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Revision of Dislocated Bipolar Hip Arthroplasty

  1. Smile Revision of Dislocated Bipolar Hip Arthroplasty
    Medical Coding Books
    Need help with coding:

    Patient had a previous bipolar hip hemiarthroplasty for femoral neck fx. Patient now presents dislocated - Dr. performs a revision: greather trochanter displaced along with dislocation of hip. Appeared that the hip was unstable primarily because of the avulsed greater trochanter & lack of soft tissue integrity. Hip was dislocated - the ball was knocked off of the trunnion & a Charnley was used & retractors placed around the native acetabulum - then reamed - then Biomet cup was impacted. Then screws were implanted for additional fixation. Then selected a 36 mm head w/3mm neck Freedom contrained liner which was then impacted & a 36 mm head was placed on the trummion & reduced and hip then stable.

    Patient still in global - what CPT code would be used for this - would it be 27137?

    Any and all help is greatly appreciated!!!

  2. #2
    Location
    Columbus, Ohio
    Posts
    106
    Default
    Hello coders, I have a surgery for the same situation. Can anyone answer this question. Would you use 27236,78. Hip dislocated within one month of original surgery. Thanks, Paula

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