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Home/Diagnosis/ICD-10 Coding for Hip Replacement Surgery

ICD-10 Coding for Hip Replacement Surgery

0SRA0JZ
T84.53XA

Complete ICD-10-CM coding and documentation guide for icd-10 coding for hip replacement surgery includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Hip Arthroplasty
Total Hip Replacement
Partial Hip Replacement
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Key Information: ICD-10 Coding for Hip Replacement Surgery

Essential facts and insights about ICD-10 Coding for Hip Replacement Surgery

Use ICD-10 code 0SRA0JZ for replacement of left hip joint with synthetic substitute, open approach, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Replacement of left hip joint with synthetic substitute, open approach

Non-Billable
0SRA0JZ
Non-Billable

Diagnostic Criteria

clinical:
  • • Patient has severe osteoarthritis confirmed by imaging.
documentation:
  • • Operative report includes details of components and approach.

Applicable To

  • • Total hip replacement
  • • Partial hip replacement

Important Notes

  • • Ensure documentation specifies the type of synthetic substitute and approach used.

Infection and inflammatory reaction due to internal joint prosthesis, initial encounter

Billable Code
T84.53XA
Billable

Diagnostic Criteria

clinical:
  • • Positive culture from joint aspirate
  • • Elevated inflammatory markers (ESR, CRP)

Applicable To

  • • Infection of hip prosthesis

Important Notes

  • • Ensure infection is clearly linked to the prosthesis in documentation.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z96.64

Presence of artificial hip joint

Used to indicate the presence of a hip prosthesis post-surgery.

Z47.2

Aftercare following joint replacement surgery

Used for follow-up care after hip replacement.

Frequently Asked Questions

What is the ICD-10 code for hip replacement surgery?

The ICD-10 code for a primary hip replacement surgery is 0SRA0JZ, which covers the replacement of the hip joint with a synthetic substitute.

How is a hip replacement surgery documented?

Documentation should include the type of procedure, approach, components replaced, and bearing surface details to ensure accurate coding and billing.

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