Girdlestone Procedure

This same patient developed another infection after a two-stage revision of an infected total hip prosthesis. At surgery, all components were removed, nothing was replaced and a Girdlestone procedure was carried out for removal of the prosthesis. A cement spacer was not inserted and there were no plans to reimplant a new hip prosthesis. What are the appropriate code assignments? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains coding considerations for a hip prosthesis infection scenario tied to a Girdlestone procedure. It is aimed at coders and other healthcare reimbursement professionals who need to understand how the case is approached, including the diagnosis context and procedure assignment discussion.

Why This Topic Matters

Cases involving infected joint prostheses and implant removal can affect diagnosis reporting and procedure selection, so this topic is relevant to hospital, orthopedic, and inpatient coding workflows.

What You Will Learn

  • How a hip prosthesis infection case is framed for coding review
  • What general diagnosis and procedure coding topics are involved in a Girdlestone procedure scenario
  • How implant removal cases are discussed in relation to reporting considerations
  • How the article presents coding assignment for an orthopedic infection case

Who Should Read This

  • Medical coders
  • Inpatient coding specialists
  • Orthopedic coding professionals
  • Clinical documentation improvement staff
  • Billing and reimbursement teams

Codes Discussed

  • ICD-9-CM: 996.66
  • ICD-9-CM: V43.64
  • ICD-9-CM: 80.05

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