Wiki Periprosthethic distal femur fx

[LIVE2CODE]

Hello
I am struggling with code selection on this. Patient had previous TKA. Presents for Retrograde IM nailing distal Peripros femoral fx. CT report "distal femoral metadiaphysis" I have looking at 27506,27511 27514. Any suggestions

 

[cmacpc]

Well after looking up the anatomy I'm leaning towards 27506. But when in doubt query the physician.

 

[Coder019]

Hi, I've billed this with 27514 many times

 

[sxcoder1]

27506 sounds best to me because it describes the intramedullary nailing.