AHA Coding Clinic® for ICD-9 - 2004 Issue 1; Ask the Editor
Revision of Failed Total Shoulder Arthroplasty
A 65-year old man with a history of total shoulder arthroplasty is being admitted for a revision of right total shoulder arthroplasty with glenoid component and cemented humeral components. Which is the correct code assignment, code 81.83, Other repair of shoulder or code 81.97, Revision of joint replacement of upper extremity? ...
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Article Overview
This premium article addresses a coding scenario involving revision of a failed total shoulder arthroplasty. It is intended for coders, CDI professionals, auditors, and other revenue cycle staff who need to distinguish between broad shoulder repair coding and joint replacement revision coding in the context of legacy procedure classification. The discussion focuses on the procedure context, the coding question presented, and the rationale given in the article.
Why This Topic Matters
Shoulder arthroplasty revisions can be coded differently from other shoulder repairs, so correct classification affects coding accuracy and claim integrity. The article helps readers understand the scope of a revision case and the type of guidance used to resolve the coding question.
What You Will Learn
- How a failed total shoulder arthroplasty revision is framed in a coding scenario
- The general distinction between shoulder repair coding and joint replacement revision coding
- How the article approaches a legacy inpatient procedure coding question
- Why procedure context matters in selecting the appropriate classification
Who Should Read This
- Medical coders
- Coding auditors
- CDI specialists
- Revenue cycle professionals
- HIM staff
Codes Discussed
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