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THA due to femur fx

  1. #1
    Default THA due to femur fx
    Medical Coding Books
    Here's a fun one...
    elderly pt has a femoral neck fx. This pt also had a larger than expected acetabulum. Pt was given the surgical options of a bipolar vs THA. Pt opted for the THA.

    My question is this.. do I bill just 27130 with femur fx? or 27120 for the congenital dx and 27236-51 for the femur fx? OR unlisted?


  2. Default
    I would go with 27236.

  3. #3
    I feel if you code 27236 you are undercoding. I would code the THA 27130 and prove medical necessity. Since it is an acute fracture I dont feel 27120 is appropiate.
    GOOD LUCK !!

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