Results 1 to 3 of 3

Hip dislocation following hip arthroplasty

  1. #1
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default Modifier HELP!!
    Medical Coding Books
    I need thoughts on this scenario please:

    pt has total hip arthroplasty--is released from the hospital on Sat.

    Pt returns to ER on Sunday for dislocation is seen by different surgeon within same practice (same tax id). Reduction is attempted in the ER (under conscious sedation) but was unsuccessful.

    Patient was then admitted and closed reduction was performed in the OR under general on Monday.

    I should add that the notes indicate that the patient "just simply sat up in bed this time and dislocated it some time today."

    My confusion is not with the CPT's but the modifiers.

    24 for the ER visit?
    78/58? with the reduction and an additional 52/53 because it was unsuccessful???

    any input is most appreciated!
    Last edited by mbort; 03-12-2008 at 08:30 AM.

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    Anybody have any thoughts on this....its still on my desk and I am still pondering

  3. #3
    Location
    Louisville, KY
    Posts
    1,101
    Default
    -24 unnecessary, as not the same provider group and not the same specialty.

    -78 on the surg. service--this is a complication.

    -53/52 not needed. The physician did not have any way of knowing the patient would subsequently dislocate; also, we do not code based on the clinical outcome of the service, but on whether that service was provided in part, in whole or at all.

Similar Threads

  1. Sink Hip Dislocation, HELP PLEASE!!
    By JJSearnock in forum Orthopaedics
    Replies: 1
    Last Post: 04-10-2014, 08:52 AM
  2. post hip arthroplasty dislocation
    By bev.froemling in forum General Surgery
    Replies: 0
    Last Post: 06-06-2013, 11:37 AM
  3. Replies: 0
    Last Post: 05-15-2012, 12:45 PM
  4. Hip Dislocation
    By Katiemkf in forum Orthopaedics
    Replies: 2
    Last Post: 11-16-2010, 08:52 AM
  5. Total hip dislocation
    By cbheusman in forum Orthopaedics
    Replies: 3
    Last Post: 11-25-2008, 11:34 AM

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?

Login

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.