Results 1 to 8 of 8

Total Knee with Hip Markers

  1. Default Total Knee with Hip Markers
    Medical Coding Books
    Hi - For pre-auth purposes - what would I use for Hip Markers? Anyone familiar with this? - Thanks!

  2. #2
    What that?? I've never heard of it!

  3. Default
    YOU never heard of it??!!! lol - That's it... I'm calling my doc - he's got to clarify this! lol

  4. #4
    HEY PATRICIA--Check this out...maybe this is what he is talking about??

    Computer-assisted surgery (CAS) is an adjunct process used in conjunction with certain orthopedic procedures. CAS encompasses both image-guided and imageless forms. Utilizing such tools as imaging, markers, reference frames, intraoperative sensing, and computer workstations, computer-assisted navigational procedures increase visualization of the surgical field and aid in precise navigation with minimally invasive approaches. CAS may involve guidance based on intraoperative images obtained by such means as fluoroscopy or ultrasound. It may also involve preoperative images or imageless navigation utilizing angles and measurements (kinematics) for anatomy determination. The key components of CAS include planning, registration, and navigation. Planning typically includes preoperative and/or intraoperative images taken by computed tomography, magnetic resonance, and/or fluoroscopy, and involves the creation of three-dimensional graphic models of the patient's anatomy. The patient-specific surgical plan and images are then used during surgery to guide the surgeon by combining these with intraoperative navigation capabilities. Optical targets, or trackers, such as digitizing or LED-equipped probes, are attached to points on the bone anatomy or to surgical tools. An optical camera tracks the position of these for accurate navigation and measurement in relation to any bone or instrument movement as the surgery is performed. The software in these navigational systems matches or "registers" the position of the patient on the operating table to the geometric description of the bony surface derived from the images already used to plan the surgery. Multiple images are simultaneously displayed on the monitor. The "virtual" tool trajectory that corresponds to the tracked tool movements is displayed over the previously saved views in real-time as the surgeon operates. Report 20985 for imageless CAS, 20986 for CAS with image guidance based on images obtained intraoperatively, and 20987 for those obtained preoperatively.~ ~~. ~~

  5. Default
    Mary - I knew I could count on you!!!
    My doc has yet to respond actually - I do have a meeting with him today and will pick his brain while I am there! - I would definately place a bet that you are correct though! - Makes sense... he's our Hip and Knee specialist who does mostly THR's / TKR's and resurfacing procedures. Considering the patient in question has end stage osteoarthritis - he may be using this preoperatively (pre-THR... forget the TKR momentarily) to measure amount of joint space loss / bone loss. I keep you updated!!!

  6. #6
    I use this code alot for my docs. Do you have Encoder Pro or access to see the primary codes? Since this is an "add on" code, there is about a three page list of primary procedures that these codes can be billed with. If you dont have Encoder, send me your fax # via private message and I'll fax this to you.

    Have a great hump day!!

  7. Default
    Hey Mary...
    Well - long story short - YES - YOU ARE TOTALLY CORRECT!! - But he didn't need this auth'd with the TKR. lol- (Not a clue where they got that from...)
    He does this preoperatively in some cases to measure bone loss. Thanks again!!

  8. #8
    sweeeeeetttttt. thanks for the feedback

Similar Threads

  1. Hip and Knee Xrays prior to total joint surgery
    By pochranek in forum Orthopaedics
    Replies: 2
    Last Post: 12-27-2013, 08:11 AM
  2. Total remove knee spacer insert total knee components
    By Mary Baierl in forum Orthopaedics
    Replies: 5
    Last Post: 02-22-2012, 07:59 AM
  3. Replies: 1
    Last Post: 12-03-2010, 06:46 AM
  4. Total Hip/Knee
    By nyyankees in forum Orthopaedics
    Replies: 4
    Last Post: 12-26-2008, 08:10 PM
  5. Total Hip/Knee
    By nyyankees in forum Orthopaedics
    Replies: 0
    Last Post: 12-23-2008, 08:35 PM

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.