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Total Knee Arthroplasty Revision SAME SESSION

  1. Default Total Knee Arthroplasty Revision SAME SESSION
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    Doc performed a patient's first TKA. After all components were cemented into place and hardened, he noticed:

    "However it was noted that the bone underlying the femoral component on the anterior cortex of the femur began to collapse. It was felt that this bone would not support a primary tibial component. At this point the decision was made to convert to a revision system with stems for additional fixation. Both the femur and tibia were removed with minimal bone loss using a combination of saws and osteotomes."

    Would this be coded as a "Revision 27487" or a 27447 with a Modifier 22 for complexity?

    Any feedback would be GREATLY appreciated!

  2. #2
    Since the revision was necessary to complete the total knee replacement I would bill 27447-22.

    Besides, the insurance carrier would most likely deny a bill for a revision since the patient didn't have a prosthesis prior to this surgery. (ETA: in other words, if the insurance carrier gets a bill for a knee replacement revision and they see that the patient never had surgery for a knee replacement they will deny it)
    Last edited by cgaston; 10-11-2018 at 08:21 AM.
    Carol Gaston CPC CRC CPCO

  3. Default
    Thank you for your feedback!!! Greatly appreciated!

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