Are there any coding clinics regarding peri-prosthetic fractures?
When coding peri-prosthetic fractures there are 3 things to remember: Peri-prosthetic fractures not due to trauma or pathological fracture are coded/classified as mechanical complications of a joint prosthesis, 996.44 Peri-prosthetic fractures due to trauma are coded as traumatic fractures, individually and by site, in accordance with both the provisions within categories 800-829. Assign a secondary diagnosis of V43.6X to capture the specific joint replaced via prosthesis Peri-prosthetic fractures due to osteoporosis or neoplasm are coded to subcategory 733.1X. Assign a secondary diagnosis of V43.6X to capture the specific joint replaced via prosthesis Rationale: A peri-prosthetic fracture may be a result of a mechanical complication of the joint prosthesis (996.44) or due to trauma (800-829) or osteoporosis (733.1X). Documentation of the underlying cause of the fracture will dictate correct coding. Coding Clinic states the following: Mechanical Complication of Prosthetic Joints Coding
