Question

Discussion Musculoskeletal
Discuss the ICD-10-PCS guidelines that apply to the coding of the hip, knee replacements, and also to Spinal fusions. What information is needed to accurately code these procedures? Explain one guideline per procedure.

Answer 1

Answer

ICD - International classification of disease is a classification of diseases is an code set to report disease and health conditions. ICD 10 CM is a set of codes used by the physicians and the health care providers to code diagnoses, procedures performed by the provider and symptoms experienced by the patient at the time of admission.

Musculoskeletal comes under the chapter 13 (Diseases of the Musculoskeletal and connective tissue):Musculoskeletal system comprises of ligaments,tendons,muscles and joints. It helps for physical movement, balance,posture and also it protects the internal organs. Ex) Ribs protects lungs and heart.

In ICD procedure Coding Musculoskeletal : replacement of hip replacements is categorized under 0SR sets of codes.

The coding for knee replacement is divided into 81.54 code. This includes removing the articular surfaces of the femoral condyles, the patella and the tibial plateau.

Hip replacement surgery involves the removal of diseased hip joint and replacing it with artificial prosthetic devices made of cemented/un cemented/ceramic. According to ICD10 PCS coding guidelines the components of procedure included in the root operation should not be coded separately.

Hip replacement codes coded under root operation ,putting in synthetic material to replace diseased part .

To code first need to identify the location of procedure done, type of synthetic materials used (metal/ceramic,polyethylene,cemented or un cemented ). Coding is done based not he indent of the procedure. Both replacement and removal of the device is coded under ICD 10 PCS.

The CPT code 22612 can be used for the effective coding of spinal fusions.

All descriptions of the particular code must be known precisely for the effective coding treatment of the various body parts.