Question

This is the course ======> ICD Procedure Coding

THIS IS THE TOPIC===> Musculoskeletal

THIS IS THE QUESTION ===> discuss the guidelines that apply to the coding of the hip, knee replacements, and also to Spinal fusions. Explain one guideline per procedure thoroughly.
What information is needed to accurately code these procedures?

Answer 1

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.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.