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Orthopedic Coding Alert

Reader Question:

Select the Right Code For Pseudotumor of Pelvis

Published on Fri Oct 14, 2011

Question: What code could I use for pseudotumor of pelvis? The surgeon indicates that the mass was a pseudotumor formation seen with failed metal-metal joints. Am I correct to report it as 27134 (Revision of total hip arthroplasty; both components, with or without autograft or allograft) and 27045 (Excision, tumor, soft tissue of pelvis and hip area, subfascial [eg, intramuscular]; 5 cm or greater)?Georgia SubscriberAnswer: It is not clear from the details provided what procedure actually was done, so you'll need more details to appropriately select codes. As for diagnosis codes, you may report 729.99 (Other disorders of soft tissue) and 996.46 (Articular bearing surface wear of prosthetic joint) if the pseudotumor is secondary to poly wear, and V43.64 (Hip joint replacement).
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