Wiki exchange of tibia poly?

peporter

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Hello coders, I need your help again. The surgeon did a tibia poly exchange status post a TKR due to cellulitis. He stated procedures as a Removal of implant: Reinsertion of tibial poly: Arthrotomy knee: Irrigation and debridement involving deep tissue.

Is replacement of the poly the same as a revision knee arthroplasty; one component? Can I bill using 27486 ? The surgeon did not call the procedure a revision only the exchange of the poly.

I can post the surgical notes if needed. Thanks in advance for the help, Paula
 
unfortunately the poly is not considered a component. 27486-52 would be the proper way to report this.

Mary, CPC,COSC
 
Mary, thanks for the answer. I guess that is why he didn't say revision. I hope I'm correct in thinking that none of the other procedures are separately billable? That they are inclusive. I do appreciate all the help from you and the other ortho coders. Paula
 
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