Results 1 to 5 of 5

girdlestone procedure

  1. #1
    Capital City Coders, Raleigh, NC
    Question girdlestone procedure
    Medical Coding Books
    I'm new to the list & fairly new to ortho coding. I'd appreciate some help with the following: Pt had an infection s/p ORIF left acetabulum pelvis fx with avascular necrosis. Doc performed removal of hardware, resection of femoral head, reaming of the femur with insertion of antibiotic spacer, and reaming of the acetabulum which removed all cartilage. He's calling it a Girdlestone procedure. I looked at 27091, but it wasn't a prosthesis he removed; 27122 is close with the femoral head resection; or I was also conisdering 27132-52 (TH conversion) which I think would include hardware removal, femoral head resection, reaming of the acetabulum, and in a sense the placement of the antibiotic spacer. I'd add the 52 since he didn't place an acetabular component or a true femoral component (just the spacer).

    Any ideas???

    Kristi, CPC

  2. Default
    You may want to look at the description of procedure code 27122.


  3. #3
    I think the 27122, 20680, and possibly the 11981 depending on your documentation. (I did NOT check CCI edits)

    Welcome to the AAPC Forums


  4. #4
    Capital City Coders, Raleigh, NC
    Thanks to you both, that helps a bunch! I really appreciate it
    Kristi, CPC

  5. Default
    The 20680 would be bundled into the 27122.


Similar Threads

  1. Replies: 1
    Last Post: 04-24-2014, 07:38 AM
  2. Primary Procedure vs Secondary Procedure
    By GuzmanS in forum General Surgery
    Replies: 1
    Last Post: 06-08-2010, 10:10 PM
  3. Girdlestone resection question
    By scooter1 in forum Orthopaedics
    Replies: 1
    Last Post: 05-23-2010, 07:50 AM
  4. coding off from a hand written procedure from the procedure doctor
    By vsmith in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-18-2010, 10:06 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.