Metallosis after THA requiring revision

madgejones10

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Patient with metal-on-metal THA in 2007 now with pain and documented metallosis (increased chromium and cobalt levels) with loosening as a result.

ICD-10 code T84.030A for loosening but should I also use T56.2X4A for chromium/cobalt "toxicity" ???

Anyone have any experience with this ??????
 

Deb Jones - CPC

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(posting in case someone else is researching metallosis)

We use ICD-10 T84.89XA for our total joint patients with metallosis as "Other specified complication of internal orthopedic prosthetic devices, implants and grafts, initial encounter". The provider documented on our most recent knee metallosis case, "the femur had articulated and worn away completely the poly and was articulating against the baseplate" and used metallosis in his pre-/postoperative diagnoses sections.
 
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