AHA Coding Clinic® for ICD-9 - 2004 Issue 3; Clarification
Osteoarthritis Status Post Hip Replacement
Coding Clinic, Second Quarter 2004, page 15, advised to assign code 715.35, Osteoarthrosis, localized, not specified whether primary or secondary, pelvic region and thigh, as an additional diagnosis. Code 715.35 should not be assigned for osteoarthritis in the hip joint that was replaced, since the patient no longer has osteoarthritis in this joint after the hip replacement. If the patient still has osteoarthritis in other joints, such as the other hip, then the appropriate code from category 715 should be assigned. ...
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Article Overview
This short Coding Clinic article addresses post-hip-replacement documentation for osteoarthritis and explains the general coding context reviewed by the publication. It is relevant to coders working with orthopedic records, secondary diagnosis assignment, and arthritis-related coding questions in the ICD-9-CM era.
Why This Topic Matters
Accurate diagnosis coding after joint replacement depends on distinguishing the replaced joint from remaining osteoarthritic disease in other joints. The article is useful for coders who need to understand the Coding Clinic discussion and its implications for musculoskeletal record abstraction.
What You Will Learn
- How post-hip-replacement osteoarthritis documentation is discussed in Coding Clinic
- How arthritis-related coding is addressed in the context of a replaced joint
- How the article frames related diagnoses in other joints within the same clinical record
- The type of ICD-9-CM guidance considered for orthopedic coding questions
Who Should Read This
- Medical coders
- Coding auditors
- Health information management professionals
- Orthopedic coding specialists
Codes Discussed
Code Ranges Discussed
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