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Topic Title: failed knee replacement
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Created On: 01/25/2008 10:58 AM

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 01/25/2008 10:58 AM
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16401310

Posts: 91
Joined: 11/22/2005

Is there a code for a "failed knee replacement?" The patient had knee pain and the record
doesn't say anytning about mechanical complication. Would I be able to use #879.8 or
would I just code the knee pain?
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 01/25/2008 01:21 PM
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ERIN

Posts: 532
Joined: 08/14/2005

If the patient was having pain due to an orthopedic device, implant or graft / joint prosthesis the code is 996.77. See the Tabular List under 996.7 to see that pain is included. You would also code V43.65. However, this may be a case where you need to get clarification from the MD, since to me his diagnosis of "failed knee replacement" would indicate some type of mechanical complication, and not just pain.

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"To err is human--and to blame it on a computer is even more so." - Robert Orben
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 01/25/2008 01:37 PM
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16401310

Posts: 91
Joined: 11/22/2005

I decided to call the surgeon's office to see what code they used. They used 996.46, so it was
considered a mechanical complication.
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 01/27/2008 07:01 PM
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ERIN

Posts: 532
Joined: 08/14/2005

Well....I just checked again and per the index: Failed / device, implant or graft - see Complication / mechanical. So based on the MD's diagnostic statement of "failed knee replacement" the index supports 996.46 also.

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"To err is human--and to blame it on a computer is even more so." - Robert Orben
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