ICD-10-PCS & CPT Codes - Guidance For HPRO & KPRO Procedure Details

ICD-10-PCS & CPT Codes - Guidance for HPRO & KPRO Procedure
Guidance for completing NHSN procedure details related to HPRO - Hip prosthesis (Arthroplasty of hip) and KPRO
knee) operative procedures
Reviewed 12-2021
The NHSN Denominator for Procedure form requires detailed information for HPRO and KPRO procedures. This guidance doc
details when reporting HPRO and KPRO procedures.
Instructions for Using ICD-10-PCS worksheets (blue tabs):

The guidance for using ICD-10-PCS procedure codes is based on the structure of the code.
The required fields for completing the procedure event details for HPRO and KPRO procedures are included in columns highlig
ØType of HPRO or KPRO is found in Column A
ØSpecific Type of HPRO or KPRO is found in Column B
Some HPRO and KPRO ICD-10-PCS codes may be used for both primary and revision procedures. When used for:
ØPrimary procedures - one code from column D is applied (ICD-10 Code), and no code from column F (Removal Code, h
ØRevision procedures - most require a code from BOTH column D (ICD-10 Code), and from column F (Removal Code, hig
NOTE: Revision procedures NOT requiring a code from BOTH columns D and column F is indicated by the comment “No Remo
Instructions for Using CPT worksheets (orange tabs):

The required fields for completing the procedure event details for HPRO and KPRO procedures are included in columns highlig
ØType of HPRO or KPRO is found in Column A
ØSpecific Type of HPRO or KPRO is found in Column B
or HPRO & KPRO Procedure Details
hesis (Arthroplasty of hip) and KPRO - Knee prosthesis (Arthroplasty of
nd KPRO procedures. This guidance document should be used for procedure
ode.
ocedures are included in columns highlighted in lavender:
rocedures. When used for:

no code from column F (Removal Code, highlighted in yellow).
e), and from column F (Removal Code, highlighted in yellow) is applied.
F is indicated by the comment “No Removal Code Needed” in column G.
ocedures are included in columns highlighted in lavender:

