Find comprehensive information on hip surgery diagnosis codes, including ICD-10-CM and CPT codes for pre-operative evaluation, surgical procedures like total hip arthroplasty (THA) and hip arthroscopy, post-operative care, and rehabilitation. This resource covers clinical documentation requirements for accurate medical coding and billing related to hip replacement, hip fracture repair, and other hip surgeries. Learn about proper coding guidelines and documentation best practices for healthcare professionals involved in hip surgery diagnosis and treatment.
Also known as
Insertion of Hip Prosthesis
Covers procedures inserting a hip replacement.
Removal of Hip Prosthesis
Involves taking out a hip prosthesis.
Hip Joint Replacement
Replacing the hip joint with a prosthesis.
Hip Osteotomy
Cutting and reshaping the hip bone.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the hip surgery for a fracture?
Yes
Pathological fracture?
No
Total hip replacement?
When to use each related code
| Description |
|---|
| Hip Replacement Surgery |
| Hip Fracture |
| Hip Arthroscopy |
Coding hip surgery without specifying the approach (anterior, posterior, lateral) can lead to claim denials and inaccurate DRG assignment.
Lack of proper documentation of implanted devices (size, type, manufacturer) impacts accurate coding and reimbursement for hip replacements.
Failing to code intraoperative or postoperative complications associated with hip surgery can underestimate severity and affect quality reporting.
Q: What are the most effective evidence-based postoperative pain management protocols for hip replacement surgery to minimize opioid use?
A: Effective postoperative pain management after hip replacement surgery is crucial for enhanced recovery and minimizing opioid reliance. Multimodal analgesia, combining different classes of analgesics like NSAIDs, acetaminophen, gabapentinoids, and local anesthetic infiltrations, is a cornerstone of this approach. Peripheral nerve blocks, administered preoperatively or intraoperatively, can provide significant pain relief and reduce opioid consumption in the initial postoperative period. Consider implementing enhanced recovery after surgery (ERAS) protocols, which incorporate optimized pain management alongside early mobilization and nutritional support, to further reduce hospital length of stay and improve patient outcomes. Explore how different combinations of these strategies can be tailored to individual patient needs and risk factors. Learn more about the latest research on minimizing opioid use in hip replacement surgery.
Q: How can I differentiate between normal postoperative hip pain and signs of prosthetic joint infection following hip arthroplasty, and what immediate steps should be taken?
A: Differentiating normal postoperative hip pain from prosthetic joint infection (PJI) requires careful clinical assessment. While some discomfort is expected after hip arthroplasty, persistent pain, especially accompanied by fever, chills, erythema, wound drainage, or increasing swelling, warrants immediate evaluation for PJI. Laboratory tests, including C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR), can aid in the diagnosis, along with aspiration of the joint fluid for culture and sensitivity testing. If PJI is suspected, prompt treatment is essential. This may involve debridement, antibiotics, and potentially revision surgery. Explore how clinical examination findings, laboratory results, and imaging studies can be integrated for accurate diagnosis and timely intervention in suspected PJI. Consider implementing a standardized protocol for postoperative monitoring and management of potential complications to ensure early detection and treatment of infections.
Patient presents with complaints of right hip pain, stiffness, and limited range of motion, consistent with osteoarthritis of the hip. Symptoms include difficulty with weight-bearing activities such as walking, standing, and climbing stairs. Onset of symptoms was gradual over the past year, progressively worsening in recent months. Conservative treatment options including physical therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), and activity modification have provided insufficient relief. Physical examination reveals decreased hip flexion, internal rotation, and abduction. Palpation elicits tenderness over the right hip joint. Radiographic imaging confirms the diagnosis of osteoarthritis, demonstrating joint space narrowing, osteophyte formation, and subchondral sclerosis. Surgical intervention, specifically total hip arthroplasty (THA), is recommended to alleviate pain, improve mobility, and restore function. Risks and benefits of the procedure, including potential complications such as infection, dislocation, and deep vein thrombosis, were discussed with the patient. Informed consent was obtained. Preoperative planning includes laboratory tests, electrocardiogram (ECG), and chest x-ray. Patient education regarding postoperative care, including pain management, physical therapy, and assistive devices, will be provided. Scheduled for right total hip arthroplasty with cemented prosthesis. Diagnosis: Osteoarthritis, right hip. Procedure: Total hip arthroplasty, right hip. ICD-10 code: M16.11. CPT code: 27130.