is that if the code for replacement is assigned, the replacement code also captures the removal of the body part being replaced, and as such the removal or excision ...
During a revision procedure, a malfunctioning or displaced device is corrected. A portion of the device may be removed and replaced in a revision procedure, but a revision procedure will never involve the entire device. If the entire device is redone, the original root operation being performed should be coded.
Based on theory, it would seem that ICD-10-PCS root operations could be assigned correctly with relative ease; however, practical application sometimes intersects with coding scenarios that make one question the selection of the appropriate root operation.