Transcription of Major Joint Replacement (Hip or Knee) - CMS
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Major Joint Replacement (Hip or Knee) - CMS
PRINT-FRIENDLY VERSIONPage 1 of 12 BOOKLETM ajor Joint Replacement (Hip or Knee) Target Audience: physicians, surgeons, and hospitalsThe Hyperlink Table at the end of this document provides the complete URL for each MLN909065 November 2020 MLN BookletMajor Joint Replacement (Hip or Knee) ICN MLN909065 November 2020 Page 2 of 12 TABLE OF CONTENTSD ocument Medical Necessity to Avoid Denial of Claims..3 The Patient s Medical Record ..3 The Patient s Hospital Records ..4 Key Points for Hospital Billing ..6 Select the correct MS-DRG code..6 Aids to Correct ..9 Information Missing from Hospital Co-Surgery Not Billed with Modifier 62..11 Hyperlink Table ..11 Note: We revised this product with the following content updates: Updated certain items to reflect current year (for example, we refer to ICD-10 codes for 2020, instead of 2017).
Bilateral varus knee deformity consistent with severe osteoarthritis. Right knee extension reduced to minus 15 degrees and flexion . to less than 100 . degrees. Unable to rise from chair unassisted. Full motion of the right hip, no calf tenderness or ankle edema. Antalgic gait noted.
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