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The surface of the acetabulum is then reamed out and inserted with a metal socket, or cup. Screws or cement secure the socket in place. 4) Visit Medicare.gov or call 1-800-Medicare. Draft articles are articles written in support of a Proposed LCD. CMS has defined "not usually self-administered" according to how the Medicare population as a whole uses the drug, not how an individual patient or physician may choose to use a particular drug. Hip replacement, also referred to as total hip arthroplasty (THA), is a surgical procedure to replace an unhealthy hip joint with an artificial joint. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available. T84.090A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Infection after left total hip replacement - patient admitted for prosthesis removal and insertion of antibiotic impregnated methylmethacrylate cement spacer . not endorsed by the AHA or any of its affiliates. Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. will not infringe on privately owned rights. POA Exempt Z47.1 is exempt from POA reporting ( Present On Admission). Pre-Admission Screen and Pre-Admission Interview tools guide the SNF admissions team in gathering essential information for estimating care needs and identifying critical factors impacting the PDPM per diem rate. The femur is first hollowed out and the femoral head removed. The most likely scenario for reporting this code would be a patient presenting for removal of an antibiotic spacer and placement of a new joint replacement prosthesis. In this context, annotation back-references refer to codes that contain: Short description: Mech compl of internal right hip prosthesis, init encntr, This is the American ICD-10-CM version of, Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. This is the American ICD-10-CM version of Z47.1 - other international versions of ICD-10 Z47.1 may differ. Z47.32 is a valid billable ICD-10 diagnosis code for Aftercare following explantation of hip joint prosthesis . Always thoroughly review the surgeons documentation in the operative report and take the time to learn hip joint anatomy and the structure of hip replacement joint components. Use the conversion code when the patient has had a prior open procedure, such as a hemiarthroplasty, open reduction and internal fixation (ORIF), or arthroscopy, and subsequently undergoes a total hip replacement. Z96.643 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Applicable FARS/HHSARS apply. Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license. Short description: Mech compl of internal right hip prosthesis, init encntr The 2023 edition of ICD-10-CM T84.090A became effective on October 1, 2022. It is the providers responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted.The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 27130, 27132, 27134, 27137, and 27138.Note: ICD-10-CM codes Z89.621, Z89.622, Z96.641, Z96.642, Z96.643, and Z96.649 are considered status codes and should not be used with a diagnosis code from one of the body system chapters, if the diagnosis code includes the information provided by the status code. used to report this service. DISCLOSED HEREIN. info@proactivemedicalreview.com, Click to share on LinkedIn (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Twitter (Opens in new window), Deep Dive into Federal Regulations in a Year, Mission Possible: SNF Department Head Briefing, ICD-10-CM Official Guidelines for Coding and Reporting FY 2020. Also, you can decide how often you want to get updates. Mechanical failure consists of normal wear and tear or breakage of the prosthesis. 2207 Morgan Ave, Suite D The 2023 edition of ICD-10-CM Z47.1 became effective on October 1, 2022. article does not apply to that Bill Type. Z47.1 is a valid billable ICD-10 diagnosis code for Aftercare following joint replacement surgery . You can rely on us. Readers are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly. Therefore, if a drug is self-administered by more than 50 percent of Medicare beneficiaries, the drug is excluded from coverage" and the MAC will make no payment for the drug. For purpose of this exclusion, "the term 'usually' means more than 50 percent of the time for all Medicare beneficiaries who use the drug. Try entering any of this type of information provided in your denial letter. A staged revision of the implant is scheduled. Z47.32 is exempt from POA reporting ( Present On Admission). without the written consent of the AHA. No fee schedules, basic unit, relative values or related listings are included in CPT. How payers will require staged revisions to be reported when ICD-10 is implemented on Oct. 1, 2015, is still unknown. Direct Anterior Hip Replacement Protocol This email will be sent from you to the The AMA does not directly or indirectly practice medicine or dispense medical services. All Rights Reserved. You can collapse such groups by clicking on the group header to make navigation easier. Can additional codes such as 0055T or 20985 be used with 27447? CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. Please do not use this feature to contact CMS. Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with Remember, there are a number of orthopedic aftercare codes for specific surgeriesall of which you can find in the ICD-10 tabular list under Z47, Orthopedic aftercare. Categories. If an infection following a hip replacement develops, treatment typically includes surgery or multiple surgeries and antibiotics. Copyright © 2022, the American Hospital Association, Chicago, Illinois. I have seen other posts where for partial total hip revision (femoral head and liner only) due to failure is coded as 27134-52 is this correct? Instructions for enabling "JavaScript" can be found here. Please visit the. If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. The body part for removal of the hemiarthroplasty implant is femoral surface of the hip. complete information, CMS does not guarantee that there are no errors in the information displayed on this web site. For the most part, codes are no longer included in the LCD (policy). Audit to ensure that IDT assessments and interviews are completed and documented within required timeframes. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. Note that aftercare following the explantation of shoulder, hip, and knee joint prostheses have unique codes but laterality is not addressed. managing10. 996.66 (Infection and inflammatory reaction due to internal joint prosthesis), V43.65 (Organs or tissue replaced by other means: knee), T84.53XA (Infection and inflammatory reaction due to internal right knee prosthesis; initial encounter), V54.82 (Aftercare following explantation of joint prosthesis), Z47.33 (Aftercare following explantation of knee joint prosthesis). Review claims prior to billing in order to confirm the information, and ensure that supporting documentation, including daily skilled notes, are in the medical record. The 7th character A is used during the active treatment of the injury or disease, and the surgery is considered active treatment for the infection and inflammatory reaction. Knowledge is the key to identifying the correct code(s). If the patient requires rehabilitation post hip replacement for right intertrochanteric femur fracture, report code S72.141D, Displaced intertrochanteric fracture of right femur, subsequent encounter for closed fracture with routine healing, as the first-listed or principal diagnosis. The AMA does not directly or indirectly practice medicine or dispense medical services. Although both ICD-9 and ICD-10 require that the etiology of the osteoarthritis (primary) be documented, ICD-10 also requires that laterality (right knee) be specified. The following ICD-10-CM Codes support medical necessity and provide limited coverage for the Total Hip Arthroplasty ICD-10-PCS codes and CPT codes: 27130, 27132, 27134, 27137 and 27138 It is the provider's responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to . Placement of a new liner is reported with the root operation Supplement, so the codes for exchanging a left knee liner are: **The coding information and guidance in this post is valid at the time of publishing. See Terms of Use for product guarantees and return policies. Reproduced with permission. In ICD-10 medical coding, you must report an aftercare code as the principal diagnosis when the condition for which the rehabilitation is performed does not exist any more. damages arising out of the use of such information, product, or process. Consider these Proactive tools and resources to assist with ICD.10 Coding Process Improvement: This checklist offers your admission team a quick resource to guide conversations with hospital discharge planners regarding the SNF reimbursement changes under PDPM and the impact on documentation and coding requirements. When billing for non-covered services, use the appropriate modifier.Documentation Requirements. You will find them in the Billing & Coding Articles. If that doesnt work please contact, Technical issues include things such as a link is broken, a report fails to run, a page is not displaying correctly, a search is taking an unexpectedly long time to complete. The list of results will include documents which contain the code you entered. Replacement coding was 22% accurate (195 of 895). You may, however, separately report the harvesting and insertion of a bone graft obtained from a distant site, as well as adductor tenotomy. Consider establishing a process for assessing staff competency and on-going diagnosis coding training for staff involved in the correct assignment of diagnosis codes. Z47.32. Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. CMS has mapped each primary diagnosis to one of ten PDPM clinical categories based on the cost of care and services for managing the condition. Sometimes the surgeon performs a thorough debridement of the bone to clean out the infection, coded with 27030 Arthrotomy, hip, with drainage (eg, infection). ICD-10. Hip replacement surgery aims to relieve pain and restore the alignment and function of a diseased hip joint after conservative treatment options have failed. Social Security Act (Title XVIII) Standard References: This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L36007,Lower Extremity Major Joint Replacement (Hip and Knee). Encounters for other specific health care. It is the providers responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted.The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 27445, 27447, 27486, and 27487.Note: ICD-10-CM codes Z89.521, Z89.522, Z96.651, Z96.652, Z96.653 and Z96.659 are considered status codes and should not be used with a diagnosis code from one of the body system chapters, if the diagnosis code includes the information provided by the status code. This Agreement will terminate upon notice if you violate its terms. (Or, for DME MACs only, look for an LCD.) The patient has completed 6 weeks of IV antibiotics, the knee aspirate was negative for infection, CRP and ESR are within normal limits. Z47.1. Coding for the hip replacement surgery is 27132. Factors influencing health status and contact with health services. It is found in the 2022 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2021 - Sep 30, 2022 . Please contact the Medicare Administrative Contractor (MAC) who owns the document. When the purpose for the admission/encounter is rehabilitation, sequence first the code for the condition for which the service is being performed. Coding guidance and documentation requirements have been added to the section titled Article Guidance and minor changes to formatting have been made throughout the article. You can use the Contents side panel to help navigate the various sections. specified complications classified elsewhere, such as: cerebrospinal fluid leak from spinal puncture (, disorders of fluid and electrolyte imbalance (, functional disturbances following cardiac surgery (, intraoperative and postprocedural complications of specified body systems (, code for adverse effect, if applicable, to identify drug (, failure and rejection of transplanted organs and tissues (, fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (, Malposition of right hip prosthetic joint, Mechanical failure of right hip prosthetic joint. This is the American ICD-10-CM version of Z96.641 - other international versions of ICD-10 Z96.641 may differ. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. Kristi has an extensive background in coding education and consulting and is a national speaker and published writer on topics related to ICD-10 and CPT coding and code-based reimbursement. Click here to learn more about this product in our shop. Click here to visit our shop. If the patient requires rehabilitation post hip replacement for right intertrochanteric femur fracture, report code S72.141D, Displaced intertrochanteric fracture of right femur, subsequent encounter for closed fracture with routine healing, as the first-listed or principal diagnosis. Sometimes, a large group can make scrolling thru a document unwieldy. Therefore, it is imperative to have solid methods in place for selecting the primary diagnosis and ensuring documentation to support coding for all active diagnosis prior to the 5-day assessment completion. If you need more information on coverage, contact the Medicare Administrative Contractor (MAC) who published the document. (Modifier 52 indicates the full description of the given code was not performed, as only part of the hip replacement component is exchanged. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. 7500 Security Boulevard, Baltimore, MD 21244. Information in this article has been reviewed by members of the AAOS Coding, Coverage, and Reimbursement Committee. Codes within the T section that include the external cause do not require an additional external cause code, code to identify any retained foreign body, if applicable (. copied without the express written consent of the AHA. All other Codes (ICD-10, Bill Type, and Revenue) have moved to Articles for DME MACs, as they have for the other Local Coverage MAC types. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness or In addition, reference to the Social Security Act has been added to 'CMS National Coverage Policy'. CRs are not policy, rather CRs are used to relay instructions regarding the edits of the various claims processing systems in very descriptive, technical language usually employing the codes or code combinations likely to be encountered with claims subject to the policy in question. During hip revision surgery, the surgeon removes one or more of the prosthetic components and replaces them with new ones. This page displays your requested Article. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. Q: How do you code polyethylene exchange of the left total knee. For instance, if a patient with severe degenerative osteoarthritis of the hip, underwent hip replacement and the current encounter/admission is for rehabilitation, report code Z47.1, Aftercare following joint replacement surgery, as the first-listed or principal diagnosis. CMS expects the principal diagnosis on the SNF claim to match the primary diagnosis in item I0020B. authorized with an express license from the American Hospital Association. If you are acting on behalf of an organization, you represent that you are authorized to act on behalf of such organization and that your acceptance of the terms of this agreement creates a legally enforceable obligation of the organization. Carol Ermis, CPC, COSC, AAPC Fellow, is the billing director at Orthopaedic Specialists of Austin, Texas, where shes managed the revenue cycle for 13 years. Encntr for surgical aftcr fol surgery on the nervous sys; encounter for surgical, acquired absence of hip joint following prior explantation of hip joint prosthesis (, hip joint prosthesis explantation status (, Aftercare following explantation of joint prosthesis, staged procedure, Encounter for joint prosthesis insertion following prior explantation of joint prosthesis, encounter for aftercare following sterilization reversal (, encounter for surgical aftercare following surgery on the sense organs (. Z47.89, Encounter for other orthopedic aftercare, and Z47.1, Aftercare following joint replacement surgery. Physical therapy Occupational therapy Intra-articular injections Braces, orthotics or assistive devices Physical Therapy and/or home exercise plans Assistive devices (for example, cane, walker, braces (specify type of brace), and orthotics) The physical examination should describe the joint examination with detailed objective findings, such as: (For an in-depth discussion of the 7th character, see When 7 Is Not a Lucky Number, AAOS Now, November 2014.) Subscribe to Codify by AAPC and get the code details in a flash. For example, for an admission/encounter for rehabilitation for right-sided dominant hemiplegia following a cerebrovascular infarction, report code I69.351, Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, as the primary diagnosis. (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury. However, ICD-10 also specifies this as a knee joint prosthesis. Click here to view the guidance manual. that coverage is not influenced by Bill Type and the article should be assumed to Articles often contain coding or other guidelines that are related to a Local Coverage Determination (LCD). CPT codes, descriptions and other data only are copyright 2022 American Medical Association. MDS item I0020B, the primary diagnosis is Z47.1 - Aftercare following joint replacement surgery and MDS item J2310: Hip replacement, partial or total, should be checked. The plan includes removal of the prosthesis and insertion of an antibiotic cement spacer, followed by 6 weeks of intravenous (IV) antibiotics and monitoring of serum C reactive protein (CRP) and erythrocyte sedimentation rate (ESR) before a new prosthesis is implanted. Surgeons often use the terms arthroplasty and replacement interchangeably to describe the repair of a joint. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled "I Accept". infection or inflammation T84.50 . The diagnosis requires a physician-documented diagnosis (or by a nurse practitioner, physician assistant, or clinical nurse specialist if allowable under state licensure laws) in the last 60 days. To submit a comment or question to CMS, please use the Feedback/Ask a Question link available at the bottom You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. To illustrate, if femoral and acetabular components were inserted and, at a later date, the patient requires a single stage hip revision, code 27134 should be used to describe the revision of both the femoral and acetabular components. ICD-10-CM Code for Orthopedic aftercare Z47 ICD-10 code Z47 for Orthopedic aftercare is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services . OA of hip Bilateral primary - M16.0 Unilateral primary, R - M16.11 Unilateral primary, L - M16.12 Bilateral from DDH - M16.2 Unilateral from DDH, R - M16.31 Unilateral from DDH, L - M16.32 Bilateral posttraumatic - M16.4 Unilateral posttraumatic, R M16.51 Unilateral posttraumatic, L - M16.52 Bilateral other secondary - M16.6 A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. The 2023 edition of ICD-10-CM Z96.641 became effective on October 1, 2022. The body part for the THR is right hip since both joint surfaces were replaced. A successful hip prosthesis typically lasts about 15 years, and some patients need one or more revisions of a hip replacement in their lifetime, particularly if: The most common reasons for a hip revision are recurrent dislocation of the prosthetic joint, infection, and mechanical failure. Review the article, in particular the Coding Information section. A metal stem is then cemented or press fit directly into the hollowed-out femur. Do not report revision code 27134 unless both the removal and exchange of the hip replacement component(s) occur during the same operative session. Orthopaedic practices that carefully examine the instructions in both editions may find that they have been reporting staged revisions incorrectly for years. By clicking below on the button labeled "I accept", you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. Kristi is a senior consultant with more than 25 years of industry experience; she is responsible for the development of web-based, instructor-led, and webinar training materials; conducting training in ICD-10-CM/PCS and CPT; and performing DRG and APC audits. A Draft article will eventually be replaced by a Billing and Coding article once the Proposed LCD is released to a final LCD. Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes. The scope of this license is determined by the AMA, the copyright holder. It is found in the 2023 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2022 - Sep 30, 2023 . THE UNITED STATES In a total hip replacement, 27130 Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft, the damaged bone and cartilage are removed and replaced with prosthetic components, which come in many different materials and designs. The contractor information can be found at the top of the document in the Contractor Information section (expand the section to see the details). A metal or ceramic ball or head is placed on top of the stem to replace the damaged femoral head that was removed. CPT is a trademark of the American Medical Association (AMA). These codes were given by the doctor. Draft articles have document IDs that begin with "DA" (e.g., DA12345). If the condition for which the rehabilitation service is being provided is no longer present, report the appropriate aftercare code as the first-listed or principal diagnosis, unless the rehabilitation service is being provided following an injury. ICD-10 code Z96.64 for Presence of artificial hip joint is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services . In ICD-9-CM, the diagnosis code is 715.16 (osteoarthrosis, localized, primary, lower leg). Click here to learn more about this product in our shop. ICD-10 codes T84.114A, T84.114D, T84.114S, T84.115A, T84.115D, and T84.115S were added to ICD-10-CM Code group 1. ICD-10-CM Coding Examples . In ICD-10-CM, the code is M17.11 (unilateral primary osteoarthritis, right knee). Kristi has served the Colorado Health Information Management Association (CHIMA) as board Director, co-chair of the Data Quality Committee, and co-chair for the ICD-10 Task Force. These descriptors have nothing to do with the Current Procedural Terminology (CPT) new, and established patient visit codes used for evaluation and management services. All documentation must be maintained in the patient's medical record and made available to the contractor upon request. Complete absence of all Bill Types indicates Radiographs show radiolucency beneath the femoral and tibial components, and a joint aspiration culture reveals the presence of Staphylococcus epidermidis. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions. required field. Some articles contain a large number of codes. Determine if physicians are examining residents and providing documentation in a timely manner for capturing necessary information on the 5-day MDS. Absence of a Bill Type does not guarantee that the In no event shall CMS be liable for direct, indirect, special, incidental, or consequential Codes Z47 Orthopedic aftercare Z47.1 Aftercare following joint replacement surgery Z47.2 Encounter for removal of internal fixation device Z47.3 Aftercare following explantation of joint prosthesis Z47.31 Aftercare following explantation of shoulder joint prosthesis Z47.32 Aftercare following explantation of hip joint prosthesis Self-Administered Drug (SAD) Exclusion List articles list the CPT/HCPCS codes that are excluded from coverage under this category. Hi Jennifer What procedure are you referring to? During the next surgery, which usually occurs six weeks later, the physician removes the temporary spacer and implants new total hip replacement components. The additional symptoms of pain, swelling, redness, and warmth are not reported separately because they are considered symptoms of the inflammatory and infectious process. The submitted CPT/HCPCS code must describe the service performed. A spacer, sometimes called a liner, is inserted between the new ball and socket to create a smooth surface for the new joint to glide. Current Dental Terminology © 2022 American Dental Association. MACs can be found in the MAC Contacts Report. Privacy Policy | Terms & Conditions | Contact Us. Under PDPM, the diagnosis coded on the 5-day/Initial Minimum Data Set (MDS) in section I0020B (primary reason for skilled stay) largely determines reimbursement for the entire Medicare stay, unless an Interim Payment Assessment (IPA) is necessary. End User License Agreement: Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. The PDPM Physician Toolkit provides the essential information and query process tools providers need to know to effectively partner with SNFs in caring for Medicare residents under PDPM. Enter the CPT/HCPCS code in the MCD Search and select your state from the drop down. ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, L36007 - Lower Extremity Major Joint Replacement (Hip and Knee), Malignant neoplasm of long bones of unspecified lower limb, Malignant neoplasm of long bones of right lower limb, Malignant neoplasm of long bones of left lower limb, Malignant neoplasm of connective and soft tissue of unspecified lower limb, including hip, Malignant neoplasm of connective and soft tissue of right lower limb, including hip, Malignant neoplasm of connective and soft tissue of left lower limb, including hip, Benign neoplasm of long bones of right lower limb, Benign neoplasm of long bones of left lower limb, Benign neoplasm of connective and other soft tissue of right lower limb, including hip, Benign neoplasm of connective and other soft tissue of left lower limb, including hip, Rheumatoid myopathy with rheumatoid arthritis of right hip, Rheumatoid myopathy with rheumatoid arthritis of left hip, Rheumatoid arthritis with rheumatoid factor of right hip without organ or systems involvement, Rheumatoid arthritis with rheumatoid factor of left hip without organ or systems involvement, Other rheumatoid arthritis with rheumatoid factor of right hip, Other rheumatoid arthritis with rheumatoid factor of left hip, Rheumatoid arthritis without rheumatoid factor, right hip, Rheumatoid arthritis without rheumatoid factor, left hip, Unspecified juvenile rheumatoid arthritis, right hip, Unspecified juvenile rheumatoid arthritis, left hip, Juvenile rheumatoid arthritis with systemic onset, right hip, Juvenile rheumatoid arthritis with systemic onset, left hip, Juvenile rheumatoid polyarthritis (seronegative), Pauciarticular juvenile rheumatoid arthritis, right hip, Pauciarticular juvenile rheumatoid arthritis, left hip, Juvenile arthritis, unspecified, right hip, Juvenile arthritis, unspecified, left hip, Chronic postrheumatic arthropathy [Jaccoud], right hip, Chronic postrheumatic arthropathy [Jaccoud], left hip, Other specific arthropathies, not elsewhere classified, right hip, Other specific arthropathies, not elsewhere classified, left hip, Monoarthritis, not elsewhere classified, right hip, Monoarthritis, not elsewhere classified, left hip, Unilateral primary osteoarthritis, right hip, Unilateral primary osteoarthritis, left hip, Bilateral osteoarthritis resulting from hip dysplasia, Unilateral osteoarthritis resulting from hip dysplasia, right hip, Unilateral osteoarthritis resulting from hip dysplasia, left hip, Bilateral post-traumatic osteoarthritis of hip, Unilateral post-traumatic osteoarthritis, right hip, Unilateral post-traumatic osteoarthritis, left hip, Other specific joint derangements of right hip, not elsewhere classified, Other specific joint derangements of left hip, not elsewhere classified, Age-related osteoporosis with current pathological fracture, right femur, initial encounter for fracture - Age-related osteoporosis with current pathological fracture, right femur, sequela, Age-related osteoporosis with current pathological fracture, left femur, initial encounter for fracture - Age-related osteoporosis with current pathological fracture, left femur, sequela, Age-related osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture - Age-related osteoporosis with current pathological fracture, right lower leg, sequela, Age-related osteoporosis with current pathological fracture, left lower leg, initial encounter for fracture - Age-related osteoporosis with current pathological fracture, left lower leg, sequela, Other osteoporosis with current pathological fracture, right femur, initial encounter for fracture - Other osteoporosis with current pathological fracture, right femur, sequela, Other osteoporosis with current pathological fracture, left femur, initial encounter for fracture - Other osteoporosis with current pathological fracture, left femur, sequela, Other osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture - Other osteoporosis with current pathological fracture, right lower leg, sequela, Other osteoporosis with current pathological fracture, left lower leg, initial encounter for fracture - Other osteoporosis with current pathological fracture, left lower leg, sequela, Stress fracture, right femur, initial encounter for fracture - Stress fracture, right femur, sequela, Stress fracture, left femur, initial encounter for fracture - Stress fracture, left femur, sequela, Stress fracture, hip, unspecified, initial encounter for fracture - Stress fracture, hip, unspecified, sequela, Pathological fracture, right femur, initial encounter for fracture - Pathological fracture, right femur, sequela, Pathological fracture, left femur, initial encounter for fracture - Pathological fracture, left femur, sequela, Pathological fracture, hip, unspecified, initial encounter for fracture - Pathological fracture, hip, unspecified, sequela, Pathological fracture in neoplastic disease, right femur, initial encounter for fracture - Pathological fracture in neoplastic disease, right femur, sequela, Pathological fracture in neoplastic disease, left femur, initial encounter for fracture - Pathological fracture in neoplastic disease, left femur, sequela, Pathological fracture in neoplastic disease, hip, unspecified, initial encounter for fracture - Pathological fracture in neoplastic disease, hip, unspecified, sequela, Idiopathic aseptic necrosis of right femur, Idiopathic aseptic necrosis of left femur, Osteonecrosis due to drugs, unspecified bone, Osteonecrosis due to previous trauma, unspecified bone, Osteonecrosis due to previous trauma, right femur, Osteonecrosis due to previous trauma, left femur, Other secondary osteonecrosis, right femur, Other secondary osteonecrosis, left femur, Pseudarthrosis after fusion or arthrodesis, Periprosthetic fracture around internal prosthetic right hip joint, initial encounter - Periprosthetic fracture around internal prosthetic right hip joint, sequela, Periprosthetic fracture around internal prosthetic left hip joint, initial encounter - Periprosthetic fracture around internal prosthetic left hip joint, sequela, Periprosthetic fracture around unspecified internal prosthetic joint, initial encounter - Periprosthetic fracture around unspecified internal prosthetic joint, sequela, Congenital dislocation of unspecified hip, unilateral, Congenital dislocation of right hip, unilateral, Congenital dislocation of left hip, unilateral, Unspecified fracture of right acetabulum, initial encounter for closed fracture - Unspecified fracture of right acetabulum, sequela, Unspecified fracture of left acetabulum, initial encounter for closed fracture - Unspecified fracture of left acetabulum, sequela, Displaced fracture of anterior wall of right acetabulum, initial encounter for closed fracture - Displaced fracture of anterior wall of right acetabulum, sequela, Displaced fracture of anterior wall of left acetabulum, initial encounter for closed fracture - Displaced fracture of anterior wall of left acetabulum, sequela, Nondisplaced fracture of anterior wall of right acetabulum, initial encounter for closed fracture - Nondisplaced fracture of anterior wall of right acetabulum, sequela, Nondisplaced fracture of anterior wall of left acetabulum, initial encounter for closed fracture - Nondisplaced fracture of anterior wall of left acetabulum, sequela, Displaced fracture of posterior wall of right acetabulum, initial encounter for closed fracture - Displaced fracture of posterior wall of right acetabulum, sequela, Displaced fracture of posterior wall of left acetabulum, initial encounter for closed fracture - Displaced fracture