amelia04284
Contributor
Patient had initial BKA 15 years ago after fracturing ankle. Following operative fixation, subsequently developed osteomyelitis leading to the need for amputation. Has been doing well with prosthesis up until about a year ago when they started experiencing discomfort. Primary complaint is a tender piece of bone over the distal portion of stump. No injuries or trauma. No current evidence of infection or skin breakdown.
XR demonstrate bony overgrowth on distal portion of remaining tibia.
I know two possibilities are 27880 and 27886 but the description for 27886 states the re-amputation is due to nonhealing of the original stump or persistent infection - neither of which is true. But I would consider this to be "Other Complication of Amputation Stump" (T87.89XA) in which it does point me to 27886.
I may be overthinking this but I do not have much experience with amputations so any feedback/guidance would be appreciated!
XR demonstrate bony overgrowth on distal portion of remaining tibia.
I know two possibilities are 27880 and 27886 but the description for 27886 states the re-amputation is due to nonhealing of the original stump or persistent infection - neither of which is true. But I would consider this to be "Other Complication of Amputation Stump" (T87.89XA) in which it does point me to 27886.
I may be overthinking this but I do not have much experience with amputations so any feedback/guidance would be appreciated!