AHA Coding Clinic® for ICD-9 - 2012 Issue 3; Ask the Editor

Quadriceps Reconstruction Status Post Knee Replacement

A patient with failed right quadriceps mechanism of total knee is admitted for surgery. The surgeon identified his operation as “right knee quadriceps reconstruction with new tibial polyethylene.” Based on the title of the operative report, it appears that a revision of knee replacement was performed. However, based on the description of the surgery within the operative report it appears that the surgeon replaced the tendon and kneecap with a donor tendon and kneecap. Therefore, would this be coded as a revision of a total knee replacement or as a tendon transplant? What is the appropriate procedure code assignment for this case? ...

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