AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 2; Ask the Editor
Revision of Femoral Head and Acetabular Liner
The patient was admitted for revision of right hip arthroplasty. The right ceramic head and acetabular liner were replaced due to excessive wear. Is this procedure coded as a revision or replacement? What is the appropriate procedure code assignment? ...
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Article Overview
This article covers coding considerations for a hip arthroplasty component procedure involving the femoral head and acetabular liner. It is aimed at inpatient coding professionals, CDI staff, and others who assign ICD-10-PCS procedure codes for joint surgery. The discussion focuses on broad distinctions between revision and replacement, along with the general coding concepts tied to removal and insertion of joint components.
Why This Topic Matters
Correctly identifying the procedure type affects ICD-10-PCS code assignment for joint replacement-related cases and helps avoid miscoding of device-related procedures. The topic is important for coders who need to align documentation with the appropriate root operation framework.
What You Will Learn
- How the article distinguishes revision from replacement in joint procedures
- How joint component removal and insertion are treated at a high level in ICD-10-PCS
- Why device-related hip arthroplasty procedures require careful procedure classification
- What general examples are used to illustrate device correction versus device substitution
Who Should Read This
- Inpatient coders
- Clinical documentation improvement specialists
- Health information management professionals
- Coding auditors
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