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27487 versus 27447


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My surgeon has performed a revision of total knee arthroplasty. We billed 27487 for the revision, however, the hospital is billing 27447 and removal 27488 which in turns corrupts our billing bundle for this medicare patient. Has anyone come across something like this? The hospital is stating "that since the components were removed and replaced, this procedure should be coded as a replacement procedure. Additionally, the removal of the previously placed componenets should be separately reported. And although revision may be documented by the surgeon, according to the icd-10-pcs' definition of the root operation "revision", a revision should be reported when teh objective of the procedure is to correct the position or function of a previously placed device, without taking out and putting a whole new device in its place. A complete redo of a procedure is coded to the root operation performed, in this case, a removal and replacement."

any advice on this???