AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 1; Ask the Editor

Provisional Total Hip Arthroplasty

A patient with a femoral neck fracture underwent an open left total hip arthroplasty. Following removal of the femoral head, trial femoral head and neck metal on polyethylene components were placed. At the acetabulum, a shell was trialed for fit, followed by placement of the acetabular component. A temporary acetabular liner was placed in addition. Suddenly, the patient decompensated and was not stable to continue the surgery. The temporary acetabular liner and femoral trials were left in place, to be exchanged for final implants at a later date. Would ICD-10-PCS codes be assigned for placement of the trial joint components, not intended to remain at the end of the procedure? If so, what are the correct root operations and device values? ...

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