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Thread: ortho coders question!

  1. #1

    Cool ortho coders question!

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    Boardman, Ohio


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

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

  3. #3
    Join Date
    Apr 2007
    Monticello, NY


    I would code a revision with a -52 modifier.

  4. #4
    Join Date
    Apr 2007
    Greater Pittsburgh


    ....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. #5


    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

  6. #6


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


  7. #7


    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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