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Wiki Follow up after condition

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KoBee

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Trying to figure out what would be the appropriate diagnosis for a patient who is following up with orthopedic in office setting from a shoulder arthroplasty, pass 90 day global, follows up one every 2-3months and wants patient to continue doing physical therapy. There is no complaints from patient, no symptoms.

Would I use a hx code?

would i use condition code of M19.011 Primary osteoarthritis, right shoulder? (reason for arthroplasty)

would i use aftercare code Z47.31 Aftercare following explantation of shoulder joint prosthesis ?

would i use Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm?

help is appreciated
 
I think this would be aftercare for the joint replacement Z47.1 and Z96.611 since the provider is still recommending PT. If the patient just comes in for followup and no further treatment is recommended or follow up as needed, then Z09 and Z96.611.
 
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