AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 1; Ask the Editor
Total Hip Replacement Surgery Using Stem Cell Autograft
A female patient developed avascular necrosis and arthritis following left hip fracture, status post open reduction with internal fixation. The patient is currently undergoing left total hip replacement, and bone marrow harvest from the proximal femur. Stem cell autograft was then placed in the deep tissue and the subcutaneous tissue. What is the correct code assignment for bone marrow harvest from the femur when used as stem cell autograft? ...
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Article Overview
This premium article focuses on a hip replacement surgery scenario involving bone marrow harvest from the femur for a stem cell autograft. It is intended for coders and reimbursement professionals who need to understand how the harvest component is handled in ICD-10-PCS and whether it is coded separately. The discussion stays centered on procedure coding scope rather than clinical treatment details.
Why This Topic Matters
Correctly identifying whether a locally harvested tissue component requires separate procedure coding can affect ICD-10-PCS assignment and case reporting accuracy in orthopedic surgery records.
What You Will Learn
- How this hip replacement scenario is framed for procedure coding review.
- How locally harvested tissue is addressed in relation to separate ICD-10-PCS coding.
- What coding topic the article is focused on for the autograft component.
- What documentation elements in the case prompt the coding question.
Who Should Read This
- Inpatient coders
- Coding auditors
- CDI specialists
- Reimbursement professionals
- Orthopedic surgery coding staff
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