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Wiki Total Knee Arthroplasty with antibiotic spacer

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jovibon110@gmail.com

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Kalispell, MT
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The provider is doing a TKA for a chronic infected knee. There is no previous total knee arthroplasty so not a staged procedure. Not sure how to code this.
 
Can you send an operative report?
This is not a standard procedure.
Active infection is an absolute contraindication to a TKA.

Debridement and placement of antibiotic spacer but not an implant would be coded as the appropriate debridement/saucerization/sequester to my code and either a code for antibiotic implant or an unlisted code.
 
Depending on the op note probably: 27310, 20704. If it's an articulating spacer, and then they are waiting for the infection to clear to be able to go back in and explant/implant the final TKA?

However, yes please show the redacted op note. Was there any prior surgery in this joint at all? Any hardware in there?
 
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