Is This Correct

daniel

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excision of femoral head and insertion of bipolar hip prosthesis.


CPT 27062
27125.59
 

mbort

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Hi Daniel

Its very difficult to determine if the codes you have listed are correct or not without seeing a portion of the op note or a little more detail. Was this due to a fracture for the femoral head/neck?
 

daniel

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Op note says, for the diagnosis.


chief complaint-rt femoral neck fracture

preoperative diagnosis-displaced subcapital fracture of the right hip.

postoperative diagnosis-displaced subcapital fracture of the right hip.
 
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If your pt had a 'HemiArthroplasty' post fx, the appropriate code would be 27236. This is described as "Open treatment of femoral fracture, proximal end, neck, internal fization or prosthetic replacement."

"In some cases due to the risk of subsequent non-union or avascular necrosis, the physician may replace the femoral head with a femoral prosthesis. The femoral canal is reamed out. A prosthesis of the proper size and length is then selected and inserted info the femoral canal. The physician then reduces the prosthesis into the acetabulum. The incision is repaired in multiple layers with sutures, staples, and/or Steri-strips."

Unless the Excision of bursa or calcification (27062) was done through another incision, I would not code this. This could be considered incidental to the primary procedure depending on the payer. Have a great weekend!!! ;)
 

cliff.chen89

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If your pt had a 'HemiArthroplasty' post fx, the appropriate code would be 27236. This is described as "Open treatment of femoral fracture, proximal end, neck, internal fization or prosthetic replacement."

"In some cases due to the risk of subsequent non-union or avascular necrosis, the physician may replace the femoral head with a femoral prosthesis. The femoral canal is reamed out. A prosthesis of the proper size and length is then selected and inserted info the femoral canal. The physician then reduces the prosthesis into the acetabulum. The incision is repaired in multiple layers with sutures, staples, and/or Steri-strips."

Unless the Excision of bursa or calcification (27062) was done through another incision, I would not code this. This could be considered incidental to the primary procedure depending on the payer. Have a great weekend!!! ;)
Hi Patricia, thanks for detailed explanation! Our providers often perform both hip hemiarthroplasty & trochanteric burectomy so I had the same question about coding both 27236 and 27062. If NCCI does not bundle these 2 codes then what makes them bundled/incidental? Is there a any resource/list/document similar to NCCI that shows which codes are incidental to each other?
 
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