Results 1 to 3 of 3

Op-Report (Hip)

  1. #1
    Long Island/New York
    Question Op-Report (Hip)
    Medical Coding Books
    Operation: Left Proximal Femur Resection with Implantation of Antibiotic Cement Spacer

    For the purposes of clearing the infection and for the purpose of staged planning for possible future Total Hip arthroplasty, the patient elected to proceed with resection of proximal femur and implantation of an antibiotic-impregnated spacer.

    Scar tissue was identified and dissected off it's insertion into the greater trochanter.

    Dissection was carried distally until the lesser trochanter was palpable and visualized. The hip was brought into further internal rotation; the hip capsule was dissected from the proximal femur. the hip was then dislocated. A sagittal saw was then used to make a neck cut on the proximal femur. the head and neck were then removed from the wound.

    Our attention was turned to the acetabulum. Soft tissue was dissected from within and around the acetabulum. Next, using a series of suceesfully larger reamers, the acetabulum was reamed to create space for our cement spacer. This cement spacer was implanted into the femur. It was held in position as the cement cured.

    the hip and cement spacer placed were then reduced.

    Any thoughts or suggestions would be appreciated. Thanks. Maybe 27071 + spacer? Not sure.
    Last edited by nyyankees; 09-02-2009 at 03:29 PM.

  2. Default
    I could also be wrong but I looked at 11981 since it is impregnated with antiobitic and it is non-biodegradable and has to be removed later. I might also look at one of the osteotomy codes 27161, although your doc does not state how he fixated the area after removing head and neck, other than with spacer and cement.

  3. #3
    Long Island/New York
    Thumbs up
    yes on 11981 (spacer) but I was thinking 27071 because of septic necrosis. Not 100% sure but any help goes along way. Thanks.

Similar Threads

  1. operative report/path report
    By codedog in forum Outpatient Facilities
    Replies: 4
    Last Post: 04-09-2010, 08:47 AM
  2. Hip Op-Report
    By nyyankees in forum Orthopaedics
    Replies: 0
    Last Post: 02-23-2010, 10:41 AM
  3. Op Report - Hip
    By nyyankees in forum Orthopaedics
    Replies: 0
    Last Post: 12-14-2009, 10:34 AM
  4. Hip Dx
    By nyyankees in forum Diagnosis Coding
    Replies: 1
    Last Post: 05-11-2009, 12:36 AM
  5. Hip dislocation following hip arthroplasty
    By mbort in forum Orthopaedics
    Replies: 2
    Last Post: 03-13-2008, 08:13 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.