AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 4; Ask the Editor

Radial Head Arthroplasty

A patient diagnosed with “right elbow terrible triad” had a radial head arthroplasty and lateral collateral ligament repair. At surgery, the surgeon opened the joint, revealing a subluxed radial head that was comminuted and not repairable. The subluxed radial head was cut at its neck, and removed. The radial head was then replaced with a prosthetic implant. In Coding Clinic, Third Quarter 2015, “Shoulder Joint” was assigned as the body part value for a patient who underwent removal of the articular head surface during a shoulder joint replacement. Would that advice be unique to the shoulder, or could the logic be applied to the elbow joint as well? What is the appropriate body part value for the radial head arthroplasty? ...

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