AMA CPT® Assistant - 2018 Issue 4 (April)

Surgery: Musculoskeletal System (Q&A) (April 2018)

April 2018 page 10b Surgery: Musculoskeletal System Question: A patient presents with a history of partial knee replacement several years ago. Due to mechanical complication with anteromedial extrusion of the meniscal (polyethylene) bearing (size 5), it was necessary to remove and replace the bearing (unicompartmental arthroplasty) with a size 6. Should code 27599(unlisted) or 27486(revision of a total knee arthroplasty) be reported for this procedure? Answer: The procedure described in the question is "revision" of a partial knee replacement and not a "total" knee replacement. Therefore, it would not be appropriate to report revision of a total knee arthroplasty...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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