AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 4; New/Revised ICD-10-PCS Procedure Codes
Oxidized Zirconium on Polyethylene Bearing Surface
In code table 0SR, Lower Joints, Replacement, a new device value was added to identify a hybrid type of bearing surface for hip replacements and knee replacements. Device6 Synthetic Substitute, Oxidized Zirconium on Polyethylene The bearing surface is where the synthetic components of the joint replacement device meet. For example, in the hip, the bearing surface is where the replacement femoral head meets the replacement acetabular cup. If both the femoral head and acetabular cup are metal, the bearing surface is metal. If the femoral head is metal and the acetabular cup is polyethylene, the bearing surface is metal...
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Article Overview
This article covers an ICD-10-PCS update affecting lower-joint replacement coding, with focus on a newly added device value for a hybrid bearing surface used in hip and knee replacements. It explains the broader context of bearing surfaces in joint prostheses, notes how the update helps distinguish this device type in coded data, and includes a coding example for a total hip replacement case. The article is relevant to inpatient coders, CDI staff, and anyone tracking ICD-10-PCS body system updates for orthopedic procedures.
Why This Topic Matters
Coding updates that add new device values can change how joint replacement procedures are represented in ICD-10-PCS and improve the specificity of procedure data used for reporting, analytics, and compliance review.
Article Sections
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ICD-10-PCS device update for lower joint replacements
Introduces the update to the lower-joint replacement table and describes the general context for the new device value within ICD-10-PCS.
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Bearing surface background
Summarizes the concept of bearing surfaces in joint replacement devices and how they are discussed in relation to hip and knee procedures.
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Coding example
Presents a sample total hip replacement scenario and identifies the procedure coding outcome discussed in the article.
What You Will Learn
- How the article frames a new ICD-10-PCS device value for lower-joint replacement procedures
- The role of bearing surfaces in joint replacement coding
- Why the update matters for distinguishing similar orthopedic device types
- How the article applies the update in a hip replacement example
Who Should Read This
- ICD-10-PCS coders
- Hospital inpatient coding teams
- Clinical documentation improvement specialists
- Orthopedic coding and reimbursement staff
Codes Discussed
Code Ranges Discussed
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