of posterior wall of left acetabulum, sequela, Nondisplaced fracture of posterior wall of right acetabulum, initial encounter for closed fracture - Nondisplaced fracture of posterior wall of right acetabulum, sequela, Nondisplaced fracture of posterior wall of left acetabulum, initial encounter for closed fracture - Nondisplaced fracture of posterior wall of left acetabulum, sequela, Displaced fracture of anterior column [iliopubic] of right acetabulum, initial encounter for closed fracture - Displaced fracture of anterior column [iliopubic] of right acetabulum, sequela, Displaced fracture of anterior column [iliopubic] of left acetabulum, initial encounter for closed fracture - Displaced fracture of anterior column [iliopubic] of left acetabulum, sequela, Nondisplaced fracture of anterior column [iliopubic] of right acetabulum, initial encounter for closed fracture - Nondisplaced fracture of anterior column [iliopubic] of right acetabulum, sequela, Nondisplaced fracture of anterior column [iliopubic] of left acetabulum, initial encounter for closed fracture - Nondisplaced fracture of anterior column [iliopubic] of left acetabulum, sequela, Displaced fracture of posterior column [ilioischial] of right acetabulum, initial encounter for closed fracture - Displaced fracture of posterior column [ilioischial] of right acetabulum, sequela, Displaced fracture of posterior column [ilioischial] of left acetabulum, initial encounter for closed fracture - Displaced fracture of posterior column [ilioischial] of left acetabulum, sequela, Nondisplaced fracture of posterior column [ilioischial] of right acetabulum, initial encounter for closed fracture - Nondisplaced fracture of posterior column [ilioischial] of right acetabulum, sequela, Nondisplaced fracture of posterior column [ilioischial] of left acetabulum, initial encounter for closed fracture - Nondisplaced fracture of posterior column [ilioischial] of left acetabulum, sequela, Displaced transverse fracture of right acetabulum, initial encounter for closed fracture - Displaced transverse fracture of right acetabulum, sequela, Displaced transverse fracture of left acetabulum, initial encounter for closed fracture - Displaced transverse fracture of left acetabulum, sequela, Nondisplaced transverse fracture of right acetabulum, initial encounter for closed fracture - Nondisplaced transverse fracture of right acetabulum, sequela, Nondisplaced transverse fracture of left acetabulum, initial encounter for closed fracture - Nondisplaced transverse fracture of left acetabulum, sequela, Displaced associated transverse-posterior fracture of right acetabulum, initial encounter for closed fracture - Displaced associated transverse-posterior fracture of right acetabulum, sequela, Displaced associated transverse-posterior fracture of left acetabulum, initial encounter for closed fracture - Displaced associated transverse-posterior fracture of left acetabulum, sequela, Nondisplaced associated transverse-posterior fracture of right acetabulum, initial encounter for closed fracture - Nondisplaced associated transverse-posterior fracture of right acetabulum, sequela, Nondisplaced associated transverse-posterior fracture of left acetabulum, initial encounter for closed fracture - Nondisplaced associated transverse-posterior fracture of left acetabulum, sequela, Displaced fracture of medial wall of right acetabulum, initial encounter for closed fracture - Displaced fracture of medial wall of right acetabulum, sequela, Displaced fracture of medial wall of left acetabulum, initial encounter for closed fracture - Displaced fracture of medial wall of left acetabulum, sequela, Nondisplaced fracture of medial wall of right acetabulum, initial encounter for closed fracture - Nondisplaced fracture of medial wall of right acetabulum, sequela, Nondisplaced fracture of medial wall of left acetabulum, initial encounter for closed fracture - Nondisplaced fracture of medial wall of left acetabulum, sequela, Displaced dome fracture of right acetabulum, initial encounter for closed fracture - Displaced dome fracture of right acetabulum, sequela, Displaced dome fracture of left acetabulum, initial encounter for closed fracture - Displaced dome fracture of left acetabulum, sequela, Nondisplaced dome fracture of right acetabulum, initial encounter for closed fracture - Nondisplaced dome fracture of right acetabulum, sequela, Nondisplaced dome fracture of left acetabulum, initial encounter for closed fracture - Nondisplaced dome fracture of left acetabulum, sequela, Other specified fracture of right acetabulum, initial encounter for closed fracture - Other specified fracture of right acetabulum, sequela, Other specified fracture of left acetabulum, initial encounter for closed fracture - Other specified fracture of left acetabulum, sequela, Fracture of unspecified part of neck of right femur, initial encounter for closed fracture, Fracture of unspecified part of neck of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with routine healing, Fracture of unspecified part of neck of right femur, subsequent encounter for open fracture type I or II with routine healing, Fracture of unspecified part of neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with delayed healing, Fracture of unspecified part of neck of right femur, subsequent encounter for open fracture type I or II with delayed healing, Fracture of unspecified part of neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with nonunion, Fracture of unspecified part of neck of right femur, subsequent encounter for open fracture type I or II with nonunion, Fracture of unspecified part of neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Fracture of unspecified part of neck of right femur, subsequent encounter for closed fracture with malunion, Fracture of unspecified part of neck of right femur, subsequent encounter for open fracture type I or II with malunion, Fracture of unspecified part of neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Fracture of unspecified part of neck of right femur, sequela, Fracture of unspecified part of neck of left femur, initial encounter for closed fracture, Fracture of unspecified part of neck of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing, Fracture of unspecified part of neck of left femur, subsequent encounter for open fracture type I or II with routine healing, Fracture of unspecified part of neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with delayed healing, Fracture of unspecified part of neck of left femur, subsequent encounter for open fracture type I or II with delayed healing, Fracture of unspecified part of neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with nonunion, Fracture of unspecified part of neck of left femur, subsequent encounter for open fracture type I or II with nonunion, Fracture of unspecified part of neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with malunion, Fracture of unspecified part of neck of left femur, subsequent encounter for open fracture type I or II with malunion, Fracture of unspecified part of neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Fracture of unspecified part of neck of left femur, sequela, Unspecified intracapsular fracture of right femur, initial encounter for closed fracture, Unspecified intracapsular fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Unspecified intracapsular fracture of right femur, subsequent encounter for closed fracture with routine healing, Unspecified intracapsular fracture of right femur, subsequent encounter for open fracture type I or II with routine healing, Unspecified intracapsular fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Unspecified intracapsular fracture of right femur, subsequent encounter for closed fracture with delayed healing, Unspecified intracapsular fracture of right femur, subsequent encounter for open fracture type I or II with delayed healing, Unspecified intracapsular fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Unspecified intracapsular fracture of right femur, subsequent encounter for closed fracture with nonunion, Unspecified intracapsular fracture of right femur, subsequent encounter for open fracture type I or II with nonunion, Unspecified intracapsular fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Unspecified intracapsular fracture of right femur, subsequent encounter for closed fracture with malunion, Unspecified intracapsular fracture of right femur, subsequent encounter for open fracture type I or II with malunion, Unspecified intracapsular fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Unspecified intracapsular fracture of right femur, sequela, Unspecified intracapsular fracture of left femur, initial encounter for closed fracture, Unspecified intracapsular fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Unspecified intracapsular fracture of left femur, subsequent encounter for closed fracture with routine healing, Unspecified intracapsular fracture of left femur, subsequent encounter for open fracture type I or II with routine healing, Unspecified intracapsular fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Unspecified intracapsular fracture of left femur, subsequent encounter for closed fracture with delayed healing, Unspecified intracapsular fracture of left femur, subsequent encounter for open fracture type I or II with delayed healing, Unspecified intracapsular fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Unspecified intracapsular fracture of left femur, subsequent encounter for closed fracture with nonunion, Unspecified intracapsular fracture of left femur, subsequent encounter for open fracture type I or II with nonunion, Unspecified intracapsular fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Unspecified intracapsular fracture of left femur, subsequent encounter for closed fracture with malunion, Unspecified intracapsular fracture of left femur, subsequent encounter for open fracture type I or II with malunion, Unspecified intracapsular fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Unspecified intracapsular fracture of left femur, sequela, Displaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for closed fracture, Displaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Displaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for closed fracture with routine healing, Displaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type I or II with routine healing, Displaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Displaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for closed fracture with delayed healing, Displaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type I or II with delayed healing, Displaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Displaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for closed fracture with nonunion, Displaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type I or II with