Hip Resurfacing

Effective October 1, 2006, new codes have been created to uniquely identify hip resurfacing arthroplasties. Traditional hip replacement arthroplasties involve resection of the head and the majority of the neck of the femur and reconstruction with a stem and replacement head. Hip resurfacing, on the other hand, involves grinding away the worn surfaces of the femoral head and acetabulum, retaining the femoral neck and majority of the femoral head, with placement of new bearing surfaces. Hip resurfacing is intended as a primary joint replacement for patients with advanced hip disease who are likely to live longer than the device...

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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 covers the addition of hip resurfacing procedure codes effective October 1, 2006, and the broader clinical distinction between hip resurfacing and traditional hip replacement. It is relevant to coders, billers, auditors, and clinical documentation staff working with hip and knee procedure coding. The article also discusses how the new coding structure fits within the orthopedic procedure code family and notes related guidance tied to reporting the procedure type and bearing surface category.

Why This Topic Matters

Hip resurfacing is a distinct orthopedic procedure with specific procedure codes, and accurate identification affects procedure reporting and code selection. The article helps readers understand the scope of the new coding structure and the context for reporting these services.

What You Will Learn

  • How hip resurfacing is described in relation to other hip arthroplasty procedures
  • When the hip resurfacing codes became effective
  • How the hip resurfacing procedure family is organized within the code set
  • What general coding topics are associated with reporting this type of procedure

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billers
  • Clinical documentation specialists
  • Orthopedic practice staff

Codes Discussed

  • ICD-9-CM Procedure Codes: 00.85
  • ICD-9-CM Procedure Codes: 00.86
  • ICD-9-CM Procedure Codes: 00.87
  • ICD-9-CM Procedure Codes: 00.75

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