Find information on hip replacement surgery including clinical documentation, medical coding, and healthcare resources. Learn about ICD-10 codes for total hip arthroplasty, partial hip replacement, hip resurfacing, and revision hip arthroplasty. Explore postoperative care, complications, and physical therapy documentation requirements. This comprehensive resource provides details on diagnosis codes, procedure codes, and medical necessity guidelines for hip replacement surgery.
Also known as
Replacement of Hip Joint
Codes for total and partial hip replacements.
Presence of artificial hip joint
Indicates a patient has an artificial hip joint.
Mechanical complication of hip prosthesis
Covers complications like loosening or dislocation.
Infection and inflammatory reaction due to hip prosthesis
Covers infections related to the hip prosthesis.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is this a total hip replacement?
Yes
Right or left hip?
No
Is it a partial hip replacement?
When to use each related code
| Description |
|---|
| Hip Replacement |
| Hip Osteoarthritis |
| Hip Fracture |
Incorrect coding for left, right, or bilateral hip replacement leading to inaccurate claims and reimbursement issues. Relevant for ICD-10-PCS and CPT coding.
Lack of documentation specifying implant components (femoral head, acetabular liner) impacts DRG assignment and payment. CDI query opportunity.
Miscoding a revision surgery as primary or vice-versa leads to significant billing errors and compliance risks. Requires careful documentation review.
Q: What are the most effective evidence-based postoperative pain management protocols for minimizing opioid use after hip replacement surgery?
A: Effective postoperative pain management after hip replacement surgery is crucial for patient recovery and minimizing opioid reliance. Multimodal analgesia protocols are the gold standard, combining various medications and techniques to target different pain pathways. This typically includes a combination of non-opioid analgesics (e.g., acetaminophen, NSAIDs), local anesthetics (e.g., femoral nerve blocks, periarticular injections), and gabapentinoids. Consider implementing a patient-controlled analgesia (PCA) pump with non-opioid options, such as local anesthetic infusions. Furthermore, explore how incorporating non-pharmacological methods like cryotherapy, early mobilization, and patient education can further reduce postoperative pain and opioid consumption. Learn more about enhanced recovery after surgery (ERAS) protocols for hip replacement, which often incorporate these strategies. These multimodal approaches aim to reduce reliance on opioids while improving patient comfort and functional outcomes. Explore how these protocols can be tailored to individual patient needs and risk factors for optimal pain control.
Q: How can surgeons identify and address risk factors for prosthetic joint infection (PJI) in patients undergoing revision hip replacement surgery?
A: Revision hip replacement surgery carries an increased risk of prosthetic joint infection (PJI) compared to primary procedures. Identifying and addressing modifiable risk factors preoperatively is crucial for minimizing infection rates. Clinicians should carefully evaluate patients for factors such as prior surgical site infections, immunodeficiency, diabetes, malnutrition, and obesity. Consider implementing preoperative optimization strategies, including glycemic control, weight management, and smoking cessation. Intraoperatively, meticulous surgical technique with appropriate antibiotic prophylaxis and minimizing surgical time are essential. Postoperatively, implementing effective wound care protocols, patient education on infection prevention strategies, and close monitoring for early signs of infection are paramount. Explore how incorporating newer technologies like antimicrobial coatings on implants or intraoperative tissue oxygenation monitoring can further reduce the risk of PJI in revision hip replacement surgery. Learn more about the latest guidelines for PJI prevention and management.
Patient presents with complaints of chronic hip pain, significantly impacting mobility and quality of life. Symptoms include persistent aching, stiffness, limited range of motion, and difficulty with weight-bearing activities such as walking, standing, and climbing stairs. The patient reports conservative treatment measures, including physical therapy, pain medication (NSAIDs, analgesics), and corticosteroid injections, have provided insufficient relief. Physical examination reveals decreased hip flexion, internal and external rotation, and pain upon palpation of the affected hip joint. Radiographic imaging (X-ray, MRI) confirms advanced osteoarthritis of the hip, demonstrating joint space narrowing, osteophyte formation, subchondral sclerosis, and evidence of cartilage degeneration. Diagnosis of hip osteoarthritis necessitating total hip arthroplasty (THA) is made. The patient is scheduled for hip replacement surgery to alleviate pain, improve function, and restore mobility. Risks and benefits of the procedure, including potential complications such as infection, dislocation, blood clots (DVT, PE), nerve damage, and leg length discrepancy, were discussed with the patient. Surgical approach options, including anterior, posterior, and lateral approaches, were also reviewed. Postoperative care plan includes physical therapy, pain management, and anticoagulation therapy. ICD-10 code M16. CPT codes for total hip arthroplasty will be determined based on the specific surgical approach utilized and any additional procedures performed. This may include codes such as 27130, 27134, 27137, or 27138.