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Tip of the Week: Closed Hip Reduction

By Lori Becks, RHIA
January 02, 2012

A closed hip reduction performed on a dislocated hip that has previously undergone total hip replacement requires that code 996.42 Dislocation of a prosthetic joint, be submitted as the appropriate diagnosis code and not a code from subcategory 835.0x for closed dislocation of hip. Closed reduction performed in this case can be reported with either CPT code 27265 Closed treatment of post hip arthroplasty dislocation; without anesthesia  or 27266 Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia.

 

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In ICD-10-CM the following conditions are listed with code R25.2 Cramp and spasms: Carpopedal spasm (R29.0); Charley-horse (M62.831); Infantile spasm (G40.4-); Muscle spasm of the back (M62.830); Muscle spasm of calf (M62.831). Which type of coding note is associated with these conditions?

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