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Revision total hip

  1. #1
    Default Revision total hip
    Medical Coding Books
    This is a new one for me. Per my surgeon and the op report he did the following revision: Femoral head only and acetabular component. So my question is since he did not revise the entire femoral component, only the head can I still bill the 27134? If not, the only other code I see to use is the unlisted procdure code. Any advice or opinions? Thank you.

  2. #2
    Location
    Parkersburg, West Virginia
    Posts
    17
    Lightbulb Acetabular component only...
    I work for two orthopedic surgeons and I asked them what they thought about your situation. They recommended coding only the revision of the acetabular component only because the revision of both components would require the femoral stem and everything to be revised on the femoral component. They recommended the code 27137. I hope this may help.

  3. #3
    Default
    Thank you for the reply. It does help, but now I am wondering if I should use modifier 22 since he did do extra work that is not included in the RVU. His documentation is very good and I have had good luck getting modifier 22 paid.

  4. #4
    Location
    Parkersburg, West Virginia
    Posts
    17
    Default
    Sounds great. Throw that bad boy on there and get paid!


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