Failed L Rotator Cuff Surgery

dorothy.schulte@att.netdorothy.schulte@att.net
in Home Care Coding General
patient went into surgery for a L shoulder rotator cuff tear, M75.102 impingement syndrome M75.42, acromioclavicular joint osteoarthritis M19.012. The surgical procedure failed due to friable tissue, irreparable L rotator cuff. How should I code this? Patient is receiving OT now for the rotator cuff tear.

what code should I use for the failed surgery?


A. L Rotator Cuff Tear M75.102
B. Acromioclavicular joint OA M19.012

Thanks,
Dorothy

Comments

  • Nancy.Wolverton@kindred.comNancy.Wolverton@kindred.com
    edited May 2017
    Morning Dorothy.
    Your patient is post-op "other ortho surgery" (a Z-code) and since it is a failed procedure, that means the pre-op conditions are still present so code those as still active.

    Nancy Wolverton RN, CCM, HCS-D-10
    Utilization Review Specialist
    Kindred at Home
    Little Rock, Arkansas
    501-508-8526 (o)
    501-690-2027 (c)
    Nancy.Wolverton@kindred.com
  • dorothy.schulte@att.netdorothy.schulte@att.net
    I was looking for a T code because of failed surgery. Thanks for your help.

    Dorothy
  • Nancy.Wolverton@kindred.comNancy.Wolverton@kindred.com
    edited May 2017
    The "failure" is not on the part of the surgery, it is the patient's poor tissue status and I am not sure there is a T-code for that situation

    Nancy Wolverton RN, CCM, HCS-D-10
    Utilization Review Specialist
    Kindred at Home
    Little Rock, Arkansas
    501-508-8526 (o)
    501-690-2027 (c)
    Nancy.Wolverton@kindred.com
  • dorothy.schulte@att.netdorothy.schulte@att.net
    Thank-you for pointing that out.
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