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Major Joint Replacement (Hip or Knee) - CMS

Page 1 of 10 Major Joint Replacement (Hip or Knee) TABLE OF CONTENTSD ocument Medical Necessity to Avoid Denial of ..2 The Patient s Medical Record ..2 The Patient s Hospital Records ..3 Key Points for Hospital Billing ..5 Select the correct MS-DRG code..5 Aids to Correct ..8 Information Missing from Hospital Not Billed with Modifier 62..9 Hyperlink Table ..9 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 10 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).

Major Joint Replacement (Hip or Knee) MLN Booklet. Page 4 of 10 ICN MLN909065 November 2020 • Nonunion, malunion or failure of previous hip fracture surgery • Osteonecrosis • Current co-morbidities under active treatment The hospital record for the . postoperative. joint replacement surgical patient includes the following:

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  Knee, Replacement, Joint, Surgery, Major, Major joint replacement, Hip or knee

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