Results 1 to 3 of 3

Need help!! Total knee coding

  1. #1
    Default Need help!! Total knee coding
    Medical Coding Books
    So just a brief overview of what the MD did is this.

    extremely obese patient presented with an infected TKA. MD in the first encouter removed the prosthesis and placed and antibiotic cement patty with plans to return for 2nd debridement and placement of articulating spacer.

    Coded 27488-removal of Total knee prosthesis for that one.

    The seconde surgery is what I am a little iffy on how I should code.
    MD returned and perfored I&D of the knee joint including debridement of necrotic bone. and placed and biomet stage I articulating antibiotic spacer with no plans to put in a permanent prosthesis as the patient is bedridden. What would you code.
    27447-58- (should I put a 52 on there as it is not a prosthesis or 22)
    any help would be helpful and appreciated??
    Tina Wosmek CPC, COSC

  2. Default
    For the first visit:

    27488 reports the removal of a knee prosthesis without concurrent replacement.

    For the second visit I would use:

    27310 (arthrotomy, knee, with exploration, drainage or removal of foreign body) for example: infection.

    11044 (Debridement, bone {includes epidermis, dermis,subcutaneous tissue, muscle and/or fascia, if performed}; first or less.

    11981 (Insertion, non-biodegradable drug delivery implant)

    In the first visit, it was already noted that the physician did not replace the prosthesis.

    Hope this helps...
    Last edited by TonyaMichelle; 12-05-2011 at 10:00 AM.

  3. #3
    That does make sense. I don't know why I didn't think of that before. Thanks
    Tina Wosmek CPC, COSC

Similar Threads

  1. UNI Knee Revised to Total Knee
    By Frosty in forum Orthopaedics
    Replies: 2
    Last Post: 10-25-2016, 08:32 AM
  2. total knee coding
    By foxparty in forum Orthopaedics
    Replies: 2
    Last Post: 06-04-2012, 03:32 PM
  3. Unicondylar knee to Total knee
    By scooter1 in forum Orthopaedics
    Replies: 2
    Last Post: 04-04-2012, 07:08 AM
  4. Total remove knee spacer insert total knee components
    By Mary Baierl in forum Orthopaedics
    Replies: 5
    Last Post: 02-22-2012, 06:59 AM
  5. Replies: 1
    Last Post: 12-03-2010, 05:46 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.