total knee arthroplasty

  1. H

    Wiki Total Joint Revisions

    I just read the CPT Assistant September 2021 Volume 31 Issue 9 total joint revision scenarios. Am I reading this correctly that they now want first stage hip or knee revisions that use an articulating spacer to be coded as a full-revision (27134 or 27487) instead of removal of implants with...
    • halll
    • Thread
    • orthopaedic total hip arthroplasty total knee arthroplasty
    • Replies: 0
    • Forum: Orthopaedics
  2. KStaten

    Wiki MDM for Total Hip / Knee Replacement

    Hello Everyone. :) I have gone down a rabbit hole on coding joint replacement surgeries and would 💙GREATLY APPRECIATE💙 your input for confirmation, given the 2021 E/M guidelines. I apologize in advance for the redundancy of this question. A ) In the plan, it is documented that a 65-year-old...
    • KStaten
    • Thread
    • 2021 e/m level of complexity mdm risk of morbidity total hip arthroplasty total knee arthroplasty
    • Replies: 4
    • Forum: Orthopaedics
  3. KStaten

    Wiki Knee Revision 27487 & Corresponding Diagnosis Codes?

    Hello, Everyone! :giggle: I have noticed a few denials for the CPT code 27487 (Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component) when linked to T84.84XA (Pain due to internal orthopedic prosthetic devices, implants and grafts) and the...
    • KStaten
    • Thread
    • 27487 artificial knee knee revision painful hardware t84.84xa total knee arthroplasty z96.651 z96.652
    • Replies: 1
    • Forum: Orthopaedics
  4. S

    Wiki TKA Wound Dehiscence with Synovectomy

    When a patient is taken to the OR for wound dehiscence closure and during the surgery the provider does more than just secondary wound closure, can the additional work be reported in addition to 13160? Preoperative Dx: 1. Left total knee arthroplasty, persistent drainage, concerning for...
    • SavCoder
    • Thread
    • i&d with synovectomy total knee arthroplasty wound dehiscence
    • Replies: 2
    • Forum: Orthopaedics
  5. S

    Wiki Modifier 58 vs 78

    Patient had Total Knee Arthroplasty (27447) performed on 6/4/19. Patient developed infection and wound dehiscence. Patient returned to OR on 7/26/19 for partial revision of Total Knee Arthroplasty (27486) and wound dehiscence closure (13160). Modifier 78 added due to being a complication...
    • SavCoder
    • Thread
    • modifier 58 modifier 78 total knee arthroplasty
    • Replies: 2
    • Forum: Orthopaedics
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