AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 1; Ask the Editor

Bilateral Traumatic Amputation with Stage 1 Placement of OPRA Device

A patient with bilateral traumatic above knee amputations underwent placement of a Stage 1 Osseointegrated Prostheses for the Rehabilitation of Amputees (OPRA) device. Following incision, an osteotomy was performed. After reaming into the femur and tapping, the implant was advanced into place, followed by the central healing screw, the healing cylinder, and bone graft. The same procedure was done on the contralateral side. Would the principal diagnosis be the traumatic amputation with seventh character “D” subsequent encounter or is an aftercare code assigned? Additionally, is Insertion the appropriate root operation for the procedure? ...

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