AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 1; Ask the Editor

Adverse Local Tissue Reaction due to Hip Joint Prosthesis

The patient, who is status post bilateral total hip replacement, presented with a fluid collection around the right hip. Infection was ruled-out, but high levels of metal ions were found. As a result, she underwent right hip revision arthroplasty. After removal of the cobalt chrome head, a large amount of black precipitate was noted on the device. There was black discoloration along the medial inferior capsule adjacent due to significant corrosion. Based on these findings, the provider diagnosed “Adverse local tissue reaction.” What is the appropriate ICD-10-CM code assignment for adverse local tissue reaction due to hip prosthesis? ...

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