AHA Coding Clinic® for ICD-9 - 2010 Issue 4; Volume 3 New/Revised Codes

Reverse Total Shoulder Replacement

Effective October 1, 2010 a new code has been created to uniquely identify reverse total shoulder replacement (81.88). While conventional total shoulder replacement is effective for osteoarthritis, it is not effective for patients with a diagnosis of rotator cuff tear arthropathy or complex fractures. In addition, conventional shoulder replacement is not effective for patients who have previously undergone a conventional total shoulder replacement that has failed. In a conventional total shoulder replacement, the damaged bone and cartilage are taken out and replaced with metal and plastic implants. Generally, three implants are utilized including a ball to replace the...

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