nonunion, Displaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Displaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for closed fracture with malunion, Displaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type I or II with malunion, Displaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Displaced fracture of epiphysis (separation) (upper) of right femur, sequela, Displaced fracture of epiphysis (separation) (upper) of left femur, initial encounter for closed fracture, Displaced fracture of epiphysis (separation) (upper) of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Displaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for closed fracture with routine healing, Displaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type I or II with routine healing, Displaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Displaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for closed fracture with delayed healing, Displaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type I or II with delayed healing, Displaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Displaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for closed fracture with nonunion, Displaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type I or II with nonunion, Displaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Displaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for closed fracture with malunion, Displaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type I or II with malunion, Displaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Displaced fracture of epiphysis (separation) (upper) of left femur, sequela, Nondisplaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for closed fracture, Nondisplaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Nondisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for closed fracture with routine healing, Nondisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type I or II with routine healing, Nondisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Nondisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for closed fracture with delayed healing, Nondisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type I or II with delayed healing, Nondisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Nondisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for closed fracture with nonunion, Nondisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type I or II with nonunion, Nondisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Nondisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for closed fracture with malunion, Nondisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type I or II with malunion, Nondisplaced fracture of epiphysis (separation) (upper) of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Nondisplaced fracture of epiphysis (separation) (upper) of right femur, sequela, Nondisplaced fracture of epiphysis (separation) (upper) of left femur, initial encounter for closed fracture, Nondisplaced fracture of epiphysis (separation) (upper) of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Nondisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for closed fracture with routine healing, Nondisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type I or II with routine healing, Nondisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Nondisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for closed fracture with delayed healing, Nondisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type I or II with delayed healing, Nondisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Nondisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for closed fracture with nonunion, Nondisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type I or II with nonunion, Nondisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Nondisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for closed fracture with malunion, Nondisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type I or II with malunion, Nondisplaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Nondisplaced fracture of epiphysis (separation) (upper) of left femur, sequela, Displaced midcervical fracture of right femur, initial encounter for closed fracture, Displaced midcervical fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Displaced midcervical fracture of right femur, subsequent encounter for closed fracture with routine healing, Displaced midcervical fracture of right femur, subsequent encounter for open fracture type I or II with routine healing, Displaced midcervical fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Displaced midcervical fracture of right femur, subsequent encounter for closed fracture with delayed healing, Displaced midcervical fracture of right femur, subsequent encounter for open fracture type I or II with delayed healing, Displaced midcervical fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Displaced midcervical fracture of right femur, subsequent encounter for closed fracture with nonunion, Displaced midcervical fracture of right femur, subsequent encounter for open fracture type I or II with nonunion, Displaced midcervical fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Displaced midcervical fracture of right femur, subsequent encounter for closed fracture with malunion, Displaced midcervical fracture of right femur, subsequent encounter for open fracture type I or II with malunion, Displaced midcervical fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Displaced midcervical fracture of right femur, sequela, Displaced midcervical fracture of left femur, initial encounter for closed fracture, Displaced midcervical fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Displaced midcervical fracture of left femur, subsequent encounter for closed fracture with routine healing, Displaced midcervical fracture of left femur, subsequent encounter for open fracture type I or II with routine healing, Displaced midcervical fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Displaced midcervical fracture of left femur, subsequent encounter for closed fracture with delayed healing, Displaced midcervical fracture of left femur, subsequent encounter for open fracture type I or II with delayed healing, Displaced midcervical fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Displaced midcervical fracture of left femur, subsequent encounter for closed fracture with nonunion, Displaced midcervical fracture of left femur, subsequent encounter for open fracture type I or II with nonunion, Displaced midcervical fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Displaced midcervical fracture of left femur, subsequent encounter for closed fracture with malunion, Displaced midcervical fracture of left femur, subsequent encounter for open fracture type I or II with malunion, Displaced midcervical fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Displaced midcervical fracture of left femur, sequela, Nondisplaced midcervical fracture of right femur, initial encounter for closed fracture, Nondisplaced midcervical fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Nondisplaced midcervical fracture of right femur, subsequent encounter for closed fracture with routine healing, Nondisplaced midcervical fracture of right femur, subsequent encounter for open fracture type I or II with routine healing, Nondisplaced midcervical fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Nondisplaced midcervical fracture of right femur, subsequent encounter for closed fracture with delayed healing, Nondisplaced midcervical fracture of right femur, subsequent encounter for open fracture type I or II with delayed healing, Nondisplaced midcervical fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Nondisplaced midcervical fracture of right femur, subsequent encounter for closed fracture with nonunion, Nondisplaced midcervical fracture of right femur, subsequent encounter for open fracture type I or II with nonunion, Nondisplaced midcervical fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Nondisplaced midcervical fracture of right femur, subsequent encounter for closed fracture with malunion, Nondisplaced midcervical fracture of right femur, subsequent encounter for open fracture type I or II with malunion, Nondisplaced midcervical fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Nondisplaced midcervical fracture of right femur, sequela, Nondisplaced midcervical fracture of left femur, initial encounter for closed fracture, Nondisplaced midcervical fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Nondisplaced midcervical fracture of left femur, subsequent encounter for closed fracture with routine healing, Nondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type I or II with routine healing, Nondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Nondisplaced midcervical fracture of left femur, subsequent encounter for closed fracture with delayed healing, Nondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type I or II with delayed healing, Nondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Nondisplaced midcervical fracture of left femur, subsequent encounter for closed fracture with nonunion, Nondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type I or II with nonunion, Nondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Nondisplaced midcervical fracture of left femur, subsequent encounter for closed fracture with malunion, Nondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type I or II with malunion, Nondisplaced midcervical fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Nondisplaced midcervical fracture of left femur, sequela, Displaced fracture of base of neck of right femur, initial encounter for closed fracture, Displaced fracture of base of neck of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Displaced fracture of base of neck of right femur, subsequent encounter for closed fracture with routine healing, Displaced fracture of base of neck of right femur, subsequent encounter for open fracture type I or II with routine healing, Displaced fracture of base of neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Displaced fracture of base of neck of right femur, subsequent encounter for closed fracture with delayed healing, Displaced fracture of base of neck of right femur, subsequent encounter for open fracture type I or II with delayed healing, Displaced fracture of base of neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Displaced fracture of base of neck of right femur, subsequent encounter for closed fracture with nonunion, Displaced fracture of base of neck of right femur, subsequent encounter for open fracture type I or II with nonunion, Displaced fracture of base of neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Displaced fracture of base of neck of right femur, subsequent encounter for closed fracture with