icd 9 code for revision of knee replacement

Full Answer

Do I need a partial or a total knee replacement?

“We would also do a total if the patient has a complication such as deformity caused by long-term arthritis, or if they have severe ligament instability. These can’t be corrected with a partial replacement.” Most patients who need knee replacement surgery need total joint replacement.

What is the recovery time for a knee revision?

• age (Younger patients tend to be more active and to wear out knee prostheses more rapidly than older ones.)
• a long hospital stay for the original knee surgery
• concurrent diseases or disorders
• any type of arthritis
• surgical complications during the first knee operation
• having the first knee operation performed at an urban hospital

What are the reasons for total knee replacement?

• Total knee replacement or bi-compartmental knee replacement.
• Uni- compartmental (partial) knee replacement
• Kneecap replacement (patellofemoral arthroplasty)
• Complex or revision knee replacement. ...
• Used for older or sedentary patients. ...
• Non-cemented ingrowth femoral and patellar component with a cemented tibial component.

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Do you qualify for a total knee replacement?

To qualify for a knee replacement, you need to meet two major requirements. One is that you have a sufficient amount of loss of cartilage. The other is that the loss is bad enough that it’s having a negative impact on your quality of life—due to either pain, limited function or a combination of the two.

What is the ICD 10 code for right knee revision?

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.

What is the CPT code for revision of total knee replacement?

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.

What is revision surgery of the knee?

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.

What is a Stage 1 knee revision?

The first stage involves the removal of the prosthesis, followed by extensive debridement of nonviable tissues (including synovectomy), irrigation, and reaming of the medullary canals. Once the joint is prepared, antibiotic-impregnated cement beads and/or spacer are inserted.

What is the difference between CPT 27486 and 27487?

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 ...

What modifier should be reported when you are converting a unicompartmental knee replacement to a total knee replacement?

This is consistent with the advice published in CPT Assistant, July 2013, that CPT code 27487 with Modifier 52, Reduced Services, is the correct code assignment for a conversion from a unicompartmental to total arthroplasty.

What is a 2 stage knee revision?

A deep infection of a knee replacement is typically treated with surgery in what is called a Two-Stage Revision Knee Replacement. A two-stage revision knee replacement consists of first clearing the infection and then, once the infection is cleared, reinserting a new joint replacement.

What is the difference between knee replacement and knee resurfacing?

During resurfacing, surgeons shave away diseased or damaged parts of the knee without replacing the knee entirely. Instead, they insert artificial implants to relieve arthritis in a specific compartment of the knee.

What is a joint revision?

Joint revision is a type of surgery performed on a patient who already has an existing artificial joint that was implanted during a joint replacement procedure. There are several reasons why a patient might need joint revision surgery after a joint replacement.

Is the patella replaced in a total knee replacement?

This procedure, called a total knee arthroplasty (TKA), involves replacing all of the joint surfaces in the knee. In a total knee replacement, sometimes the under-surface of the patella (knee cap) is resurfaced and polymer plastic implant is attached to it.

What is a resection arthroplasty?

Resection arthroplasty is surgery where your doctor removes part of your joint to relieve your symptoms. The space that's left fills in with scar tissue over time. For some joint problems, it's a common surgery.

What is a polyethylene exchange of the knee?

Exchanging the polyethylene allows greater access to the posterior aspect of the joint, permitting a more complete synovectomy and irrigation and debridement. 25. Irrigation and debridement and polyethylene exchange is an attractive option in treating peri-prosthetic infections because it involves a single operation.

What is included in CPT code 27447?

CPT® Code 27447 in section: Arthroplasty, knee, condyle and plateau.

What is included in CPT code 27486?

The surgeon reports CPT code 27486 (revision of total knee arthroplasty, with or without allograft; 1 component). If the joint is infected, however, and the patient must be treated with antibiotics before a new component can be inserted, the procedure is not considered a revision arthroplasty.

What is procedure code 27487?

Total Knee ArthroplastyCodeDescription27486REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHOUT ALLOGRAFT; 1 COMPONENT27487REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHOUT ALLOGRAFT; FEMORAL AND ENTIRE TIBIAL COMPONENT2 more rows

What is the CPT code 27446?

CPT® Code. Description. Arthroplasty. 27446. Arthroplasty, knee, condyle and plateau; medial or lateral compartment.

Known As

Total knee replacement is also known as artificial knee joint present, history of artificial knee joint has currently, history of bilat knee arthroplasty, history of bilat total knee arthroplasty, history of bilateral knee arthroplasties, history of bilateral total knee arthroplasties, history of implantation of artificial left knee joint, history of implantation of artificial right knee joint, history of infected total knee arthroplasty (artificial knee joint), history of infected total knee arthroplasty with retained component, history of left knee arthroplasty, history of left knee replacement, history of left total knee arthroplasty, history of left total knee replacement, history of revision of left total knee arthroplasty, history of revision of right total knee arthroplasty, history of right knee arthroplasty, history of right knee replacement, history of right total knee arthroplasty, history of right total knee replacement, history of total knee arthroplasty, HX of artificial knee joint has currently, Hx of bilat knee arthroplasty, Hx of bilat total knee arthroplasty, Hx of infected total knee arthroplasty retained component, Hx of left knee arthroplasty, Hx of left total knee arthroplasty, Hx of revision of left total knee arthroplasty, Hx of revision of right total knee arthroplasty, Hx of right knee arthroplasty, Hx of right total knee arthroplasty, HX of total knee arthroplasty, infection of total knee joint prosthesis, infection of unicondylar knee joint prosthesis, and loosening of unicondylar knee replacement..

Total Knee Replacement Definition and Symptoms

Total knee replacement is a surgical procedure where parts of the knee joint are removed and replaced with artificial parts. This procedure is done to relieve pain associated with arthritis that could not be relieved with weight loss, medicines, or injections.