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excision femoral head

  1. Cool excision femoral head
    Medical Coding Books
    I need help please. . . . .

    Patient has septic arthritis and a fx of the femoral head. Surgeon did a capsulotomy,
    then sent cultures to the lab. " The femoral head and neck were identified and removed from the acetabulum. The hip was irrigated with antibiotic solution. The IT band was closed. The main incision closed and irrigated".

    I am at a loss. Do I use 27161 ?
    Any help would be appreciated.

  2. #2
    Piedmont Area Coders, VA
    Good Question..... I kept looking back to the Fracture/Dislocation section for something related to the fx. Then it dawned on me, it sounds like a Girdlestone-type procedure (27122). The 27161 reads like a realignment procedure in my CDR--NOT an excision of the femoral head.

    Thoughts from anyone else?

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