5/5/2023 0 Comments Hospital follow up icd 10![]() Reason for encounter: Z47.33 Aftercare following explantation of knee joint prosthesisĪftercare for Healing Traumatic Fracture of Lower LegĪftercare for injuries is reported with a V-code in ICD-9-CM. He is given orders for preoperative lab work, EKG and chest X-ray. Arrangements will be made by the surgery scheduler after he has been cleared by his PMD. The patient is anxious to have a new implant because he has a trip planned in three months. The infection appears to have cleared up. The left knee has no redness or swelling, and surgical incisions are clean and dry. ![]() The patient has had PT support two to three times a week and serum CRP has been monitored weekly. After local surgical debridement and IV antibiotics failed to clear the infection, the prosthesis was removed and a vancomycin-loaded polymethylmethacrylate cement spacer was inserted into the suprapatellar pouch, with extension to the gutters. This retired chemical engineer had a total knee arthroplasty four months ago and developed a staphylococcus coagulase negative wound infection postoperatively. The patient is a 64-year-old Caucasian male, now eight weeks post-explantation of a left knee prosthesis, who is here today to have his left knee checked and to determine if a new prosthesis can be implanted. In ICD-10-CM, aftercare for explantation of a joint prosthesis is specific to site. Aftercare following explantation of a joint prosthesis (Z47.3-) may be reported for a staged procedure or an encounter for evaluation of planned insertion of a new joint prosthesis following prior explantation of a joint prosthesis. The second shows how aftercare for an injury is reported.Īftercare Following Explantation of Joint ProsthesisĪftercare following explantation of a joint prosthesis is reported with a code from category Z47, denoting orthopedic aftercare. The first is an example of aftercare reported with a Z-code from Chapter 21. Two examples of aftercare coding in ICD-10-CM are provided. For other aftercare codes, the condition is included in the code description and a secondary diagnosis is not required.
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