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ortho coders question!

  1. Cool ortho coders question!
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    ortho coding polyetheline exchange?


    how do we code for only a polyetheline exchange ? My doctor wants me to use unlisted WHAT TO DO! kelley

  2. #2
    Default
    Hi kelley.. please post under the ORTHOPEDIC forum! you may recieve more responses

    thanks,
    Julie S., CPC
    Anesthesia Coder
    Education Officer, Cleveland Area Chapter 2016
    Email: medcoder05@gmail.com

  3. #3
    Location
    Monticello, NY
    Posts
    15
    Default
    I would code a revision with a -52 modifier.

  4. #4
    Location
    Greater Pittsburgh
    Posts
    390
    Default
    ....same as I replied to nikkisgranny....use revision of one component with a 52 modifier (reduced services)...it was not the 1 component, only the liner.
    jdemar, CPC, CMA

  5. Default
    The CDR states that revision codes 27486/87 apply to the femoral and tibial components only. I use the unlisted (27599) myself.
    Bruce Crandall, CPC
    North Carolina Specialty Hospital
    Durham, NC
    www.ncspecialty.com

  6. Default
    For a liner exchange only, the AAOS recommends using the revision one component with modifier 52.

    ~L
    CPC, CGSC, COSC

  7. Default
    This would fall under revision two-component code 27134—Revision of total hip arthroplasty; both components, with or without autograft or allograft—with modifier -52 appended. The appropriate ICD-9 code would be 996.46—Articular bearing surface wear of prosthetic joint—that became effective Oct 1, 2005. (I got this from an AAOS bulletin)

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