AHA Coding Clinic® for ICD-9 - 2008 Issue 2; Ask the Editor

Total Shoulder Arthroplasty with Removal of Antibiotic Cement Spacer

The patient is a 67-year-old female status post resection of humeral head and antibiotic cement spacer insertion, left proximal humerus, three months ago secondary to osteomyelitis. After recent aspiration, the patient was reevaluated, with negative cultures. The patient is now being admitted for total shoulder arthroplasty with removal of antibiotic cement spacer. How should the second admission be coded? ...

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