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27130 & 27036

  1. #1
    Default 27130 & 27036
    Medical Coding Books
    Help please!
    This patient had a girdlestone procedure in 12/09 and is now back to the OR for what was supposed to be a THA. Instead, the physician removed the spacer, en bloc, and heterotopic ossification around the base of the femur, and imbedded to the abductor. The patient received a depuy prostalac size 2 with a size 36+5 head, and on the acetabular sice a size 58x36 cemented zimmer liner.
    My doc wants to code this as 27130 and 27036-59, but does this really count as a total hip arthroplasty even though it's an antibacterial spacer? Any input would be appreciated.

  2. Default
    Can you post the note?
    Bruce Crandall, CPC
    North Carolina Specialty Hospital
    Durham, NC

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