tci Part B Insider - 2004 Issue 9

Total Hip Replacement - Revisions: More Effort, But Is The Reimbursement There?

New Category III codes may boost payments for imagingRoughly 14,000 Medicare patients receive a revision total hip replacement every year. This process, in which the surgeon repairs all or part of a previous total hip replacement, can be much more complex than the primary THR, but it can be tricky to obtain more Medicare reimbursement for the procedure. One reason for the greater complexity of revision THRs is the fact that the existing hardware inside the patient's hip makes it harder for imaging devices to guide the surgeon. There's also a higher risk of fractures in the...

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