AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Quarter 4; New/Revised ICD-10-PCS Procedure Codes, Section 0-Medical and Surgical
Removal and Revision of Hip and Knee Devices
The patient previously underwent a right total hip replacement. The femoral stem has now fractured and must be replaced. At surgery for revision arthroplasty, the broken femoral component was removed and a new femoral component was implanted and cemented. The acetabular liner was also replaced. The acetabular shell (cup) component was found to be intact and well fixed, and it was not revised. How is this procedure coded? ...
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Article Overview
This premium article explains recent ICD-10-PCS changes for lower joint device removal and revision, with emphasis on how added anatomic detail is reflected in procedure tables. It is relevant to facility coders, CDI professionals, and auditors working with orthopedic implant cases, especially hip and knee arthroplasty revisions and removals. The article also includes a coding example that illustrates how the updated structure applies in practice.
Why This Topic Matters
Accurate device procedure coding depends on matching the documented anatomic site and the specific joint component involved. These ICD-10-PCS updates affect how lower-joint procedures are represented in claims, quality data, and record review.
Article Sections
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Body Part Values
Summarizes the added anatomic detail for hip and knee device procedures. The section focuses on the updated structure used to distinguish specific lower-joint components.
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Qualifier
Introduces an additional qualifier associated with the lower-joint procedure updates. The discussion stays centered on the coding structure changes rather than clinical technique.
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Coding Impact on Lower Joint Procedure Tables
Identifies the lower-joint procedure tables affected by the update. This section places the changes in the context of ICD-10-PCS device procedure classification.
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Clinical Example
Presents a revision scenario involving a hip prosthesis and asks how the procedure is coded. The example is used to illustrate application of the updated ICD-10-PCS structure.
What You Will Learn
- How ICD-10-PCS lower-joint procedure tables were updated
- How additional body part values increase anatomic specificity
- How a new qualifier fits into the updated device coding structure
- How an orthopedic revision example is framed in the article
Who Should Read This
- Facility coders
- Coding auditors
- Clinical documentation integrity professionals
- Orthopedic surgery coding staff
Codes Discussed
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