AHA Coding Clinic® for HCPCS - 2016 Issue 1; Ask the Editor

Patellofemoral joint replacement

Patient presents to have a left patellofemoral replacement. The surface of the femur was prepared for insertion of the femoral trochlear implant. Then the surface of the patella was resected for the insertion of the patellar button. The bone cement was mixed and the femoral trochlear implant was cemented into place along with the patellar button component and held into place until cement hardened. There was good alignment and the area was closed. We want to report 27438 and 27442 but an NCCI edit exists. How is a patellofemoral joint replacement reported? ...

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