Hip prosthesis -- HPRO - Arthroplasty of hip - ICD-10-PCS Codes
NHSN:
Type of HPRO Specific Type of HPRO Laterality ICD-10 HPRO Code ICD-10 HPRO Code Description Removal Code Removal Code Description Code Status Code Status references how the code was
listed during the previous reporting year.
Replacement of Right Hip Joint with Metal Synthetic Substitute, No Removal Code Not Applicable
TOT - Total TOTPRIM - Total Primary Right 0SR9019 No change
Cemented, Open Approach Needed
Replacement of Right Hip Joint with Metal Synthetic Substitute, Removal of Spacer from Right Hip Joint, Open
TOT - Total TOTREV - Total Revision Right 0SR9019 0SP908Z Approach No change
Cemented, Open Approach
Replacement of Right Hip Joint with Metal Synthetic Substitute, Removal of Liner from Right Hip Joint, Open
Replacement of Right Hip Joint with Metal Synthetic Substitute, Removal of Resurfacing Device from Right Hip Joint,
TOT - Total TOTREV - Total Revision Right 0SR9019 0SP90BZ Open Approach No change
Replacement of Right Hip Joint with Metal Synthetic Substitute, Removal of Articulating Spacer from Right Hip Joint,
TOT - Total TOTREV - Total Revision Right 0SR9019 0SP90EZ Open Approach No change
Replacement of Right Hip Joint with Metal Synthetic Substitute, Removal of Synthetic Substitute from Right Hip
TOT - Total TOTREV - Total Revision Right 0SR9019 0SP90JZ Joint, Open Approach No change
TOT - Total TOTREV - Total Revision Right 0SR9019 0SPA0JZ Joint, Acetabular Surface, Open Approach No change
TOT - Total TOTREV - Total Revision Right 0SR9019 0SPR0JZ Joint, Femoral Surface, Open Approach No change
Replacement of Right Hip Joint with Metal Synthetic Substitute, No Removal Code Not Applicable
TOT - Total TOTPRIM - Total Primary Right 0SR901A No change
Uncemented, Open Approach Needed
Replacement of Right Hip Joint with Metal Synthetic Substitute, Removal of Spacer from Right Hip Joint, Open
TOT - Total TOTREV - Total Revision Right 0SR901A 0SP908Z Approach No change
Uncemented, Open Approach
Replacement of Right Hip Joint with Metal Synthetic Substitute, Removal of Liner from Right Hip Joint, Open
Replacement of Right Hip Joint with Metal Synthetic Substitute, Removal of Resurfacing Device from Right Hip Joint,
TOT - Total TOTREV - Total Revision Right 0SR901A 0SP90BZ Open Approach No change
Replacement of Right Hip Joint with Metal Synthetic Substitute, Removal of Articulating Spacer from Right Hip Joint,
TOT - Total TOTREV - Total Revision Right 0SR901A 0SP90EZ Open Approach No change
TOT - Total TOTREV - Total Revision Right 0SR901A 0SP90JZ Joint, Open Approach No change
TOT - Total TOTREV - Total Revision Right 0SR901A 0SPA0JZ Joint, Acetabular Surface, Open Approach No change
TOT - Total TOTREV - Total Revision Right 0SR901A 0SPR0JZ Joint, Femoral Surface, Open Approach No change
Replacement of Right Hip Joint with Metal Synthetic Substitute, Open Removal of Articulating Spacer from Right Hip Joint,
TOT - Total TOTREV - Total Revision Right 0SR901Z 0SP90EZ Open Approach No Change
Approach
Replacement of Right Hip Joint with Metal Synthetic Substitute, Open Removal of Synthetic Substitute from Right Hip
TOT - Total TOTREV - Total Revision Right 0SR901Z 0SPA0JZ Joint, Acetabular Surface, Open Approach No Change
Approach
TOT - Total TOTREV - Total Revision Right 0SR901Z 0SPR0JZ Joint, Femoral Surface, Open Approach No Change
Approach
Replacement of Right Hip Joint with Metal Synthetic Substitute, Open No Removal Code Not Applicable
TOT - Total TOTPRIM - Total Primary Right 0SR901Z No change
Approach Needed
Replacement of Right Hip Joint with Metal Synthetic Substitute, Open Removal of Spacer from Right Hip Joint, Open
TOT - Total TOTREV - Total Revision Right 0SR901Z 0SP908Z Approach No change
Approach
Replacement of Right Hip Joint with Metal Synthetic Substitute, Open Removal of Liner from Right Hip Joint, Open
Approach
Replacement of Right Hip Joint with Metal Synthetic Substitute, Open Removal of Resurfacing Device from Right Hip Joint,
TOT - Total TOTREV - Total Revision Right 0SR901Z 0SP90BZ Open Approach No change
Approach
TOT - Total TOTREV - Total Revision Right 0SR901Z 0SP90JZ Joint, Open Approach No change
Approach
Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Removal of Articulating Spacer from Right Hip Joint,
TOT - Total TOTREV - Total Revision Right 0SR9029 0SP90EZ Open Approach No Change
Substitute, Cemented, Open Approach
Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Removal of Synthetic Substitute from Right Hip
TOT - Total TOTREV - Total Revision Right 0SR9029 0SPA0JZ Joint, Acetabular Surface, Open Approach No Change
TOT - Total TOTREV - Total Revision Right 0SR9029 0SPR0JZ Joint, Femoral Surface, Open Approach No Change
Replacement of Right Hip Joint with Metal on Polyethylene Synthetic No Removal Code Not Applicable
Substitute, Cemented, Open Approach Needed
Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Removal of Spacer from Right Hip Joint, Open
Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Removal of Liner from Right Hip Joint, Open
Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Removal of Resurfacing Device from Right Hip Joint,
TOT - Total TOTREV - Total Revision Right 0SR902A 0SP90EZ Open Approach No Change
Substitute, Uncemented, Open Approach
TOT - Total TOTREV - Total Revision Right 0SR902A 0SPA0JZ Joint, Acetabular Surface, Open Approach No Change
TOT - Total TOTREV - Total Revision Right 0SR902A 0SPR0JZ Joint, Femoral Surface, Open Approach No Change
Substitute, Uncemented, Open Approach Needed
Substitute, Open Approach
Substitute, Open Approach Needed
Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Removal of Articulating Spacer from Right Hip Joint,
Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Removal of Synthetic Substitute from Right Hip
Replacement of Right Hip Joint with Ceramic Synthetic Substitute, No Removal Code Not Applicable
Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Removal of Spacer from Right Hip Joint, Open
Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Removal of Liner from Right Hip Joint, Open
Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Removal of Resurfacing Device from Left Hip Joint,
TOT - Total TOTREV - Total Revision Right 0SR903A 0SP90EZ Open Approach No Change
TOT - Total TOTREV - Total Revision Right 0SR903A 0SPA0JZ Joint, Acetabular Surface, Open Approach No Change
TOT - Total TOTREV - Total Revision Right 0SR903A 0SPR0JZ Joint, Femoral Surface, Open Approach No Change
Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Removal of Resurfacing Device from Right Hip Joint,
Open Approach
Open Approach
Open Approach
Open Approach Needed
Open Approach
Open Approach
Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Removal of Resurfacing Device from Right Hip Joint,
Open Approach
Open Approach
Removal of Articulating Spacer from Right Hip Joint,
TOT - Total TOTREV - Total Revision Right 0SR9049 Replacement of Right Hip Joint with Ceramic on Polyethylene 0SP90EZ Open Approach No Change
Synthetic Substitute, Cemented, Open Approach
Removal of Synthetic Substitute from Right Hip

