AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2026 Issue 2; Ask the Editor
Unstable Total Knee Replacement due to Malrotation of Femoral Component
A patient status post right total knee replacement was admitted for a revision procedure due to a femoral component malrotation that has caused recurrent dislocation of the patella. When referencing “Complication, joint prosthesis, internal, malposition,” in the ICD-10-CM Alphabetic Index, there is an instruction to “see Complications, joint prosthesis, mechanical, displacement.” This instruction leads to subcategory T84.02, Dislocation of internal joint prosthesis. Is this correct? What is the appropriate ICD-10-CM code assignment to capture the malrotation of the femoral component? ...
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