Pre Op Retacrit for Hip Replacement

LKaf7

Networker
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Parma, OH
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Hello,

Looking for some guidance. If a pt comes in for pre op Retacrit, what DX codes are used. The wording of the LCD confuses me a bit.

Preoperative use in specified patients. Must have an anemia diagnosis (Note: D63.8 or D64.9) and other specified prophylactic measure diagnosis. (Anemia must be primary diagnosis).
ICD-10-CM code Z41.8 is to be used only when the patient meets all coverage criteria for patients who are preoperative for hip or knee surgery for the following code:
Z41.8

So if a pt is receiving pre op retacrit prior to a hip replacement but does not meet all the coverage criteria for Z41.8, does that mean I should use "other specified prophylactic measures"?

Appreciate the help!
 
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