TOT - Total TOTREV - Total Revision Right 0SR9049 Replacement of Right Hip Joint with Ceramic on Polyethylene 0SPA0JZ Joint, Acetabular Surface, Open Approach No Change

TOT - Total TOTREV - Total Revision Right 0SR9049 Replacement of Right Hip Joint with Ceramic on Polyethylene 0SPR0JZ Joint, Femoral Surface, Open Approach No Change
Not Applicable
TOT - Total TOTPRIM - Total Primary Right 0SR9049 Replacement of Right Hip Joint with Ceramic on Polyethylene No Removal Code No change
Synthetic Substitute, Cemented, Open Approach Needed
Removal of Spacer from Right Hip Joint, Open

TOT - Total TOTREV - Total Revision Right 0SR9049 Replacement of Right Hip Joint with Ceramic on Polyethylene 0SP908Z Approach No change
Removal of Liner from Right Hip Joint, Open

TOT - Total TOTREV - Total Revision Right 0SR9049 Replacement of Right Hip Joint with Ceramic on Polyethylene 0SP909Z Approach No change
Removal of Resurfacing Device from Right Hip Joint,

TOT - Total TOTREV - Total Revision Right 0SR9049 Replacement of Right Hip Joint with Ceramic on Polyethylene 0SP90BZ Open Approach No change

Replacement of Right Hip Joint with Ceramic on Polyethylene Joint, Open Approach
TOT - Total TOTREV - Total Revision Right 0SR9049 0SP90JZ No change

Replacement of Right Hip Joint with Ceramic on Polyethylene Open Approach
TOT - Total TOTREV - Total Revision Right 0SR904A 0SP90EZ No Change
Synthetic Substitute, Uncemented, Open Approach

Replacement of Right Hip Joint with Ceramic on Polyethylene Joint, Acetabular Surface, Open Approach
TOT - Total TOTREV - Total Revision Right 0SR904A 0SPA0JZ No Change

Replacement of Right Hip Joint with Ceramic on Polyethylene Joint, Femoral Surface, Open Approach
TOT - Total TOTREV - Total Revision Right 0SR904A 0SPR0JZ No Change
Not Applicable
Replacement of Right Hip Joint with Ceramic on Polyethylene No Removal Code
Synthetic Substitute, Uncemented, Open Approach Needed

Replacement of Right Hip Joint with Ceramic on Polyethylene Approach
TOT - Total TOTREV - Total Revision Right 0SR904A 0SP908Z No change

Replacement of Right Hip Joint with Ceramic on Polyethylene Approach
TOT - Total TOTREV - Total Revision Right 0SR904A 0SP909Z No change

TOT - Total TOTREV - Total Revision Right 0SR904A Replacement of Right Hip Joint with Ceramic on Polyethylene 0SP90BZ Open Approach No change

