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  1. Default Re-amputation
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    Pt. had a BKA, than a knee disarticulation and now presents for a AKA all on the same leg. Do I use the re-amputation or the AKA 27590 with a
    79 modifier for furthering of disease? I billed for the BKA (27880-27888), then the 27598 for Knee Disarticulation.

  2. Default
    I think 27590 but with a 58 modifier because this is related to the previous surgery.

  3. #3
    Greater Pittsburgh
    If all in the global I would have done 27880-RTor LT
    27598-58, RT or LT
    27590 -27592 58, RT or LT, the 58 modifier is for

    1. Planned or anticipated (staged) OR


    3. Therapy following a surgical procedure.

    Depends if it's in the global, diagnosis etc....FYI

    58- resets the global and 100% reimbursement is expected of allowable.
    78- global stays with the orginal case, 50-70% reimbursement is expected of allowable.
    79- is not for complications and MUST HAVE A DIFFERENT SX and MAKE IT THE PRIMARY DIAGNOSIS expect 100% of allwable.
    jdemar, CPC, CMA

  4. Default Re-Amputation code 27596
    When would this code be used?

  5. Default
    I would use 27596 if doc has to do a re amp again after the AKA 27590-27592.
    But since the first one was BKA then AKA that is why I would do it like that.

  6. #6
    Greater Pittsburgh
    as Bella said for the re-amputation they have to be under the primary surgery site/code and there are two re-amps....1. secondary closure or scar revision is with no bone involvement and 2. re-amputation, when more bone is taken, again under each individual code .....AKA 27590, 27594, 27596 or BKA 27880, 27884, 27886. Hope this helps.
    jdemar, CPC, CMA

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