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Deb Hughes

  1. #1
    Question Deb Hughes
    Medical Coding Books
    I am stumped on this one. Patient had a remote hemiarthroplasty of the hip, femoral component only. Now has suffered a fracture of the distal femur. Surgeon exchanges the femoral component for one with a shorter stem, then repairs the distal femur fracture. What code do I use for the exchange of the femoral component? I find lots of codes for total hip but the acetabulum has not been "touched" on this patient. Hope you can help.

  2. Default
    Deb, did you look under revisions? Since there was an implant there already and the surgeon replaces it, it codes to a revision.

    Bruce Crandall, CPC
    North Carolina Specialty Hospital
    Durham, NC

  3. #3
    Default Deb Hughes
    I did look under revisions but all of the revision codes talk about total arthroplasty. Either revision to a total arthroplasty or revision of single component in a total arthroplasty. Thanks for trying.


  4. Default
    You'll probably have to go with unlisted then...
    Bruce Crandall, CPC
    North Carolina Specialty Hospital
    Durham, NC

  5. #5
    Greater Pittsburgh
    Why was the original hemi placed for arthritis/neoplasm/necrosis or fx? Which initial CPT code did you use?
    27236?.....fx or 27125 for arthritis/neo/necro; I would use whichever your initial sx was with a -22 and note revision on the descriptor.
    jdemar, CPC, CMA

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