• 00.76, Hip bearing surface, ceramic-on-ceramic; and

• 00.73, Revision of hip replacement, acetabular liner and/or femoral head only; and

• 00.77, Hip bearing surface, ceramic-on-polyethylene.

Prior to surgery you will usually have tried some simple treatments such as simple analgesics, weight loss, anti-inflammatory medications, modification of your activities, walking sticks, physiotherapy.

• synthetic substitute, metal;

• synthetic substitute, metal on polyethylene;

21. Callaghan JJ, Salvati FA, Brause BD, Rimnac CM, Wright TM. Reimplantation for salvage of the infected hip: rationale for the use of gentamicin-impregnated cement and heads. 1985:65-94

• synthetic substitute, ceramic;

• 00.72, Revision of hip replacement, femoral component (includes partial hip revision of femoral component only and that with exchange of acetabular liner or exchange of femoral stem and head);

• synthetic substitute, ceramic on polyethylene; and

Three different fixation techniques are used in the implantation:

• 81.53, Revision of hip replacement, not otherwise specified. Code 81.53 is assigned only if a revision of hip replacement is performed but is not specified as to component(s) replaced.

The FAQs were last updated in 2004, but remain relevant.

Common complications that may occur after a joint replacement surgery include venous thrombosis (category 453), pulmonary embolism (415.11), incision site infection (998.59), intraoperative fracture (998.89 plus an additional code to describe the type and site of the fracture), dislocation of prosthesis (996.42), loosening of prosthesis (996.41), breakage of prosthesis (996.43), periprosthetic fracture around prosthetic joint (996.44), change in leg length, joint stiffness, and daily wear and tear.

Steps in the surgical implantation of an artificial hip joint

Coding and sequencing for hip replacement surgery depend on the physician documentation in the medical record and application of the Official Coding Guidelines for inpatient care. Also, use specific AHA Coding Clinic for ICD-9-CM and American Medical Association CPT Assistant references to ensure complete and accurate coding.

Three different fixation techniques are used in the implantation:

For the qualifier (character 7), the choices include cemented, uncemented, or no qualifier. For example, a left total hip arthroplasty using a cemented stem and a metal-on-plastic articulating surface is classified to code 0SRB029.

FIELD: medicine, traumatology, orthopedics.

Infection after total hip arthroplasties (THA) is a devastating complication with significant consequences for both the patients and the healthcare systems. In recent times, a two stage procedure using antibiotic-impregnated interim spacers has become the most popular treatment for late chronic hip joint infections after THA with success rates over 90%. In this review, we discuss the different types of spacers used in the treatment of chronically infected THA and conclude that hip spacers are effective in the treatment of hip joint infections.

FIELD: medicine; traumatic surgery; orthopedics.

Periprosthetic infection after THA is a catastrophic complication which presents an enormous challenge to the orthopaedic community. Diagnosis is often difficult as no gold standard test is available; thus, the diagnosis relies on the surgeon's judgement of the clinical presentation, the findings on physical examination and the interpretation of relevant investigations. The treatment goals are to attempt limb salvage and preserve joint function in an aging population with multiple co-morbidities and high risk of developing perioperative complications. Late chronic hip infections have been defined as those presenting more than 4 weeks from surgery, as opposed to acute infections occurring within 4 weeks of the operation [].