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Insertion and removal of a knee spacer

  1. Default Insertion and removal of a knee spacer
    Medical Coding Books
    I have a physician who removed and inserted an exactech interspace in a patient with an infected total knee arthroplasty.
    He also performed a median parapatellar arthrotomy incision was made. synovectomy-excision of scar tissue was performed. exactech interspace was removed. Radical debridement and irrigation with antibiotics performed

    I read in an AAOS Now Sep 07, that nonbiodegradable antibiotic- impregnanted cement spacer removal should be coded 11982 and the insertion 11981. The revision would be 11983.

    Cpt 27310- Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)
    CPT 11983 - Removal with reinsertion, non-biodegradable drug delivery implant

    Does this seem correct? Any opinions or comments would be greatly appreciated.

  2. Thumbs up
    27310 and 11983 are appropriate. Infiltration of meds, synovial biopsy, debridement, capsular release/ repair are all included.

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