daniel
True Blue
excision of femoral head and insertion of bipolar hip prosthesis.
CPT 27062
27125.59
CPT 27062
27125.59
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Is This Correct
- Thread starter daniel
- Start date
mbort
True Blue
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?
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
True Blue
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.
chief complaint-rt femoral neck fracture
preoperative diagnosis-displaced subcapital fracture of the right hip.
postoperative diagnosis-displaced subcapital fracture of the right hip.
PatriciaCPC
Guest
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!!!
"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!!!
mbort
True Blue
I concur with the 27236
cliff.chen89
Contributor
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?