ICD-10 Coding for Total Right Hip Replacement(0SR901Z)
Complete ICD-10-CM coding and documentation guide for Total Right 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 Right Hip Replacement
0SR90Primary Range
Replacement of Right Hip Joint
This range includes codes for the surgical replacement of the right hip joint, specifying the approach and materials used.
Key Information: ICD-10 code for total right hip replacement
Essential facts and insights about Total Right Hip Replacement
Primary ICD-10-CM Code for total right hip replacement
Decision Criteria
clinical Criteria
- Patient has severe osteoarthritis with bone-on-bone contact.
documentation Criteria
- Surgical report includes details of the approach and components used.
Applicable To
- Total hip replacement with metal-on-poly liner
Excludes
- Partial hip replacement
Clinical Validation Requirements
- Radiographic evidence of advanced osteoarthritis
- Failed conservative management including NSAIDs and physical therapy
Code-Specific Risks
- Incorrectly coding as partial replacement
- Omitting documentation of the surgical approach
Coding Notes
- Ensure documentation specifies the type of liner and surgical approach to avoid coding errors.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Total Hip Arthroplasty, Acetabulum and Femoral Components
27130Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Replacement of Right Hip Joint with Ceramic-on-Polyethylene Liner, Open Approach
0SR902ZDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Total Right Hip Replacement to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 0SR901Z.
Impact
Clinical: Lack of detail can affect post-operative care decisions., Regulatory: May lead to non-compliance with coding standards., Financial: Can result in claim denials or reduced reimbursement.
Mitigation Strategy
Use standardized templates for operative notes., Ensure all surgical details are documented immediately post-surgery.
Impact
Reimbursement: Incorrect coding may lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines can result in audits., Data Quality: Inaccurate data entry affects patient records and statistical analysis.
Mitigation Strategy
Use 27132 for conversion procedures and ensure documentation reflects prior hardware removal.
Impact
Lack of detailed surgical reports can trigger audits.
Mitigation Strategy
Implement comprehensive documentation protocols and regular audits of surgical 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 Right Hip Replacement, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Total Right Hip Replacement
Use these documentation templates to ensure complete and accurate documentation for Total Right Hip Replacement. These templates include all required elements for proper coding and billing.
Total Right Hip Replacement for Osteoarthritis
Specialty: Orthopedic SurgeryRequired Elements
- Patient history and physical examination
- Radiographic findings
- Details of conservative treatment attempts
- Surgical approach and components used
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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