tci Part B Insider - 2006 Issue 6

ORTHOPEDIC: Say Hello To Specific Prosthesis Complication Codes

996.4 now includes a fifth digitIf you've been using 996.4 (Mechanical complication of internal orthopedic device, implant, and graft)--and receiving numerous denials--it's because you aren't using any of the new nine diagnosis codes that were released last October. By now, your orthopedic practices should have a handle on the new prosthesis or implant complication diagnosis codes. Reason: These new codes are more specific and will help you better describe the causes of your patients' joint prosthetic joint implant problems. They include:• 996.40--Unspecified mechanical complication of internal orthopedic device, implant, and graft• 996.41--Mechanical loosening...

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