• Revision Total Knee Replacement - OrthoInfo - AAOS

    primary total knee replacement, the knee joint is replaced with an implant, or prosthesis, made of metal and plastic components. Although most total knee replacements are very over time problems such as implant wear and may require a revision procedure to . Oct 01,  · TA is a billable/specific ICDCM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Mech compl of internal left knee prosthesis, init encntr The edition of ICDCM TA became effective on October 1, ICDCM Procedure Other excision of joint, knee; Note: approximate conversions between ICDCM codes and ICDPCS codes may require clinical interpretation in order to determine the most appropriate conversion code(s) for your specific situation. Sep 10,  · And if you look up that code in the ICD tabular list, you’ll see note that instructs you to “code also condition care.” In other words, you should not submit Z as a patient’s sole diagnosis—if you can help it—because on its own, this code might not adequately support the medical necessity of therapy treatment. w Revision of THA, both components w Revision of THA, acetabular component only w Revision of THA, femoral component only • (all with or without autograft or allograft) 9 Arthroplasty wTotal knee • Femur • Tibia • patella Apr 25,  · My doctor did a revision of right knee arthroplasty with exchange of polyethylene (1 component) AND extensive synovectomy. I am not sure what code to use for the synovectomy since is wasn't arthroscopic and not sure even if I could bill those 2 together. In the op note it states, ''Once the knee was opened, the knee was flexed and. Consider a total knee replacement, which consists of the of all three components of the knee joint (the tibial, femoral, and patellar components). The first time the total joint is replaced with an orthopedic device, the procedure would be coded to replacement based on the definition of the ICDPCS root operation of the same name. ICDCM and ICDPCS: Replacement. The is an example of how ICDCM and ICDPCS compare in code assignment for Replacement procedures. Total Revision of Right Knee Replacement. The patient had a right total knee replacement performed nine years ago and now presents for a revision of the right total knee replacement. Revision Knee Replacement This operation varies from very minor adjustments to massive operations significant amounts of bone. The typical knee replacement replaces the ends of the femur (thigh bone) and tibia (shin bone) with plastic inserted between them and usually the patella (knee cap).

    Contact the Author To comment on this article go to. All three of these root operations always involve a device. Thus, using it as a primary diagnosis code could lead to claim denials. Know what to expect from daily life after knee replacement and get some tips on recovery, so that you can get the most out of your new knee. See Poll Results. Right An x-ray of the augmented component in place within the knee. The plastic liner eventually wears out over time, usually 10 to 15 years and may need to be changed. Got an aftercare question? She has more than 23 years of experience and expertise within the healthcare industry specializing in clinical documentation improvement, coding education, reimbursement methodologies and healthcare quality for hospitals. This immune response also attacks the healthy bone around the implant, leading to a condition called osteolysis. Wound Care You will have stitches or staples running along your wound or a suture beneath your skin on the front of your knee.

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