milissaburbank
Guest
I am trying to code a joint replacement aftercare. I am using z47.1 and z96.651 and RR medicare does not like it. Can anybody recommend a diagnosis code that would work.
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- Thread starter milissaburbank
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daedolos
Expert
Is this for a post-op visit?
Peace
?_?
Peace
?_?
milissaburbank
Guest
Yes post op and 1 year follow-up.
daedolos
Expert
Were there any issues with the joint replacement? For example, a patient with a right knee replacement comes in after six months because of pain in the joint.
We would code the following:
99213
M25.561
Z96.651
and the doctor would order an XRAY and/or MRI to make sure there is no loosening or other issue (bone or tendon perhaps)
Peace
@_*
If there was a mechanical defect or other implant issue, then we could use codes from the T section of ICD-10 for the follow up visit.
We would code the following:
99213
M25.561
Z96.651
and the doctor would order an XRAY and/or MRI to make sure there is no loosening or other issue (bone or tendon perhaps)
Peace
@_*
If there was a mechanical defect or other implant issue, then we could use codes from the T section of ICD-10 for the follow up visit.
milissaburbank
Guest
We do our own xray in the office. There was no loosening and no other problems. He discussed the use of antibiotics for dental appointments and a return check in 5 years.
mitchellde
True Blue
It is possible that for the followup visits where there is no surgical aftercare being rendered, they are wanting a simple followup code. Have you tried Z09 with the Z96.651?
milissaburbank
Guest
That is what I decided to use after reading through the guidelines of ICD 10. It was not very specific if Z09 could be used as a 1st listed diagnosis. Thank you so much for your help.
daedolos
Expert
You could use Z47.89
Peace
@_*
Sorry about the late reply.
Peace
@_*
Sorry about the late reply.