AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 3; Ask the Editor

Use of Cemented Versus Uncemented Qualifier for Joint Replacement

For reporting knee and hip joint replacement procedures, ICD-10-PCS provides three values for the 7th character qualifier: “9,” Cemented, “A,” Uncemented, and “Z,” No qualifier. Most often the physician will document “cemented” when it is used, but typically does not document “uncemented.” For example, a patient with failed right total hip replacement presents for revision.  The femoral stem and liner are replaced; however, it is not clear whether the implant used was “cemented or uncemented.” What is the appropriate qualifier value “Z” or “A”? ...

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