grobbins
New
Doc performed a patient's first TKA. After all components were cemented into place and hardened, he noticed:
"However it was noted that the bone underlying the femoral component on the anterior cortex of the femur began to collapse. It was felt that this bone would not support a primary tibial component. At this point the decision was made to convert to a revision system with stems for additional fixation. Both the femur and tibia were removed with minimal bone loss using a combination of saws and osteotomes."
Would this be coded as a "Revision 27487" or a 27447 with a Modifier 22 for complexity?
Any feedback would be GREATLY appreciated!
"However it was noted that the bone underlying the femoral component on the anterior cortex of the femur began to collapse. It was felt that this bone would not support a primary tibial component. At this point the decision was made to convert to a revision system with stems for additional fixation. Both the femur and tibia were removed with minimal bone loss using a combination of saws and osteotomes."
Would this be coded as a "Revision 27487" or a 27447 with a Modifier 22 for complexity?
Any feedback would be GREATLY appreciated!