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Hip and Knee Arthroplasty - Surface Hippy Guide to Hip Resurfacing

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APPENDIX 6<br />

CMBS Codes<br />

PRIMARY HIP<br />

Partial <strong>Hip</strong> Replacement<br />

49315 HIP, arthroplasty of, unipolar or bipolar<br />

47522 HIP, Femur treatment sub-capital fracture of hemiarthroplasty<br />

Primary Total <strong>Hip</strong> Replacement<br />

49309<br />

HIP, arthrec<strong>to</strong>my or excision arthroplasty of, including removal of prosthesis (Austin Moore or<br />

similar (non-cement))<br />

49318 HIP, <strong>to</strong>tal replacement arthroplasty of, including minor bone grafting<br />

49319 HIP, <strong>to</strong>tal replacement arthroplasty of, including major bone grafting, if performed-bilateral<br />

49321 HIP, <strong>to</strong>tal replacement arthroplasty of, including major bone grafting, including obtaining of graft<br />

REVISION HIP<br />

49312<br />

HIP, arthrec<strong>to</strong>my or excision arthroplasty of, including removal of prosthesis (cemented, porous<br />

coated of similar)<br />

49324 HIP, <strong>to</strong>tal replacement arthroplasty of, revision procedure including removal of prosthesis<br />

49327 HIP, <strong>to</strong>tal replacement arthroplasty of, revision procedure requiring bone grafting <strong>to</strong><br />

acetabulum, including obtaining of graft<br />

49330<br />

HIP, <strong>to</strong>tal replacement arthroplasty of, revision procedure requiring bone grafting <strong>to</strong> femur,<br />

including obtaining of graft<br />

49333<br />

HIP, <strong>to</strong>tal replacement arthroplasty of, revision procedure requiring bone grafting <strong>to</strong> both<br />

acetabulum <strong>and</strong> femur, including obtaining of graft<br />

49336<br />

HIP, revision of a fracture of the femur where revision <strong>to</strong>tal hip replacement is required as<br />

part of the treatment of the fracture<br />

49339<br />

HIP, revision <strong>to</strong>tal hip replacement of, requiring ana<strong>to</strong>mic specific allograft of proximal femur<br />

greater than 5cm in length<br />

49342 HIP, revision <strong>to</strong>tal hip replacement of, requiring ana<strong>to</strong>mic specific allograft of acetabulum<br />

49345<br />

HIP, revision <strong>to</strong>tal hip replacement of, requiring ana<strong>to</strong>mic specific allograft of both<br />

femur <strong>and</strong> acetabulum<br />

49346<br />

HIP, revision arthroplasty with replacement of acetabular liner or ceramic head, not requiring<br />

removal of femoral component or acetabular shell<br />

PRIMARY KNEE<br />

Patellofemoral Replacement<br />

49534<br />

KNEE, <strong>to</strong>tal replacement arthroplasty of, requiring major bone grafting <strong>to</strong> femur <strong>and</strong> tibia,<br />

including obtaining of graft<br />

Unicompartmental <strong>Knee</strong><br />

49517 KNEE, hemiarthroplasty of<br />

Total <strong>Knee</strong><br />

49518 KNEE, <strong>to</strong>tal replacement arthroplasty of,<br />

49519<br />

KNEE, <strong>to</strong>tal replacement arthroplasty of, including associated minor grafting, if performedbilateral<br />

49521<br />

KNEE, <strong>to</strong>tal replacement arthroplasty of, requiring major bone grafting <strong>to</strong> femur or tibia,<br />

including obtaining of graft<br />

49524<br />

KNEE, <strong>to</strong>tal replacement arthroplasty of, requiring major bone grafting <strong>to</strong> femur <strong>and</strong> tibia,<br />

including obtaining of graft<br />

REVISION KNEE<br />

49512 KNEE, arthrodesis with removal of prosthesis<br />

49512 KNEE, arthrodesis of, with removal of prosthesis<br />

49515<br />

KNEE, removal of prosthesis, cemented or uncemented, including associated cement,<br />

as the first stage of a 2 stage procedure<br />

49527 KNEE, <strong>to</strong>tal replacement arthroplasty of, revision procedure, including removal of prosthesis<br />

49530<br />

KNEE, <strong>to</strong>tal replacement arthroplasty of, revision procedure, requiring bone grafting <strong>to</strong> femur<br />

or tibia, including obtaining of graft <strong>and</strong> including removal of prosthesis<br />

49533<br />

KNEE, <strong>to</strong>tal replacement arthroplasty of, revision procedure, requiring bone grafting <strong>to</strong> femur<br />

<strong>and</strong> tibia, including obtaining of graft <strong>and</strong> including removal of prosthesis<br />

49554 KNEE, revision of <strong>to</strong>tal replacement of, by ana<strong>to</strong>mic specific allograft of tibia or femur<br />

202

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