joint revisions

I know that we have had this conversation before but it seems like the
recommendations/suggestions are always changing.*)*

I'm wondering what fellow coders are coding in M1023 when a joint revision
is being done. Is the complication code being used or staged explantation?
If you are not using the explantation code (Z47.3), then when might it be
appropriate to use this code?



So confusing!



Arlene Poolman, RN

Director of Clinical Services

At Home Rehab

800.880.9715



*The Professional Care YOU Deserve*

Comments

  • edited April 2017
    If it is a joint explanation, which is a staged procedure, is this episode
    for the aftercare for the removal of the Joint?
    If so, then 1021 is aftercare following explanation of joint prosthesis.
    1023, then would be your other Dx for instance change of dressing, acquired
    absence of the joint, etc.
    You mentioned the complication code, that would be the hospital admitting
    diagnosis.
    If the patient had explanation and replacement at same hospital episode,
    then 1021 would be Z47.1

    Monica
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