AHA Coding Clinic® for ICD-9 - 2008 Issue 2; Ask the Editor
Total Hip Replacement Using Antibiotic Impregnated Cement
After having a total hip replacement, the patient developed an infection and was subsequently admitted to the hospital. The infected hip area was cultured and grew out staphylococcus epidermis. At surgery all components of the total hip prosthesis were removed. The wound was thoroughly debrided and a new total hip prosthesis was implanted using antibiotic impregnated cement. The postoperative course was uneventful. How should this be coded? ...
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Article Overview
This premium article reviews a postoperative hip prosthesis infection scenario and explains the coding concepts involved in reporting the diagnosis, replacement history, and surgical management. It is intended for coders and billing professionals working with orthopedic surgery, implant complications, and inpatient diagnosis coding. The article focuses on how the case is classified and on the related code-set considerations.
Why This Topic Matters
Postoperative implant infections can affect diagnosis coding, procedure reporting, and claim accuracy. This article helps readers understand the relevant coding framework for an infected hip replacement case involving revision surgery and antibiotic-impregnated cement.
What You Will Learn
- How an infected hip replacement case is framed for coding purposes
- Which broad diagnosis and procedure coding categories are involved
- How implant history and postoperative complication context affect code selection
- How inpatient coding considerations apply to orthopedic revision scenarios
Who Should Read This
- Medical coders
- Inpatient coders
- Orthopedic surgery billing staff
- HIM professionals
- Compliance staff
Codes Discussed
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