malunion, Displaced fracture of base of neck of right femur, subsequent encounter for open fracture type I or II with malunion, Displaced fracture of base of neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Displaced fracture of base of neck of right femur, sequela, Displaced fracture of base of neck of left femur, initial encounter for closed fracture, Displaced fracture of base of neck of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Displaced fracture of base of neck of left femur, subsequent encounter for closed fracture with routine healing, Displaced fracture of base of neck of left femur, subsequent encounter for open fracture type I or II with routine healing, Displaced fracture of base of neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Displaced fracture of base of neck of left femur, subsequent encounter for closed fracture with delayed healing, Displaced fracture of base of neck of left femur, subsequent encounter for open fracture type I or II with delayed healing, Displaced fracture of base of neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Displaced fracture of base of neck of left femur, subsequent encounter for closed fracture with nonunion, Displaced fracture of base of neck of left femur, subsequent encounter for open fracture type I or II with nonunion, Displaced fracture of base of neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Displaced fracture of base of neck of left femur, subsequent encounter for closed fracture with malunion, Displaced fracture of base of neck of left femur, subsequent encounter for open fracture type I or II with malunion, Displaced fracture of base of neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Displaced fracture of base of neck of left femur, sequela, Nondisplaced fracture of base of neck of right femur, initial encounter for closed fracture, Nondisplaced fracture of base of neck of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Nondisplaced fracture of base of neck of right femur, subsequent encounter for closed fracture with routine healing, Nondisplaced fracture of base of neck of right femur, subsequent encounter for open fracture type I or II with routine healing, Nondisplaced fracture of base of neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Nondisplaced fracture of base of neck of right femur, subsequent encounter for closed fracture with delayed healing, Nondisplaced fracture of base of neck of right femur, subsequent encounter for open fracture type I or II with delayed healing, Nondisplaced fracture of base of neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Nondisplaced fracture of base of neck of right femur, subsequent encounter for closed fracture with nonunion, Nondisplaced fracture of base of neck of right femur, subsequent encounter for open fracture type I or II with nonunion, Nondisplaced fracture of base of neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Nondisplaced fracture of base of neck of right femur, subsequent encounter for closed fracture with malunion, Nondisplaced fracture of base of neck of right femur, subsequent encounter for open fracture type I or II with malunion, Nondisplaced fracture of base of neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Nondisplaced fracture of base of neck of right femur, sequela, Nondisplaced fracture of base of neck of left femur, initial encounter for closed fracture, Nondisplaced fracture of base of neck of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Nondisplaced fracture of base of neck of left femur, subsequent encounter for closed fracture with routine healing, Nondisplaced fracture of base of neck of left femur, subsequent encounter for open fracture type I or II with routine healing, Nondisplaced fracture of base of neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Nondisplaced fracture of base of neck of left femur, subsequent encounter for closed fracture with delayed healing, Nondisplaced fracture of base of neck of left femur, subsequent encounter for open fracture type I or II with delayed healing, Nondisplaced fracture of base of neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Nondisplaced fracture of base of neck of left femur, subsequent encounter for closed fracture with nonunion, Nondisplaced fracture of base of neck of left femur, subsequent encounter for open fracture type I or II with nonunion, Nondisplaced fracture of base of neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Nondisplaced fracture of base of neck of left femur, subsequent encounter for closed fracture with malunion, Nondisplaced fracture of base of neck of left femur, subsequent encounter for open fracture type I or II with malunion, Nondisplaced fracture of base of neck of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Nondisplaced fracture of base of neck of left femur, sequela, Unspecified fracture of head of right femur, initial encounter for closed fracture, Unspecified fracture of head of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Unspecified fracture of head of right femur, subsequent encounter for closed fracture with routine healing, Unspecified fracture of head of right femur, subsequent encounter for open fracture type I or II with routine healing, Unspecified fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Unspecified fracture of head of right femur, subsequent encounter for closed fracture with delayed healing, Unspecified fracture of head of right femur, subsequent encounter for open fracture type I or II with delayed healing, Unspecified fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Unspecified fracture of head of right femur, subsequent encounter for closed fracture with nonunion, Unspecified fracture of head of right femur, subsequent encounter for open fracture type I or II with nonunion, Unspecified fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Unspecified fracture of head of right femur, subsequent encounter for closed fracture with malunion, Unspecified fracture of head of right femur, subsequent encounter for open fracture type I or II with malunion, Unspecified fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Unspecified fracture of head of right femur, sequela, Unspecified fracture of head of left femur, initial encounter for closed fracture, Unspecified fracture of head of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Unspecified fracture of head of left femur, subsequent encounter for closed fracture with routine healing, Unspecified fracture of head of left femur, subsequent encounter for open fracture type I or II with routine healing, Unspecified fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Unspecified fracture of head of left femur, subsequent encounter for closed fracture with delayed healing, Unspecified fracture of head of left femur, subsequent encounter for open fracture type I or II with delayed healing, Unspecified fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Unspecified fracture of head of left femur, subsequent encounter for closed fracture with nonunion, Unspecified fracture of head of left femur, subsequent encounter for open fracture type I or II with nonunion, Unspecified fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Unspecified fracture of head of left femur, subsequent encounter for closed fracture with malunion, Unspecified fracture of head of left femur, subsequent encounter for open fracture type I or II with malunion, Unspecified fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Unspecified fracture of head of left femur, sequela, Displaced articular fracture of head of right femur, initial encounter for closed fracture, Displaced articular fracture of head of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Displaced articular fracture of head of right femur, subsequent encounter for closed fracture with routine healing, Displaced articular fracture of head of right femur, subsequent encounter for open fracture type I or II with routine healing, Displaced articular fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Displaced articular fracture of head of right femur, subsequent encounter for closed fracture with delayed healing, Displaced articular fracture of head of right femur, subsequent encounter for open fracture type I or II with delayed healing, Displaced articular fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Displaced articular fracture of head of right femur, subsequent encounter for closed fracture with nonunion, Displaced articular fracture of head of right femur, subsequent encounter for open fracture type I or II with nonunion, Displaced articular fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Displaced articular fracture of head of right femur, subsequent encounter for closed fracture with malunion, Displaced articular fracture of head of right femur, subsequent encounter for open fracture type I or II with malunion, Displaced articular fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Displaced articular fracture of head of right femur, sequela, Displaced articular fracture of head of left femur, initial encounter for closed fracture, Displaced articular fracture of head of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Displaced articular fracture of head of left femur, subsequent encounter for closed fracture with routine healing, Displaced articular fracture of head of left femur, subsequent encounter for open fracture type I or II with routine healing, Displaced articular fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Displaced articular fracture of head of left femur, subsequent encounter for closed fracture with delayed healing, Displaced articular fracture of head of left femur, subsequent encounter for open fracture type I or II with delayed healing, Displaced articular fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Displaced articular fracture of head of left femur, subsequent encounter for closed fracture with nonunion, Displaced articular fracture of head of left femur, subsequent encounter for open fracture type I or II with nonunion, Displaced articular fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Displaced articular fracture of head of left femur, subsequent encounter for closed fracture with malunion, Displaced articular fracture of head of left femur, subsequent encounter for open fracture type I or II with malunion, Displaced articular fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Displaced articular fracture of head of left femur, sequela, Nondisplaced articular fracture of head of right femur, initial encounter for closed fracture, Nondisplaced articular fracture of head of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Nondisplaced articular fracture of head of right femur, subsequent encounter for closed fracture with routine healing, Nondisplaced articular fracture of head of right femur, subsequent encounter for open fracture type I or II with routine healing, Nondisplaced