TOT - Total TOTREV - Total Revision Right 0SR904A Replacement of Right Hip Joint with Ceramic on Polyethylene 0SP90JZ Joint, Open Approach No change
Replacement of Right Hip Joint with Ceramic on Polyethylene Removal of Articulating Spacer from Right Hip Joint,
Synthetic Substitute, Open Approach
Replacement of Right Hip Joint with Ceramic on Polyethylene Removal of Synthetic Substitute from Right Hip
Replacement of Right Hip Joint with Ceramic on Polyethylene No Removal Code Not Applicable
Synthetic Substitute, Open Approach Needed
Replacement of Right Hip Joint with Ceramic on Polyethylene Removal of Spacer from Right Hip Joint, Open
Replacement of Right Hip Joint with Ceramic on Polyethylene Removal of Liner from Right Hip Joint, Open
Replacement of Right Hip Joint with Ceramic on Polyethylene Removal of Resurfacing Device from Right Hip Joint,
Replacement of Right Hip Joint with Oxidized Zirconium on Removal of Spacer from Right Hip Joint, Open
TOT - Total TOTREV - Total Revision Right 0SR9069 0SP908Z Approach No Change
Polyethylene Synthetic Substitute, Cemented, Open Approach
Replacement of Right Hip Joint with Oxidized Zirconium on Removal of Liner from Right Hip Joint, Open
TOT - Total TOTREV - Total Revision Right 0SR9069 0SP909Z Approach No Change
Replacement of Right Hip Joint with Oxidized Zirconium on Removal of Resurfacing Device from Right Hip Joint,
TOT - Total TOTREV - Total Revision Right 0SR9069 0SP90BZ Open Approach No Change
Replacement of Right Hip Joint with Oxidized Zirconium on Removal of Articulating Spacer from Right Hip Joint,
Replacement of Right Hip Joint with Oxidized Zirconium on Removal of Synthetic Substitute from Right Hip
Replacement of Right Hip Joint with Oxidized Zirconium on No Removal Code Not Applicable
Polyethylene Synthetic Substitute, Cemented, Open Approach Needed
TOT - Total TOTREV - Total Revision Right 0SR9069 Replacement of Right Hip Joint with Oxidized Zirconium on 0SP90JZ Joint, Open Approach No change

TOT - Total TOTREV - Total Revision Right 0SR906A Replacement of Right Hip Joint with Oxidized Zirconium on 0SP908Z Approach No Change
Polyethylene Synthetic Substitute, Uncemented, Open Approach

TOT - Total TOTREV - Total Revision Right 0SR906A Replacement of Right Hip Joint with Oxidized Zirconium on 0SP909Z Approach No Change

Replacement of Right Hip Joint with Oxidized Zirconium on Open Approach
TOT - Total TOTREV - Total Revision Right 0SR906A 0SP90BZ No Change

Replacement of Right Hip Joint with Oxidized Zirconium on Open Approach
TOT - Total TOTREV - Total Revision Right 0SR906A 0SP90EZ No Change

Replacement of Right Hip Joint with Oxidized Zirconium on Joint, Acetabular Surface, Open Approach
TOT - Total TOTREV - Total Revision Right 0SR906A 0SPA0JZ No Change

Replacement of Right Hip Joint with Oxidized Zirconium on Joint, Femoral Surface, Open Approach
TOT - Total TOTREV - Total Revision Right 0SR906A 0SPR0JZ No Change
Not Applicable
Replacement of Right Hip Joint with Oxidized Zirconium on No Removal Code
Polyethylene Synthetic Substitute, Uncemented, Open Approach Needed

