icd 9 code for status post hip replacement

by Macy Bode 7 min read

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.

Full Answer

What is the ICD 9 code for hip replacement?

Hip joint replacement Short description: Joint replaced hip. ICD-9-CM V43.64 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V43.64 should only be used for claims with a date of service on or before September 30, 2015. You are viewing the 2012 version of ICD-9-CM V43.64.

What is the ICD-9-CM code for hip dislocation?

Right hip arthroplasty dislocation ICD-9-CM codes are used in medical billing and coding to describe diseases, injuries, symptoms and conditions. ICD-9-CM V43.64 is one of thousands of ICD-9-CM codes used in healthcare.

What is the CPT code for hip revision?

CPT® codes for hip revision include: 27134 Revision of total hip arthroplasty; both components, with or without autograft or allograft 27137 acetabular component only, with or without autograft or allograft 27138 femoral component only, with or without autograft or allograft

What is the ICD 10 code for osteoarthritis of hip?

Post-traumatic osteoarthritis of hip NOS ICD-10-CM Diagnosis Code Z96.64 Presence of artificial hip joint Hip-joint replacement (partial) (total)

image

What is the ICD-10 code for status post hip replacement?

Aftercare following explantation of hip joint prosthesis Z47. 32 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 Z47. 32 became effective on October 1, 2021.

How do you code a hip replacement?

Coding for the hip replacement surgery is 27132.

What is the ICD 10 code for right hip revision?

Presence of right artificial hip joint The 2022 edition of ICD-10-CM Z96. 641 became effective on October 1, 2021.

What is the difference between 27130 and 27132?

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.

What does NEC mean in code?

NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.

What is the ICd 10 code for hip replacement?

V43.64 is a legacy non-billable code used to specify a medical diagnosis of hip joint replacement. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

What does "see also" mean in the alphabet?

See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.

What is a code also note?

Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.

What is inclusion term?

Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.

What is hip replacement?

Hip replacement is surgery for people with severe hip damage. The most common cause of damage is osteoarthritis. Osteoarthritis causes pain, swelling, and reduced motion in your joints. It can interfere with your daily activities. If other treatments such as physical therapy, pain medicines, and exercise haven't helped, hip replacement surgery might be an option for you.

What is a type 1 exclude note?

Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

What is a Z77-Z99?

Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status

When will the ICD-10 Z96.641 be released?

The 2022 edition of ICD-10-CM Z96.641 became effective on October 1, 2021.

What to do if you have an infection after hip replacement?

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.

How does a total hip replacement work?

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:

What is the ball on the stem of a femoral artery?

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.

What is the spacer between a ball and a socket?

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. Although hip replacements relieve pain and restore the function of a hip joint, they do not last forever.

What conditions can cause a hip replacement?

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.

What is hip replacement?

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.

Why do hip replacements have complications?

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.

image