The ICD-10-CM correct code for a periprosthetic fracture of the femur is T84.042A, Periprosthetic fracture around internal prosthetic right knee joint, initial encounter. These fractures can occur with minimal trauma (especially with a previously loose prosthesis or osteoporotic bone).Ī fracture of a prosthetic joint due to trauma should be coded to a traumatic fracture code with the appropriate code for the joint replacement to indicate the joint prosthesis status. Fractures around the joint replacement prosthesis are called periprosthetic fractures. An open reduction and internal fixation was performed using a locking plate and screws.Īccording to Coding Clinic 4th Quarter 2005, page 91, complications of prosthetic joint replacement can include infection, loosening of the prosthesis, dislocation of the prosthetic joint, periprosthetic fracture, articular surface wearing, and/or osteolysis. The fracture was comminuted with a fracture line extending down into the femoral component. There is no evidence of fracture or loosening of the prosthesis. The patient recently had a total right knee replacement, and then suffered a fall resulting in a right periprosthetic supracondylar femur fracture. What is the ICD-10-CM correct code(s) for a periprosthetic fracture of the femur? PCAP-approved programs can be found by visiting - Desla Mancilla, DHA, RHIA, is the senior director of academic affairs for the AHIMA Foundation. Linking the certificate program education to credentials such as the CCA or CCS is the final step in demonstrating entry level coding skills attainment. AHIMA recommends that students select a coding program approved by the Professional Certificate Approval Program (PCAP) since these programs are evaluated for program content, delivery, faculty qualifications, and compliance with AHIMA curriculum standards for coding. Other individuals who may choose to go through a coding certificate program will find greater variation in the length of the program. The RHIT or RHIA credential that graduates of HIM programs accredited by the Commission on Accreditation for Health Informatics and Information Management Education, or CAHIIM, are eligible to test for recognizes that the programs include content allowing students to attain the necessary skills and competencies for a career in coding. These degree programs are generally two to four years in length. Individuals who complete associate or baccalaureate degrees in HIM have a strong education-based foundation often accompanied by real-world professional practice experience in coding. There are many routes to become a credentialed coder and some are more rigorous than others. Coding accuracy is essential and ensuring high-quality training and education is critically important for supplying the workforce with qualified coders. Who does AHIMA recommend? Does a good training program take a year to complete, or, if you attend full time, is a four-month program enough to pass the certification exams?Ĭertified Coders are in high demand, and the demands on them in the workforce are high as well. Are there any particular schools that are online that AHIMA recommends for training on ICD-10 coding? I know that all training programs are not equal and some are a waste of money. I have been asked by several people recently what is required to become a Certified Coder.
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