Replacement of Right Hip Joint with Oxidized Zirconium on Joint, Open Approach
TOT - Total TOTREV - Total Revision Right 0SR906A 0SP90JZ No change
Replacement of Right Hip Joint with Oxidized Zirconium on Removal of Spacer from Right Hip Joint, Open
TOT - Total TOTREV - Total Revision Right 0SR906Z 0SP908Z Approach No Change
Polyethylene Synthetic Substitute, Open Approach
Replacement of Right Hip Joint with Oxidized Zirconium on Removal of Liner from Right Hip Joint, Open
TOT - Total TOTREV - Total Revision Right 0SR906Z 0SP909Z Approach No Change
Replacement of Right Hip Joint with Oxidized Zirconium on Removal of Resurfacing Device from Right Hip Joint,
TOT - Total TOTREV - Total Revision Right 0SR906Z 0SP90BZ Open Approach No Change
Replacement of Right Hip Joint with Oxidized Zirconium on Removal of Articulating Spacer from Right Hip Joint,
Replacement of Right Hip Joint with Oxidized Zirconium on No Removal Code Not Applicable
Polyethylene Synthetic Substitute, Open Approach Needed
Replacement of Right Hip Joint with Synthetic Substitute, Cemented, Removal of Articulating Spacer from Right Hip Joint,
TOT - Total TOTREV - Total Revision Right 0SR90J9 0SP90EZ Open Approach No Change
Open Approach
Replacement of Right Hip Joint with Synthetic Substitute, Cemented, Removal of Synthetic Substitute from Right Hip
TOT - Total TOTREV - Total Revision Right 0SR90J9 0SPA0JZ Joint, Acetabular Surface, Open Approach No Change
Open Approach
TOT - Total TOTREV - Total Revision Right 0SR90J9 0SPR0JZ Joint, Femoral Surface, Open Approach No Change
Open Approach
Replacement of Right Hip Joint with Synthetic Substitute, Cemented, No Removal Code Not Applicable
TOT - Total TOTPRIM - Total Primary Right 0SR90J9 No change
Replacement of Right Hip Joint with Synthetic Substitute, Cemented, Removal of Spacer from Right Hip Joint, Open
TOT - Total TOTREV - Total Revision Right 0SR90J9 0SP908Z Approach No change
Open Approach
Replacement of Right Hip Joint with Synthetic Substitute, Cemented, Removal of Liner from Right Hip Joint, Open
TOT - Total TOTREV - Total Revision Right 0SR90J9 0SP909Z Approach No change
Open Approach
Replacement of Right Hip Joint with Synthetic Substitute, Cemented, Removal of Resurfacing Device from Right Hip Joint,
TOT - Total TOTREV - Total Revision Right 0SR90J9 0SP90BZ Open Approach No change
Open Approach
TOT - Total TOTREV - Total Revision Right 0SR90J9 0SP90JZ Joint, Open Approach No change
Open Approach
Replacement of Right Hip Joint with Synthetic Substitute, Removal of Articulating Spacer from Right Hip Joint,
TOT - Total TOTREV - Total Revision Right 0SR90JA 0SP90EZ Open Approach No Change
Replacement of Right Hip Joint with Synthetic Substitute, Removal of Synthetic Substitute from Right Hip
TOT - Total TOTREV - Total Revision Right 0SR90JA 0SPA0JZ Joint, Acetabular Surface, Open Approach No Change
TOT - Total TOTREV - Total Revision Right 0SR90JA 0SPR0JZ Joint, Femoral Surface, Open Approach No Change
Replacement of Right Hip Joint with Synthetic Substitute, No Removal Code Not Applicable
TOT - Total TOTPRIM - Total Primary Right 0SR90JA No change
Replacement of Right Hip Joint with Synthetic Substitute, Removal of Spacer from Right Hip Joint, Open
TOT - Total TOTREV - Total Revision Right 0SR90JA 0SP908Z Approach No change
Replacement of Right Hip Joint with Synthetic Substitute, Removal of Liner from Right Hip Joint, Open
TOT - Total TOTREV - Total Revision Right 0SR90JA 0SP909Z Approach No change
Replacement of Right Hip Joint with Synthetic Substitute, Removal of Resurfacing Device from Right Hip Joint,
TOT - Total TOTREV - Total Revision Right 0SR90JA 0SP90BZ Open Approach No change
TOT - Total TOTREV - Total Revision Right 0SR90JA 0SP90JZ Joint, Open Approach No change
Replacement of Right Hip Joint with Synthetic Substitute, Open Removal of Articulating Spacer from Right Hip Joint,
TOT - Total TOTREV - Total Revision Right 0SR90JZ 0SP90EZ Open Approach No Change
Approach
Replacement of Right Hip Joint with Synthetic Substitute, Open Removal of Synthetic Substitute from Right Hip
TOT - Total TOTREV - Total Revision Right 0SR90JZ 0SPA0JZ Joint, Acetabular Surface, Open Approach No Change
Approach
TOT - Total TOTREV - Total Revision Right 0SR90JZ 0SPR0JZ Joint, Femoral Surface, Open Approach No Change
Approach
Replacement of Right Hip Joint with Synthetic Substitute, Open No Removal Code Not Applicable
TOT - Total TOTPRIM - Total Primary Right 0SR90JZ No change
Approach Needed
Replacement of Right Hip Joint with Synthetic Substitute, Open Removal of Spacer from Right Hip Joint, Open
TOT - Total TOTREV - Total Revision Right 0SR90JZ 0SP908Z Approach No change
Approach
Replacement of Right Hip Joint with Synthetic Substitute, Open Removal of Liner from Right Hip Joint, Open
TOT - Total TOTREV - Total Revision Right 0SR90JZ 0SP909Z Approach No change
Approach
Replacement of Right Hip Joint with Synthetic Substitute, Open Removal of Resurfacing Device from Right Hip Joint,
TOT - Total TOTREV - Total Revision Right 0SR90JZ 0SP90BZ Open Approach No change
Approach
TOT - Total TOTREV - Total Revision Right 0SR90JZ 0SP90JZ Joint, Open Approach No change
Approach
Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Removal of Articulating Spacer from Right Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Right 0SRA009 0SP90EZ Open Approach No Change
Replacement of Right Hip Joint, Acetabular Surface with Polyethylene No Removal Code Not Applicable
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRA009 No change
Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Removal of Spacer from Right Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Right 0SRA009 0SP908Z Approach No change
Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Removal of Liner from Right Hip Joint, Open
Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Removal of Resurfacing Device from Right Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Right 0SRA009 0SP90BZ Open Approach No change
Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Removal of Synthetic Substitute from Right Hip
HEMI - Hemi PARTREV - Partial Revision Right 0SRA009 0SP90JZ Joint, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA009 0SPA0JZ Joint, Acetabular Surface, Open Approach No change
Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Joint, Acetabular Surface, Open Approach
HEMI - Hemi PARTREV - Partial Revision Right 0SRA00A 0SPA0JZ No Change

Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Open Approach
HEMI - Hemi PARTREV - Partial Revision Right 0SRA00A 0SP90EZ No Change
Not Applicable
Replacement of Right Hip Joint, Acetabular Surface with Polyethylene No Removal Code
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRA00A No change

Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Approach
HEMI - Hemi PARTREV - Partial Revision Right 0SRA00A 0SP908Z No change

Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Approach

Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Open Approach
HEMI - Hemi PARTREV - Partial Revision Right 0SRA00A 0SP90BZ No change

HEMI - Hemi PARTREV - Partial Revision Right 0SRA00A Replacement of Right Hip Joint, Acetabular Surface with Polyethylene 0SP90JZ Joint, Open Approach No change
Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Removal of Articulating Spacer from Right Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Right 0SRA00Z 0SP90EZ Open Approach No Change
Replacement of Right Hip Joint, Acetabular Surface with Polyethylene No Removal Code Not Applicable
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRA00Z No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA00Z 0SPA0JZ Joint, Acetabular Surface, Open Approach No change
Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Removal of Liner from Right Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Right 0SRA00Z 0SP909Z Approach No change
Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Removal of Resurfacing Device from Right Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Right 0SRA00Z 0SP90BZ Open Approach No change
Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Removal of Spacer from Right Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Right 0SRA00Z 0SP90JZ Joint, Open Approach No change
Replacement of Right Hip Joint, Acetabular Surface with Metal Removal of Articulating Spacer from Right Hip Joint,
Replacement of Right Hip Joint, Acetabular Surface with Metal No Removal Code Not Applicable
Replacement of Right Hip Joint, Acetabular Surface with Metal Removal of Synthetic Substitute from Right Hip
Replacement of Right Hip Joint, Acetabular Surface with Metal Removal of Liner from Right Hip Joint, Open
Replacement of Right Hip Joint, Acetabular Surface with Metal Removal of Resurfacing Device from Right Hip Joint,
Replacement of Right Hip Joint, Acetabular Surface with Metal Removal of Spacer from Right Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Right 0SRA01A 0SP90EZ Open Approach No Change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA01A 0SPA0JZ Joint, Acetabular Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA01A 0SP909Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA01A 0SP90BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA01A Replacement of Right Hip Joint, Acetabular Surface with Metal 0SP908Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA01A 0SP90JZ Joint, Open Approach No change
Replacement of Right Hip Joint, Acetabular Surface with Metal Approach
HEMI - Hemi PARTREV - Partial Revision Right 0SRA01Z 0SP908Z No change
Replacement of Right Hip Joint, Acetabular Surface with Ceramic Removal of Articulating Spacer from Right Hip Joint,
Replacement of Right Hip Joint, Acetabular Surface with Ceramic No Removal Code Not Applicable
Replacement of Right Hip Joint, Acetabular Surface with Ceramic Removal of Synthetic Substitute from Right Hip
Replacement of Right Hip Joint, Acetabular Surface with Ceramic Removal of Liner from Right Hip Joint, Open
Replacement of Right Hip Joint, Acetabular Surface with Ceramic Removal of Resurfacing Device from Right Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Right 0SRA039 Replacement of Right Hip Joint, Acetabular Surface with Ceramic 0SP908Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA03A 0SP90EZ Open Approach No Change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA03A 0SPA0JZ Joint, Acetabular Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA03A 0SP909Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA03A 0SP90BZ Open Approach No change
Replacement of Right Hip Joint, Acetabular Surface with Ceramic Approach
HEMI - Hemi PARTREV - Partial Revision Right 0SRA03A 0SP90JZ Joint, Open Approach No change
Replacement of Right Hip Joint, Acetabular Surface with Ceramic Approach
HEMI - Hemi PARTREV - Partial Revision Right 0SRA03Z 0SP908Z No change
Replacement of Right Hip Joint, Acetabular Surface with Synthetic Removal of Articulating Spacer from Right Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Right 0SRA0J9 0SP90EZ Open Approach No Change
Replacement of Right Hip Joint, Acetabular Surface with Synthetic No Removal Code Not Applicable
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRA0J9 No change
Replacement of Right Hip Joint, Acetabular Surface with Synthetic Removal of Synthetic Substitute from Right Hip
HEMI - Hemi PARTREV - Partial Revision Right 0SRA0J9 0SPA0JZ Joint, Acetabular Surface, Open Approach No change
Replacement of Right Hip Joint, Acetabular Surface with Synthetic Removal of Liner from Right Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Right 0SRA0J9 0SP909Z Approach No change
Replacement of Right Hip Joint, Acetabular Surface with Synthetic Removal of Resurfacing Device from Right Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Right 0SRA0J9 0SP90BZ Open Approach No change
Replacement of Right Hip Joint, Acetabular Surface with Synthetic Approach
HEMI - Hemi PARTREV - Partial Revision Right 0SRA0J9 0SP908Z No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA0J9 0SP90JZ Joint, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA0JA 0SP90EZ Open Approach No Change
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRA0JA No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA0JA 0SPA0JZ Joint, Acetabular Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA0JA 0SP909Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA0JA 0SP90BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA0JA Replacement of Right Hip Joint, Acetabular Surface with Synthetic 0SP908Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA0JA 0SP90JZ Joint, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA0JZ 0SP90EZ Open Approach No Change
