AHA Coding Clinic® for ICD-9 - 2013 Issue 4; Ask the Editor

Initial Total Knee Replacement with Revision

The patient is an 81-year-old female with marked degenerative arthritis of the right knee, who underwent a right total knee replacement with revision of the right femoral component during the same operative episode. Initially the surgeon carried out a total knee replacement, but was not happy with the results and then revised the right femoral component during the same operative episode. In ICD-9-CM would this be coded using procedure code 81.54 only or both procedure codes 81.54 and 00.82?  ...

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