Find information on Right Total Hip Arthroplasty diagnosis, including ICD-10-CM code, clinical documentation requirements, postoperative care, hip replacement surgery details, and healthcare provider resources. Learn about arthroplasty complications, revision surgery, physical therapy, and recovery timelines. This resource provides valuable information for medical coders, clinicians, and healthcare professionals seeking accurate and comprehensive details on Right Total Hip Arthroplasty.
Also known as
Replacement of Right Hip Joint
This code signifies a total hip replacement surgery on the right side.
Presence of right artificial hip joint
Indicates the patient has a right artificial hip joint in place.
Mechanical complication of right hip prosthesis
Covers complications like loosening or dislocation of the right hip prosthesis.
Other complications of internal prosthetic devices
Includes other specified complications of the right hip prosthesis, not classified elsewhere.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is this a primary or revision arthroplasty?
Primary
Any complications?
Revision
Any complications?
When to use each related code
| Description |
|---|
| Right Total Hip Replacement |
| Right Hip Revision Arthroplasty |
| Right Hip Hemiarthroplasty |
Missing or unclear documentation specifying the right hip, potentially leading to incorrect coding or claim denial. Medical coding, CDI, healthcare compliance.
Inadequate documentation of specific components used (femoral head, acetabular liner), impacting accurate DRG assignment and reimbursement. Medical coding, CDI, hip arthroplasty.
Lack of clear documentation of the surgical approach (anterior, posterior, etc.) may lead to coding errors and compliance issues. Medical coding, CDI, healthcare compliance.
Q: What are the evidence-based postoperative pain management protocols for minimizing opioid use after right total hip arthroplasty?
A: Effective postoperative pain management after right total hip arthroplasty is crucial for patient comfort and early mobilization while minimizing opioid reliance. Multimodal analgesia protocols, incorporating regional anesthesia (such as femoral nerve blocks), NSAIDs, acetaminophen, and local anesthetic infiltration, have demonstrated efficacy in reducing postoperative opioid consumption. Consider implementing a standardized protocol that includes preemptive analgesia and patient-controlled analgesia with opioid-sparing adjuvants. Explore how incorporating a robust physical therapy regimen early in the postoperative period can further enhance pain control and functional recovery. Learn more about the benefits of incorporating cryotherapy and other non-pharmacological pain management strategies for enhanced patient comfort.
Q: How can I differentiate between expected postoperative complications and early signs of prosthetic joint infection following right total hip arthroplasty?
A: Differentiating expected postoperative complications from early prosthetic joint infection (PJI) after right total hip arthroplasty requires careful clinical assessment. While some pain, swelling, and erythema are expected in the initial postoperative period, persistent or worsening pain, especially accompanied by fever, chills, wound drainage, or elevated inflammatory markers (CRP, ESR), should raise suspicion for PJI. Consider implementing a standardized postoperative monitoring protocol that includes regular wound assessments and serial bloodwork. Explore how using diagnostic imaging, such as aspiration or bone scans, can aid in early detection of PJI and guide appropriate intervention. Learn more about the importance of meticulous surgical technique and prophylactic antibiotics in minimizing the risk of PJI.
Patient presents with complaints of severe right hip pain, significantly impacting mobility and quality of life. Symptoms include persistent aching, stiffness, limited range of motion, and difficulty performing activities of daily living such as walking, standing, and dressing. The patient reports a history of osteoarthritis, confirmed by radiographic findings demonstrating significant joint space narrowing, osteophyte formation, and subchondral sclerosis in the right hip. Conservative treatments, including physical therapy, pain medication, and corticosteroid injections, have provided insufficient relief. Diagnosis of right hip osteoarthritis necessitating total hip arthroplasty is confirmed. Surgical plan includes right total hip replacement utilizing a posterior approach. Risks and benefits of the procedure, including infection, dislocation, leg length discrepancy, and need for revision surgery, were thoroughly discussed with the patient, and informed consent was obtained. Postoperative care will involve physical therapy, pain management, and close monitoring for complications. ICD-10 code M16.11, right primary osteoarthritis, hip, is documented. CPT code 27130, total hip arthroplasty, will be used for billing. The patient's prognosis for improved mobility and pain relief following right total hip arthroplasty is good.