ICD-10 Coding for Total Hip Replacement(0SRB0JZ)
Complete ICD-10-CM coding and documentation guide for Total Hip Replacement. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Total Hip Replacement
0SRB0JZ-0SR9019Primary Range
ICD-10-PCS codes for hip joint replacement procedures
These codes cover the surgical procedures for replacing hip joints with synthetic substitutes.
ICD-10-CM codes for osteoarthritis of the hip
These codes are used to document the underlying condition leading to the need for hip replacement.
Key Information: ICD-10 code for left total hip replacement
Essential facts and insights about Total Hip Replacement
Primary ICD-10-CM Code for total hip replacement
Decision Criteria
clinical Criteria
- Severe hip pain affecting ADLs and confirmed by imaging
documentation Criteria
- Detailed operative note including implant details
Applicable To
- Total hip arthroplasty with cemented components
Excludes
- Partial hip replacement
Clinical Validation Requirements
- Pre-operative imaging showing severe osteoarthritis or avascular necrosis
- Failed conservative management
Code-Specific Risks
- Ensure laterality is specified
- Document the type of bearing surface used
Coding Notes
- Ensure documentation includes implant details and approach used.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Bone graft harvesting
20900Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Replacement of right hip joint with metal-on-polyethylene bearing
0SR9019Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Total Hip Replacement to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 0SRB0JZ.
Impact
Clinical: May lead to inappropriate surgical indications., Regulatory: Non-compliance with payer requirements., Financial: Potential claim denials.
Mitigation Strategy
Document all conservative treatments tried, Include duration and response to treatments
Impact
Reimbursement: Claims may be denied or delayed., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate medical records.
Mitigation Strategy
Always specify whether the procedure is on the left or right hip.
Impact
Lack of detailed implant information in operative notes
Mitigation Strategy
Use standardized templates for operative notes.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Total Hip Replacement, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Total Hip Replacement
Use these documentation templates to ensure complete and accurate documentation for Total Hip Replacement. These templates include all required elements for proper coding and billing.
Pre-operative assessment for total hip replacement
Specialty: OrthopedicsRequired Elements
- Patient history
- Physical examination
- Imaging results
- Conservative treatment history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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