• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki TKA or Arthrotomy

Create Wiki
L

LIVE2CODE

Networker
Local Chapter Officer
Messages
63
Location
Statesboro, GA
Best answers
0
Any suggestions? I am leaning towards 27310 because the components was explored, and cleaned. Extensive synovectomy was also performed along with Poly liner exchanged.
 
I would need to see the Operative Report to be certain, but most likely what you are seeing is an Arthrotomy with Extensive Synovectomy (27335). In the presence of a TKR, in order to do an "extensive synovectomy including the posterior compartments," the Tibial Polyethylene Component needs to be removed "temporarily" until the posterior compartments have been explored and treated. A new Tibial Polyethylene Component is usually placed when this has been done. Reusing the previous one is a "No No," as it may have some wear, and it can not be re-sterilized for re-insertion without risk of damage from the Autoclave process. This does not constitute a Revision Arthroplasty.

Respectfully submitted, Alan Pechacek, M.D.
icd10orthocoder.com
 
You must log in or register to reply here.
Top