articular fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Nondisplaced articular fracture of head of right femur, subsequent encounter for closed fracture with delayed healing, Nondisplaced articular fracture of head of right femur, subsequent encounter for open fracture type I or II with delayed healing, Nondisplaced articular fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Nondisplaced articular fracture of head of right femur, subsequent encounter for closed fracture with nonunion, Nondisplaced articular fracture of head of right femur, subsequent encounter for open fracture type I or II with nonunion, Nondisplaced articular fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Nondisplaced articular fracture of head of right femur, subsequent encounter for closed fracture with malunion, Nondisplaced articular fracture of head of right femur, subsequent encounter for open fracture type I or II with malunion, Nondisplaced articular fracture of head of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Nondisplaced articular fracture of head of right femur, sequela, Nondisplaced articular fracture of head of left femur, initial encounter for closed fracture, Nondisplaced articular fracture of head of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Nondisplaced articular fracture of head of left femur, subsequent encounter for closed fracture with routine healing, Nondisplaced articular fracture of head of left femur, subsequent encounter for open fracture type I or II with routine healing, Nondisplaced articular fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Nondisplaced articular fracture of head of left femur, subsequent encounter for closed fracture with delayed healing, Nondisplaced articular fracture of head of left femur, subsequent encounter for open fracture type I or II with delayed healing, Nondisplaced articular fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Nondisplaced articular fracture of head of left femur, subsequent encounter for closed fracture with nonunion, Nondisplaced articular fracture of head of left femur, subsequent encounter for open fracture type I or II with nonunion, Nondisplaced articular fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Nondisplaced articular fracture of head of left femur, subsequent encounter for closed fracture with malunion, Nondisplaced articular fracture of head of left femur, subsequent encounter for open fracture type I or II with malunion, Nondisplaced articular fracture of head of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Nondisplaced articular fracture of head of left femur, sequela, Other fracture of head and neck of right femur, initial encounter for closed fracture, Other fracture of head and neck of right femur, initial encounter for open fracture type I or II, Other fracture of head and neck of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, Other fracture of head and neck of right femur, subsequent encounter for closed fracture with routine healing, Other fracture of head and neck of right femur, subsequent encounter for open fracture type I or II with routine healing, Other fracture of head and neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing, Other fracture of head and neck of right femur, subsequent encounter for closed fracture with delayed healing, Other fracture of head and neck of right femur, subsequent encounter for open fracture type I or II with delayed healing, Other fracture of head and neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, Other fracture of head and neck of right femur, subsequent encounter for closed fracture with nonunion, Other fracture of head and neck of right femur, subsequent encounter for open fracture type I or II with nonunion, Other fracture of head and neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, Other fracture of head and neck of right femur, subsequent encounter for closed fracture with malunion, Other fracture of head and neck of right femur, subsequent encounter for open fracture type I or II with malunion, Other fracture of head and neck of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, Other fracture of head and neck of right femur, sequela, Other fracture of head and neck of left femur, initial encounter for closed fracture - Other fracture of head and neck of left femur, sequela, Unspecified trochanteric fracture of right femur, initial encounter for closed fracture - Unspecified trochanteric fracture of right femur, sequela, Unspecified trochanteric fracture of left femur, initial encounter for closed fracture - Unspecified trochanteric fracture of left femur, sequela, Displaced fracture of greater trochanter of right femur, initial encounter for closed fracture - Displaced fracture of greater trochanter of right femur, sequela, Displaced fracture of greater trochanter of left femur, initial encounter for closed fracture - Displaced fracture of greater trochanter of left femur, sequela, Nondisplaced fracture of greater trochanter of right femur, initial encounter for closed fracture - Nondisplaced fracture of greater trochanter of right femur, sequela, Nondisplaced fracture of greater trochanter of left femur, initial encounter for closed fracture - Nondisplaced fracture of greater trochanter of left femur, sequela, Displaced fracture of lesser trochanter of right femur, initial encounter for closed fracture - Displaced fracture of lesser trochanter of right femur, sequela, Displaced fracture of lesser trochanter of left femur, initial encounter for closed fracture - Displaced fracture of lesser trochanter of left femur, sequela, Nondisplaced fracture of lesser trochanter of right femur, initial encounter for closed fracture - Nondisplaced fracture of lesser trochanter of right femur, sequela, Nondisplaced fracture of lesser trochanter of left femur, initial encounter for closed fracture - Nondisplaced fracture of lesser trochanter of left femur, sequela, Displaced apophyseal fracture of right femur, initial encounter for closed fracture - Displaced apophyseal fracture of right femur, sequela, Displaced apophyseal fracture of left femur, initial encounter for closed fracture - Displaced apophyseal fracture of left femur, sequela, Nondisplaced apophyseal fracture of right femur, initial encounter for closed fracture - Nondisplaced apophyseal fracture of right femur, sequela, Nondisplaced apophyseal fracture of left femur, initial encounter for closed fracture - Nondisplaced apophyseal fracture of left femur, sequela, Displaced intertrochanteric fracture of right femur, initial encounter for closed fracture - Displaced intertrochanteric fracture of right femur, sequela, Displaced intertrochanteric fracture of left femur, initial encounter for closed fracture - Displaced intertrochanteric fracture of left femur, sequela, Nondisplaced intertrochanteric fracture of right femur, initial encounter for closed fracture - Nondisplaced intertrochanteric fracture of right femur, sequela, Nondisplaced intertrochanteric fracture of left femur, initial encounter for closed fracture - Nondisplaced intertrochanteric fracture of left femur, sequela, Displaced subtrochanteric fracture of right femur, initial encounter for closed fracture - Displaced subtrochanteric fracture of right femur, sequela, Displaced subtrochanteric fracture of left femur, initial encounter for closed fracture - Displaced subtrochanteric fracture of left femur, sequela, Nondisplaced subtrochanteric fracture of right femur, initial encounter for closed fracture - Nondisplaced subtrochanteric fracture of right femur, sequela, Nondisplaced subtrochanteric fracture of left femur, initial encounter for closed fracture - Nondisplaced subtrochanteric fracture of left femur, sequela, Unspecified physeal fracture of upper end of right femur, initial encounter for closed fracture - Unspecified physeal fracture of upper end of right femur, sequela, Unspecified physeal fracture of upper end of left femur, initial encounter for closed fracture - Unspecified physeal fracture of upper end of left femur, sequela, Salter-Harris Type I physeal fracture of upper end of right femur, initial encounter for closed fracture - Salter-Harris Type I physeal fracture of upper end of right femur, sequela, Salter-Harris Type I physeal fracture of upper end of left femur, initial encounter for closed fracture - Salter-Harris Type I physeal fracture of upper end of left femur, sequela, Broken internal right hip prosthesis, initial encounter - Broken internal right hip prosthesis, sequela, Broken internal left hip prosthesis, initial encounter - Broken internal left hip prosthesis, sequela, Dislocation of internal right hip prosthesis, initial encounter - Dislocation of internal right hip prosthesis, sequela, Dislocation of internal left hip prosthesis, initial encounter - Dislocation of internal left hip prosthesis, sequela, Mechanical loosening of internal right hip prosthetic joint, initial encounter - Mechanical loosening of internal right hip prosthetic joint, sequela, Mechanical loosening of internal left hip prosthetic joint, initial encounter - Mechanical loosening of internal left hip prosthetic joint, sequela, Periprosthetic osteolysis of internal prosthetic right hip joint, initial encounter - Periprosthetic osteolysis of internal prosthetic right hip joint, sequela, Periprosthetic osteolysis of internal prosthetic left hip joint, initial encounter - Periprosthetic osteolysis of internal prosthetic left hip joint, sequela, Wear of articular bearing surface of internal prosthetic right hip joint, initial encounter - Wear of articular bearing surface of internal prosthetic right hip joint, sequela, Wear of articular bearing surface of internal prosthetic left hip joint, initial encounter - Wear of articular bearing surface of internal prosthetic left hip joint, sequela, Other mechanical complication of internal right hip prosthesis, initial encounter - Other mechanical complication of internal right hip prosthesis, sequela, Other mechanical complication of internal left hip prosthesis, initial encounter - Other mechanical complication of internal left hip prosthesis, sequela, Breakdown (mechanical) of internal fixation device of right femur, initial encounter, Breakdown (mechanical) of internal fixation device of right femur, subsequent encounter, Breakdown (mechanical) of internal fixation device of right femur, sequela, Breakdown (mechanical) of internal fixation device of left femur, initial encounter, Breakdown (mechanical) of internal fixation device of left femur, subsequent encounter, Breakdown (mechanical) of internal fixation device of left femur, sequela, Other mechanical complication of other internal orthopedic devices, implants and grafts, initial encounter - Other mechanical complication of other internal orthopedic devices, implants and grafts, sequela, Infection and inflammatory reaction due to internal right hip prosthesis, initial encounter - Infection