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Deb Hughes

Arneson1

New
Messages
9
Location
Burlington NC
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0
I am stumped on this one. Patient had a remote hemiarthroplasty of the hip, femoral component only. Now has suffered a fracture of the distal femur. Surgeon exchanges the femoral component for one with a shorter stem, then repairs the distal femur fracture. What code do I use for the exchange of the femoral component? I find lots of codes for total hip but the acetabulum has not been "touched" on this patient. Hope you can help.
 

BCrandall

Guru
Messages
176
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0
Deb, did you look under revisions? Since there was an implant there already and the surgeon replaces it, it codes to a revision.

-Bruce
 

Arneson1

New
Messages
9
Location
Burlington NC
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0
I did look under revisions but all of the revision codes talk about total arthroplasty. Either revision to a total arthroplasty or revision of single component in a total arthroplasty. Thanks for trying.

Deb
 

jdemar

Expert
Messages
390
Location
Greater Pittsburgh
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0
Why was the original hemi placed for arthritis/neoplasm/necrosis or fx? Which initial CPT code did you use?
27236?.....fx or 27125 for arthritis/neo/necro; I would use whichever your initial sx was with a -22 and note revision on the descriptor.
 
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