AHA Coding Clinic® for ICD-9 - 2009 Issue 2; Ask the Editor
Iatrogenic Greater Trochanteric Fracture Occurring During Arthroplasty
A 46-year-old man who was status-post multiple orthopedic procedures following a motor vehicle accident was admitted for elective arthroplasty due to post-traumatic hip arthritis. The patient underwent total hip replacement and the surgery was complicated by an avulsion fracture of the posterior lateral region of the proximal femur. The documentation describes the fracture as an iatrogenic greater trochanteric fracture. What are the appropriate code assignments for this case? ...
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Article Overview
This premium article reviews a hip arthroplasty scenario in which surgery for post-traumatic hip arthritis was complicated by an iatrogenic fracture. It is relevant to inpatient and orthopedic coders who need to understand the diagnosis categories involved, the complication context, and how the article frames the coding of the case.
Why This Topic Matters
Complications occurring during orthopedic procedures can affect how a case is reported and grouped. This article helps readers recognize the diagnosis and complication concepts involved in a post-traumatic hip arthroplasty scenario.
What You Will Learn
- How the article frames a hip arthroplasty case complicated by an iatrogenic fracture
- Which diagnosis categories are associated with post-traumatic hip arthritis and procedure-related complications
- How the case context affects coding considerations in an orthopedic setting
- What types of coding guidance are discussed for this complication scenario
Who Should Read This
- Medical coders
- Inpatient coders
- Orthopedic coders
- Coding auditors
- Revenue cycle staff
Codes Discussed
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