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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.

motion of the right hip, no calf tenderness or ankle edema. Antalgic gait noted. Investigations: X-ray (7/2/11): right knee shows joint space narrowing along with marginal osteophytes. Impression: Right Total Knee Arthroplasty (TKA) indicated. Plan/Orders: Discussed risks and benefits of total joint replacement with the patient to ensure the ...

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

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