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Revision left knee help?? please

  1. Smile Revision left knee help?? please
    Medical Coding Books
    On 08/08/11 patient had revision on left knee; patient got infection and on 08/22/11 dr. had to do irrigation and debridement of left knee w/polyethylene exchange; The arthrotomy was reopened and the polyethylene was removed and an excisional debridement of synovium, then the polyethylene was replaced with a new one. What code would I use? Would I use the revision code again, 27486? Thanks!

  2. Default
    See the attached link. I use this guide all the time.

    http://www.aaos.org/news/bulletin/sep07/managing1.asp

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    Quote Originally Posted by lorachamblin View Post
    On 08/08/11 patient had revision on left knee; patient got infection and on 08/22/11 dr. had to do irrigation and debridement of left knee w/polyethylene exchange; The arthrotomy was reopened and the polyethylene was removed and an excisional debridement of synovium, then the polyethylene was replaced with a new one. What code would I use? Would I use the revision code again, 27486? Thanks!
    They usually point you towards adding a 52 modifier on 27486...but if you can show that extra work was involved (aka Difficulty) then you can drop the 52 mod. I usually let the doc decide unless I see additional work...most of my docs go w/o 52 mod..

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