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Diagnosis code for hip revision following eradication of infection

Charlene Posted Tue 21st of April, 2015 08:48:14 AM

Hip became infected following total arthroplasty. The hardware was removed, antibiotic beads and spacer placed.

At this time the spacer is removed and total hip arthroplasty performed (revision 27132). What would the primary diagnosis be? I think the secondary dx is 715.35.

SuperCoder Answered Wed 22nd of April, 2015 04:17:08 AM

Use ICD9-CM 996.66 for infection due to internal joint (Hip joint) prosthesis and V43.64 for hip joint (prosthesis) replacement. As osteoarthrosis is not mentioned, it is suggested not to use 715.35.

Charlene Posted Wed 22nd of April, 2015 16:12:48 PM

The infection is no longer present. So does 996.66 infer the patient's hip is currently infected?

SuperCoder Answered Thu 23rd of April, 2015 03:43:24 AM

Not exactly, diagnosis code 996.66 has to be append when infection persist at the time of procedure performed. It does not mean that infection currently exists until unless it is being reported again.

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