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exchange of tibia poly?

  1. #1
    Location
    Columbus, Ohio
    Posts
    106
    Question exchange of tibia poly?
    Medical Coding Books
    Hello coders, I need your help again. The surgeon did a tibia poly exchange status post a TKR due to cellulitis. He stated procedures as a Removal of implant: Reinsertion of tibial poly: Arthrotomy knee: Irrigation and debridement involving deep tissue.

    Is replacement of the poly the same as a revision knee arthroplasty; one component? Can I bill using 27486 ? The surgeon did not call the procedure a revision only the exchange of the poly.

    I can post the surgical notes if needed. Thanks in advance for the help, Paula

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    unfortunately the poly is not considered a component. 27486-52 would be the proper way to report this.

    Mary, CPC,COSC

  3. #3
    Location
    Columbus, Ohio
    Posts
    106
    Default
    Mary, thanks for the answer. I guess that is why he didn't say revision. I hope I'm correct in thinking that none of the other procedures are separately billable? That they are inclusive. I do appreciate all the help from you and the other ortho coders. Paula

  4. #4
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    I would double check the CCI edits, but I do think you are correct.

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