Find comprehensive information on Total Hip Replacement Left, including ICD-10-CM and CPT codes, clinical documentation requirements, postoperative care guidelines, and healthcare resources. This resource covers left hip arthroplasty, total hip replacement surgery, and relevant medical coding for accurate reimbursement. Learn about diagnosis, treatment, and recovery for left total hip replacement. Explore essential information for physicians, coders, and healthcare professionals involved in the management of patients undergoing left total hip replacement.
Also known as
Replacement of Left Hip Joint
Covers total left hip replacement procedures.
Revision of Left Hip Joint
For revisions of previous left hip replacements.
Mechanical Complication of Left Hip
Complications like loosening or dislocation post-surgery.
Presence of Left Artificial Hip Joint
Indicates the presence of a left hip prosthesis.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is this a routine primary total hip replacement?
Yes
Left hip?
No
Is it a revision?
When to use each related code
| Description |
|---|
| Total Hip Replacement (Left) |
| Left Hip Revision Arthroplasty |
| Left Hip Osteoarthritis |
Incorrectly coding the right hip instead of the left, or not specifying laterality, leading to claim rejection or inaccurate data.
Missing or inadequate documentation of the surgical approach (anterior, posterior, etc.) impacting accurate code assignment and reimbursement.
Failure to distinguish between a primary or revision total hip replacement, resulting in incorrect coding and potential compliance issues.
Q: What are the evidence-based postoperative pain management protocols for minimizing opioid use after left total hip replacement?
A: Effective postoperative pain management after left total hip replacement is crucial for optimizing patient recovery and minimizing opioid reliance. Multimodal analgesia protocols, incorporating regional anesthesia (such as femoral nerve blocks), non-opioid analgesics (NSAIDs, acetaminophen), and local anesthetic infiltration, have demonstrated efficacy in reducing postoperative pain scores and opioid consumption. Consider implementing a patient-specific approach that factors in comorbidities and pre-operative pain levels. Explore how enhanced recovery after surgery (ERAS) protocols can further optimize pain management and accelerate recovery. Learn more about individualizing opioid-sparing strategies by consulting current clinical guidelines and pain management specialists.
Q: How do I differentiate between expected postoperative complications and red flags indicating infection or other serious issues following left total hip arthroplasty?
A: Differentiating expected postoperative discomfort from serious complications like infection following left total hip arthroplasty requires vigilant monitoring and clinical judgment. Common postoperative symptoms like mild pain, swelling, and bruising are typically self-limiting. However, persistent or increasing pain, erythema, fever, wound drainage, or limited range of motion warrant further investigation to rule out infection, prosthetic loosening, or other complications. Consider implementing a standardized postoperative assessment protocol, including routine wound checks and monitoring inflammatory markers. Explore the use of diagnostic imaging, such as ultrasound or aspiration, if infection is suspected. Learn more about the specific clinical presentation and management of postoperative complications following left total hip replacement to ensure prompt and appropriate intervention.
Patient presents with left hip pain, stiffness, and limited range of motion consistent with osteoarthritis. Symptoms include difficulty walking, impaired mobility, and significant pain impacting activities of daily living (ADLs). Conservative management including physical therapy, NSAIDs, and corticosteroid injections has failed to provide adequate relief. Radiographic imaging confirms severe degenerative changes in the left hip joint, demonstrating loss of joint space, osteophyte formation, and subchondral sclerosis. Diagnosis of primary osteoarthritis, left hip, is confirmed. Surgical intervention in the form of total hip arthroplasty (THA), left side, is indicated. The patient understands the risks and benefits of the procedure, including infection, dislocation, DVT, and leg length discrepancy, and consents to the surgery. Preoperative assessment includes medical history review, physical examination, laboratory tests (CBC, CMP, coagulation studies), and EKG. Plan is for cemented left total hip replacement utilizing a posterior approach. Postoperative care will include pain management, physical therapy for rehabilitation, and DVT prophylaxis. Follow-up appointments will be scheduled to monitor progress and address any potential complications. ICD-10 code M16.11, Primary osteoarthritis, left hip, is documented. CPT codes for left total hip replacement will be determined based on the specific surgical technique and components utilized during the procedure. Prognosis for improved mobility and pain reduction following left hip replacement is favorable.