kristenderosa@gmail.com
Networker
I have a resident that has returned to a SNF after a L hip replacement. He was initially placed in the rehab facility for a fracture of the L acetabulum and I used S32.432D for his admission in 2021. Fast forward to today, the pain was so severe they determined he should have a hip replacement. My question in: The book states you cannot use an S code with the seventh character D AND the Z47.1 (Aftercare following joint replacement therapy) in the same encounter, but I want to capture the fact that they need to do the replacement because of the severe pain he was in. The provider never labeled his fracture as delayed healing, so I am not sure what to do with how to sequence the claim to capture both the replacement and the reason for the replacement.
Any help would be appreciated. Thank you![Smile :) :)](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Any help would be appreciated. Thank you