Knee Systems Coding Reference Guide - Joint Replacement

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PhysicianCPT CodeCPT Description274 4 5Arthroplasty, knee , hinge prosthesis (eg, walldius type)274 4 6Arthroplasty, knee , condyle and plateau; medial or lateral compartment274 47Arthroplasty, knee , condyle and plateau; medial and lateral compartments with or without patella resurfacing (total knee arthroplasty )Physician RevisionCPT CodeCPT Description274 8 6Revision of total knee arthroplasty , with or without allograft; 1 component274 87Revision of total knee arthroplasty , with or without allograft; femoral and entire tibial componentHospital Outpatient and Free-Standing Ambulatory Surgery Center (ASC)CPT CodeCPT DescriptionOPPS Status IndicatorAPCASC Payment Indicator274 4 5Arthroplasty, knee , hinge prosthesis (eg, walldius type)C--NA274 4 6Arthroplasty, knee , condyle and plateau; medial or lateral compartmentJ15 115J8274 47Arthroplasty, knee , condyle and plateau; medial and lateral compartments with or without patella resurfacing (total knee arthroplasty )C--NA274 8 6Revision of total knee arthroplasty , with or without allograft; 1 componentC--NA274 87Revision of total knee arthroplasty , with or without allograft; femoral and entire tibial componentC--NAOPPS Outpatient Prospective Payment system ; APC Ambulatory Payment ClassificationStatus Indicator C Not paid under OPPS; J1 - Hospital Part B services paid through a comprehensive APCAPC 5115 Level 5 Musculoskeletal ProceduresPay

Physician CPT® Code CPT Description 27445 Arthroplasty, knee, hinge prosthesis (eg, walldius type) 27446 Arthroplasty, knee, condyle and plateau; medial or lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial and lateral compartments with or without patella resurfacing (total

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