Wiki Second fracture during global

[fltbaroque]

Please help.....I have two patients with essentially the same procedures. Patient had hemiarthroplasty for femur neck fracture (27236). Two weeks later, patient falls and has greater trochanteric fracture. Procedure performed "ORIF greater trochanteric fracture with revision of hemiarthroplasty". As there are no codes for revision of hemiarthroplasty, I'm at a loss as to what to do with this. Should I use an unlisted code for the revision portion?

Thanks in advance for your help.
Tobi C.

 

[kshelton]

Kim

...I would bill the hip fracture code with a 22 modifier. The complexity would definitely be there, along with the previously operated site.