Question

A 65-year-old patient is admitted with pain and loosening of a previous total hip arthroplasty. The acetabular component has loosened and become painful. The patient was admitted for revision of the hip replacement. The acetabular component uses a metal-on-metal bearing surface. What is the appropriate code(s) for the admission?

-996.41Mechanical loosening of prosthetic joint
-996.66Infection and inflammatory reaction due to internal joint prosthesis
-V43.64Organ or tissue replaced by other means, hip
-00.71Revision of hip replacement, acetabular component
-00.74Hip-bearing surface, metal on polyethylene
-00.75Hip-bearing surface, metal on metal
-00.76Hip-bearing surface, ceramic on ceramic

Answer 1

The appropriate code(s) for the admission would be 996.41, 00.71, and 00.75.

Step-by-step explanation:

The appropriate code(s) for the admission of a 65-year-old patient with pain and loosening of a previous total hip arthroplasty, in need of revision of the hip replacement, using a metal-on-metal bearing surface for the acetabular component, would be:

1. 996.41 - Mechanical loosening of prosthetic joint
2. 00.71 - Revision of hip replacement, acetabular component
3. 00.75 - Hip-bearing surface, metal on metal