AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 3; Ask the Editor
Total Hip Arthroplasty Using Dual Mobility Components
A patient presented for total right hip arthroplasty using dual mobility components. The replacement was performed by placing a multi-hole acetabular shell and neutral dual mobility liner. A cemented femoral stem with collar was placed and a ceramic ball was then placed with a dual mobility bearing. The components included a metal cup and liner and the dual femoral head component consisted of a larger polyethylene head with a smaller ceramic ball within the larger head. What is the appropriate ICD-10-PCS code assignment for the dual mobility hip replacement? ...
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Article Overview
This article reviews a hip arthroplasty case involving dual mobility components and focuses on the ICD-10-PCS assignment for the procedure. It is relevant to inpatient coders, CDI professionals, and others who work with orthopedic operative reports and ICD-10-PCS device terminology. The discussion centers on how the procedure is represented in ICD-10-PCS and highlights the documentation elements that drive the code selection.
Why This Topic Matters
Dual mobility hip constructs can be documented in ways that make PCS device selection less straightforward than standard total hip replacement. Understanding the article helps coding professionals align operative documentation with the appropriate ICD-10-PCS assignment.
What You Will Learn
- How a total hip arthroplasty with dual mobility components is framed for ICD-10-PCS coding.
- Which operative documentation elements are relevant to ICD-10-PCS device selection.
- How the procedure is represented in the context of inpatient orthopedic coding.
- How dual mobility terminology affects interpretation of the hip replacement procedure.
Who Should Read This
- Inpatient hospital coders
- Coding educators
- Clinical documentation integrity professionals
- Orthopedic coding staff
Codes Discussed
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