AHA Coding Clinic® for HCPCS - 2018 Issue 3; Ask the Editor

Proximal row carpectomy with capitate implant

Patient with posttraumatic arthritis of the capitolunate and radioscaphoid joints presents for a right proximal row carpectomy with capitate implant. An incision was made over the mid-portion of the right wrist, tendons were retracted and arthritic changes were noticed. At that point the proximal row carpectomy was performed and the wrist could be flexed. The proximal pole of the capitate was exposed and the area was prepared, measured and the appropriate size component was utilized. Once the trial components were tested and a good fit was established, the actual component was inserted and fluoroscopic images showed there was good position and alignment. The area was closed and the patient tolerated the procedure. What are the appropriate code(s) for the proximal row carpectomy with the prosthetic replacement of the right capitate? ...

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