Wiki ortho coders question!

[kelkelj]

ortho coding polyetheline exchange?


how do we code for only a polyetheline exchange ? My doctor wants me to use unlisted WHAT TO DO! kelley

 

[ohiocoder101]

Hi kelley.. please post under the ORTHOPEDIC forum! you may recieve more responses

thanks,

 

[Tanya.DeSimone]

I would code a revision with a -52 modifier.

 

[jdemar]

....same as I replied to nikkisgranny....use revision of one component with a 52 modifier (reduced services)...it was not the 1 component, only the liner.

 

[BCrandall]

The CDR states that revision codes 27486/87 apply to the femoral and tibial components only. I use the unlisted (27599) myself.

 

[Treetoad]

For a liner exchange only, the AAOS recommends using the revision one component with modifier 52.

 

[hanoz420@hotmail.com]

This would fall under revision two-component code 27134—Revision of total hip arthroplasty; both components, with or without autograft or allograft—with modifier -52 appended. The appropriate ICD-9 code would be 996.46—Articular bearing surface wear of prosthetic joint—that became effective Oct 1, 2005. (I got this from an AAOS bulletin)