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRA0JZ No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA0JZ 0SPA0JZ Joint, Acetabular Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA0JZ 0SP909Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA0JZ 0SP90BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA0JZ Replacement of Right Hip Joint, Acetabular Surface with Synthetic 0SP908Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRA0JZ 0SP90JZ Joint, Open Approach No change
Replacement of Left Hip Joint with Metal Synthetic Substitute, Removal of Synthetic Substitute from Left Hip Joint,
TOT - Total TOTREV - Total Revision Left 0SRB019 0SPE0JZ Acetabular Surface, Open Approach No Change
TOT - Total TOTREV - Total Revision Left 0SRB019 0SPS0JZ Femoral Surface, Open Approach No Change
Replacement of Left Hip Joint with Metal Synthetic Substitute, No Removal Code Not Applicable
TOT - Total TOTPRIM - Total Primary Left 0SRB019 No change
Replacement of Left Hip Joint with Metal Synthetic Substitute, Removal of Spacer from Left Hip Joint, Open
TOT - Total TOTREV - Total Revision Left 0SRB019 0SPB08Z Approach No change
Replacement of Left Hip Joint with Metal Synthetic Substitute, Removal of Liner from Left Hip Joint, Open
Replacement of Left Hip Joint with Metal Synthetic Substitute, Removal of Resurfacing Device from Left Hip Joint,
TOT - Total TOTREV - Total Revision Left 0SRB019 0SPB0BZ Open Approach No change
Replacement of Left Hip Joint with Metal Synthetic Substitute, Removal of Articulating Spacer from Left Hip Joint,
TOT - Total TOTREV - Total Revision Left 0SRB019 0SPB0EZ Open Approach No change
TOT - Total TOTREV - Total Revision Left 0SRB019 0SPB0JZ Open Approach No change
Replacement of Left Hip Joint with Metal Synthetic Substitute, Removal of Spacer from Left Hip Joint, Open
TOT - Total TOTREV - Total Revision Left 0SRB01A 0SPB08Z Approach No change
Replacement of Left Hip Joint with Metal Synthetic Substitute, Removal of Liner from Left Hip Joint, Open
Replacement of Left Hip Joint with Metal Synthetic Substitute, Removal of Resurfacing Device from Left Hip Joint,
TOT - Total TOTREV - Total Revision Left 0SRB01A 0SPB0BZ Open Approach No change
Replacement of Left Hip Joint with Metal Synthetic Substitute, Removal of Articulating Spacer from Left Hip Joint,
TOT - Total TOTREV - Total Revision Left 0SRB01A 0SPB0EZ Open Approach No Change
TOT - Total TOTREV - Total Revision Left 0SRB01A 0SPB0JZ Open Approach No change
TOT - Total TOTREV - Total Revision Left 0SRB01A 0SPE0JZ Acetabular Surface, Open Approach No Change
TOT - Total TOTREV - Total Revision Left 0SRB01A 0SPS0JZ Femoral Surface, Open Approach No Change
Replacement of Left Hip Joint with Metal Synthetic Substitute, No Removal Code Not Applicable
TOT - Total TOTPRIM - Total Primary Left 0SRB01A No change
Replacement of Left Hip Joint with Metal Synthetic Substitute, Open Removal of Articulating Spacer from Left Hip Joint,
TOT - Total TOTREV - Total Revision Left 0SRB01Z 0SPB0EZ Open Approach No Change
Approach
Replacement of Left Hip Joint with Metal Synthetic Substitute, Open Removal of Synthetic Substitute from Left Hip Joint,
TOT - Total TOTREV - Total Revision Left 0SRB01Z 0SPE0JZ Acetabular Surface, Open Approach No Change
Approach
TOT - Total TOTREV - Total Revision Left 0SRB01Z 0SPS0JZ Femoral Surface, Open Approach No Change
Approach
Replacement of Left Hip Joint with Metal Synthetic Substitute, Open No Removal Code Not Applicable
TOT - Total TOTPRIM - Total Primary Left 0SRB01Z No change
Approach Needed
Replacement of Left Hip Joint with Metal Synthetic Substitute, Open Removal of Spacer from Left Hip Joint, Open
TOT - Total TOTREV - Total Revision Left 0SRB01Z 0SPB08Z Approach No change
Approach
Replacement of Left Hip Joint with Metal Synthetic Substitute, Open Removal of Liner from Left Hip Joint, Open
Approach
Replacement of Left Hip Joint with Metal Synthetic Substitute, Open Removal of Resurfacing Device from Left Hip Joint,
TOT - Total TOTREV - Total Revision Left 0SRB01Z 0SPB0BZ Open Approach No change
Approach
TOT - Total TOTREV - Total Revision Left 0SRB01Z 0SPB0JZ Open Approach No change
Approach
Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Removal of Articulating Spacer from Left Hip Joint,
TOT - Total TOTREV - Total Revision Left 0SRB029 0SPB0EZ Open Approach No Change
Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Removal of Synthetic Substitute from Left Hip Joint,
Replacement of Left Hip Joint with Metal on Polyethylene Synthetic No Removal Code Not Applicable
Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Removal of Spacer from Left Hip Joint, Open
Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Removal of Liner from Left Hip Joint, Open
Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Removal of Resurfacing Device from Left Hip Joint,
Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Removal of Articulating Spacer from Left Hip Joint,
Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Removal of Synthetic Substitute from Left Hip Joint,
Replacement of Left Hip Joint with Ceramic Synthetic Substitute, No Removal Code Not Applicable
Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Removal of Spacer from Left Hip Joint, Open
Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Removal of Liner from Left Hip Joint, Open
Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Removal of Resurfacing Device from Left Hip Joint,
Open Approach
Open Approach
Open Approach
Open Approach
Open Approach
Open Approach
Open Approach
Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Removal of Articulating Spacer from Left Hip Joint,
Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Removal of Synthetic Substitute from Left Hip Joint,
Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic No Removal Code Not Applicable
Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Removal of Spacer from Left Hip Joint, Open
Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Removal of Liner from Left Hip Joint, Open
Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Removal of Resurfacing Device from Left Hip Joint,
Removal of Spacer from Left Hip Joint, Open
TOT - Total TOTREV - Total Revision Left 0SRB069 Replacement of Left Hip Joint with Oxidized Zirconium on 0SPB08Z Approach No Change
Removal of Liner from Left Hip Joint, Open

