Physical Therapy for Post Op

naneralls

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The physicians are using the Z47.89, encounter for other orthopedic aftercare for post operative patients where we have fixed the problem, like after a rotator cuff repair, or meniscus repair... Two questions, is this the right ICD10 code to be using during the post operative period and would my physical therapy department also use that code sine they are treating in therapy due to the surgery performed?

Thank-you for your valuable input
 
The guidelines specify that for aftercare for injury or trauma you do not use the aftercare Z code you use the injury code with the appropriate subsequent or sequela 7th character. The Z47.89 is the correct code for non injury ortho aftercare.
 
Rotator cuff repair

Just to clarify..... For a follow up visit, within the global period from rotator cuff repair surgery, the patient has a non traumatic tear (727.61 in ICD 9 world), we would use Z47.89 as the primary diagnosis? Without any more reference to the diagnosis that was treated?
Thanks!:confused:
 
Yes, it is no longer torn so a follow up or after care code is all you need for non trauma. There are many follow up codes such as dressing changes and suture removal and fitting and adjustment codes. You can use whichever applies for non trauma. It was no different in ICD-9
 
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