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 Subscriber
Answer:
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).