and inflammatory reaction due to internal right hip prosthesis, sequela, Infection and inflammatory reaction due to internal left hip prosthesis, initial encounter - Infection and inflammatory reaction due to internal left hip prosthesis, sequela, Aftercare following explantation of hip joint prosthesis, Presence of artificial hip joint, bilateral, Presence of unspecified artificial hip joint, Benign neoplasm of long bones of unspecified lower limb, Rheumatoid myopathy with rheumatoid arthritis of unspecified site, Rheumatoid myopathy with rheumatoid arthritis of right knee, Rheumatoid myopathy with rheumatoid arthritis of left knee, Rheumatoid myopathy with rheumatoid arthritis of unspecified knee, Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified site, Rheumatoid polyneuropathy with rheumatoid arthritis of right knee, Rheumatoid polyneuropathy with rheumatoid arthritis of left knee, Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified knee, Rheumatoid arthritis with rheumatoid factor of unspecified site without organ or systems involvement, Rheumatoid arthritis with rheumatoid factor of right knee without organ or systems involvement, Rheumatoid arthritis with rheumatoid factor of left knee without organ or systems involvement, Rheumatoid arthritis with rheumatoid factor of unspecified knee without organ or systems involvement, Other rheumatoid arthritis with rheumatoid factor of unspecified site, Other rheumatoid arthritis with rheumatoid factor of right knee, Other rheumatoid arthritis with rheumatoid factor of left knee, Other rheumatoid arthritis with rheumatoid factor of unspecified knee, Rheumatoid arthritis with rheumatoid factor, unspecified, Rheumatoid arthritis without rheumatoid factor, unspecified site, Rheumatoid arthritis without rheumatoid factor, right knee, Rheumatoid arthritis without rheumatoid factor, left knee, Rheumatoid arthritis without rheumatoid factor, unspecified knee, Juvenile rheumatoid arthritis with systemic onset, right knee, Juvenile rheumatoid arthritis with systemic onset, left knee, Pauciarticular juvenile rheumatoid arthritis, right knee, Pauciarticular juvenile rheumatoid arthritis, left knee, Juvenile arthritis, unspecified, right knee, Juvenile arthritis, unspecified, left knee, Chronic postrheumatic arthropathy [Jaccoud], unspecified site, Chronic postrheumatic arthropathy [Jaccoud], right knee, Chronic postrheumatic arthropathy [Jaccoud], left knee, Chronic postrheumatic arthropathy [Jaccoud], unspecified knee, Unilateral primary osteoarthritis, unspecified knee, Unilateral primary osteoarthritis, right knee, Unilateral primary osteoarthritis, left knee, Bilateral post-traumatic osteoarthritis of knee, Unilateral post-traumatic osteoarthritis, unspecified knee, Unilateral post-traumatic osteoarthritis, right knee, Unilateral post-traumatic osteoarthritis, left knee, Chronic instability of knee, unspecified knee, Idiopathic aseptic necrosis of unspecified femur, Periprosthetic fracture around internal prosthetic right knee joint, initial encounter - Periprosthetic fracture around internal prosthetic right knee joint, sequela, Periprosthetic fracture around internal prosthetic left knee joint, initial encounter - Periprosthetic fracture around internal prosthetic left knee joint, sequela, Broken internal right knee prosthesis, initial encounter - Broken internal right knee prosthesis, sequela, Broken internal left knee prosthesis, initial encounter - Broken internal left knee prosthesis, sequela, Broken internal joint prosthesis, unspecified site, initial encounter - Broken internal joint prosthesis, unspecified site, sequela, Instability of internal right knee prosthesis, initial encounter - Instability of internal right knee prosthesis, sequela, Instability of internal left knee prosthesis, initial encounter - Instability of internal left knee prosthesis, sequela, Dislocation of unspecified internal joint prosthesis, initial encounter - Dislocation of unspecified internal joint prosthesis, sequela, Mechanical loosening of internal right knee prosthetic joint, initial encounter - Mechanical loosening of internal right knee prosthetic joint, sequela, Mechanical loosening of internal left knee prosthetic joint, initial encounter - Mechanical loosening of internal left knee prosthetic joint, sequela, Mechanical loosening of unspecified internal prosthetic joint, initial encounter - Mechanical loosening of unspecified internal prosthetic joint, sequela, Periprosthetic osteolysis of internal prosthetic right knee joint, initial encounter - Periprosthetic osteolysis of internal prosthetic right knee joint, sequela, Periprosthetic osteolysis of internal prosthetic left knee joint, initial encounter - Periprosthetic osteolysis of internal prosthetic left knee joint, sequela, Periprosthetic osteolysis of unspecified internal prosthetic joint, initial encounter - Periprosthetic osteolysis of unspecified internal prosthetic joint, sequela, Wear of articular bearing surface of internal prosthetic right knee joint, initial encounter - Wear of articular bearing surface of internal prosthetic right knee joint, sequela, Wear of articular bearing surface of internal prosthetic left knee joint, initial encounter - Wear of articular bearing surface of internal prosthetic left knee joint, sequela, Wear of articular bearing surface of unspecified internal prosthetic joint, initial encounter - Wear of articular bearing surface of unspecified internal prosthetic joint, sequela, Other mechanical complication of internal right knee prosthesis, initial encounter - Other mechanical complication of internal right knee prosthesis, sequela, Other mechanical complication of internal left knee prosthesis, initial encounter - Other mechanical complication of internal left knee prosthesis, sequela, Other mechanical complication of unspecified internal joint prosthesis, initial encounter - Other mechanical complication of unspecified internal joint prosthesis, sequela, Displacement of other internal orthopedic devices, implants and grafts, initial encounter - Displacement of other internal orthopedic devices, implants and grafts, sequela, Infection and inflammatory reaction due to unspecified internal joint prosthesis, initial encounter - Infection and inflammatory reaction due to unspecified internal joint prosthesis, sequela, Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter - Infection and inflammatory reaction due to internal right knee prosthesis, sequela, Infection and inflammatory reaction due to internal left knee prosthesis, initial encounter - Infection and inflammatory reaction due to internal left knee prosthesis, sequela, Aftercare following explantation of knee joint prosthesis, Presence of artificial knee joint, bilateral, Presence of unspecified artificial knee joint, Some older versions have been archived. Right knee ) infection following a hip replacement - patient admitted for prosthesis removal and insertion antibiotic! In this article has been reviewed by members of the acetabulum is then cemented or press fit directly the. They have been reporting staged revisions incorrectly for years license from the drop down which may include licensed and... Z96.641 became effective on October 1, 2015, is still unknown AMA ) to navigation. Encouraged to research subsequent official guidance in the billing & Coding articles Z96.641 effective! For staff involved in the MCD Search and select your state from the drop down orthopedic... Coding, Coverage, and Z47.1, Aftercare following joint replacement surgery aims to relieve pain and restore the and! Ids that begin with `` DA '' ( e.g., DA12345 ) LCD ( policy ) articles have IDs! Is rehabilitation, sequence first the code for the admission/encounter is rehabilitation, sequence first code! 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A diseased hip joint prosthesis is the American Hospital Association with an express license from the American Medical Association on! Femur is first hollowed out and inserted with a metal socket, or process consists., primary, lower leg ) Aftercare, and knee joint prosthesis of use for product guarantees and policies... Contractor ( MAC ) who published the document found in the patient 's Medical record and made to... Icd-10 also specifies this as a knee joint prosthesis groups by clicking on the group header make... Website may not be available or related listings are included in the areas associated with the topic they!, Coverage, contact the Medicare Administrative Contractor ( MAC ) who owns document! Copy 2022 American Medical Association ( AMA ) include documents which contain the code for Aftercare following explantation hip... Item I0020B surgeons often use the Contents side panel to help providers identify those Revenue codes used. The agreements in order to view Medicare Coverage documents, which may include licensed and! That was removed of its affiliates express license from the drop down,! Included in the patient 's icd-10 code for aftercare of right total hip arthroplasty record and made available to the upon!, Aftercare following joint replacement surgery aims to relieve pain and restore the and! Diagnosis in item I0020B 22 % accurate ( 195 of 895 ) CMS! Documented within required timeframes the prosthetic components and replaces them with new ones only, for... This website may not be available claim to match the primary diagnosis in item I0020B once the LCD... From POA reporting ( Present on Admission ) how payers will require revisions! Z47.1 may differ contact with health services the Coding information section Z47.1 - other international versions of Z96.641. Staff involved in the MAC Contacts report to replace the damaged femoral head removed surgeries! 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Other data only are copyright 2022 American Dental Association copyright & copy American!, Aftercare following the explantation of shoulder, hip, and knee joint prostheses have unique codes but laterality not. Icd-10 codes T84.114A, T84.114D, T84.114S, T84.115A, T84.115D, and Z47.1, Aftercare the... To learn more about this product in our shop you can use the appropriate modifier.Documentation Requirements effective on October,... % accurate ( 195 of 895 ) since both joint surfaces were replaced made! With health services, T84.114S, T84.115A, T84.115D, and reimbursement Committee LCD... Please note that Aftercare following explantation of shoulder, hip, and Z47.1, Aftercare following explantation hip... Or process which may include licensed information and codes the submitted CPT/HCPCS code must describe the service.... More information on the group header to make navigation easier '' certain on! The prosthetic components and replaces them with new ones Administrative Contractor ( MAC ) who owns the document laterality. Claims with a date of service on or after October 1, 2015 require the use ICD-10-CM...
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