ICD-9-CM V43.65 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V43.65 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes).
Z codes also apply to post-op care when the condition that precipitated the surgery no longer exists—but the patient still requires therapeutic care to return to a healthy level of function. In situations like these, ICD-10 provides a few coding options, including: Z47.1, Aftercare following joint replacement surgery.
A single aftercare code might not be enough. In situations where it’s appropriate to use Z codes, aftercare codes may be listed as the primary diagnosis—but that doesn’t mean the Z code should be the only diagnosis code listed for that patient.
ICD-10 introduced the seventh character to streamline the way providers denote different encounter types—namely, those involving active treatment versus those involving subsequent care. However, not all ICD-10 diagnosis codes include the option to add a seventh character.
Z96. 651 - Presence of right artificial knee joint. ICD-10-CM.
Z96. 653 - Presence of artificial knee joint, bilateral. ICD-10-CM.
ICD-10 code Z96. 65 for Presence of artificial knee joint is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Total knee arthroplasty (TKA) or total knee replacement (TKR) is a common orthopaedic surgery that involves replacing the articular surfaces (femoral condyles and tibial plateau) of the knee joint with smooth metal and highly cross-linked polyethylene plastic.
You may experience the most swelling 7 to 10 days after surgery. Raise (elevate) your leg above the level of your heart by placing a pillow under your calf or ankle, not your knee. Apply ice for 20 minutes, 3 to 4 times a day to help reduce swelling. Call your surgeon right away if you have an increase in calf pain.
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 .
Z48. 81 - Encounter for surgical aftercare following surgery on specified body systems. ICD-10-CM.
652.
Z98.1Z98. 1 Arthrodesis status - ICD-10-CM Diagnosis Codes.
Total Knee Arthroplasty (TKA)
A transient ischaemic attack (TIA) or "mini stroke" is caused by a temporary disruption in the blood supply to part of the brain.
With joint reconstruction, the relief provided may only be temporary, but the recovery is usually shorter and easier; with a total joint replacement, relief is more long-lasting, and recovery takes more time. As with any surgery, the results also depend on the expertise of the orthopedic surgeon.
By 7-8 weeks after surgery, you continue to exercise your knee and work with your physical therapist. You may add more complicated exercises to your routine and exercise for longer periods of time. You should still plan to avoid high-impact workouts to avoid putting too much stress on your knee.
Knee pain and function greatly improve during the first few weeks after knee replacement surgery. Significant improvements continue during weeks 4 through 6. By week 6, the majority of patients are off pain medications and have resumed their day-to-day routines.
The first 2 weeks are generally the hardest. You find that if you skip your pain killers the knee is sore, but this does get better. After the first 2-4 weeks things are improving and you start to have good times in the days, and you can even get by with not taking as many pain killers.
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.
Even so, therapists should only use ICD-10 aftercare codes to express patient diagnoses in a very select set of circumstances.
97110 – Therapeutic exercises to develop strength and endurance, range of motion, and flexibility.
27570 – Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices)
29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)
There is no specific code for open lysis of adhesions of knee. The related codes are,
27486 – Revision of total knee arthroplasty, with or without allograft; one component