AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 3; Ask the Editor

Hematogenous Prosthetic Knee Joint Infection

A patient, who is status post left total knee arthroplasty surgery, and recent wisdom tooth extraction, is diagnosed with hematogenous left knee prosthetic joint infection. He underwent revision of the arthroplasty with exchange of modular components and synovectomy. Does the term “hematogenous” mean the prosthetic joint infection is due to the presence of the prosthesis, or instead is seeded from concurrent infection elsewhere in the body? Is it appropriate to assign code T84.54XA, Infection and inflammatory reaction due to internal left knee prosthesis, initial encounter, for the hematogenous left prosthetic knee joint infection due to the dental infection? ...

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