AHA Coding Clinic® for ICD-9 - 2014 Issue 1; Ask the Editor
MOST Prosthetic Total Femoral Replacement
A patient with known echinococcal infection of the femur with pain and a large mass of the femur underwent a radical resection of the femur and a replacement with a MOST prosthetic reconstruction. The MOST Options® System provides modular knee and hip options for severe bone loss, trauma and revision surgery. In this case, the MOST prosthetic involves knee and tibia replacements. A portion of the tibia was removed, a bone plug was placed in the canal and a #1 tibia cemented in place. How should this procedure be coded? ...
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Article Overview
This premium article reviews a complex orthopedic coding scenario involving radical femoral surgery and prosthetic reconstruction. It is aimed at coding professionals and others working with inpatient procedure coding who need to understand the general approach to assigning procedure codes for major bone resection and implant reconstruction cases.
Why This Topic Matters
Complex limb reconstruction cases can involve multiple procedure components and overlapping coding considerations. Understanding how the article frames the case helps coders evaluate similar orthopedic operative reports and related procedure coding issues.
What You Will Learn
- How the article frames coding for a complex femoral resection and prosthetic reconstruction case
- Which general procedure categories are involved in the orthopedic operative report
- How the article relates a specific surgical scenario to inpatient procedure coding review
- What types of coding considerations arise in major bone loss reconstruction cases
Who Should Read This
- Inpatient coders
- Coding auditors
- Hospital reimbursement staff
- Orthopedic coding specialists
Codes Discussed
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