TOT - Total TOTREV - Total Revision Left 0SRB069 Replacement of Left Hip Joint with Oxidized Zirconium on 0SPB09Z Approach No Change
Removal of Resurfacing Device from Left Hip Joint,

TOT - Total TOTREV - Total Revision Left 0SRB069 Replacement of Left Hip Joint with Oxidized Zirconium on 0SPB0BZ Open Approach No Change
Removal of Articulating Spacer from Left Hip Joint,

Replacement of Left Hip Joint with Oxidized Zirconium on Open Approach
TOT - Total TOTREV - Total Revision Left 0SRB069 0SPB0EZ No Change
Removal of Synthetic Substitute from Left Hip Joint,

Replacement of Left Hip Joint with Oxidized Zirconium on Acetabular Surface, Open Approach
TOT - Total TOTREV - Total Revision Left 0SRB069 0SPE0JZ No Change

Replacement of Left Hip Joint with Oxidized Zirconium on Femoral Surface, Open Approach
TOT - Total TOTREV - Total Revision Left 0SRB069 0SPS0JZ No Change
Not Applicable
Replacement of Left Hip Joint with Oxidized Zirconium on No Removal Code
Polyethylene Synthetic Substitute, Cemented, Open Approach Needed

TOT - Total TOTREV - Total Revision Left 0SRB069 0SPB0JZ No change

Replacement of Left Hip Joint with Oxidized Zirconium on Approach
TOT - Total TOTREV - Total Revision Left 0SRB06A 0SPB08Z No Change

Replacement of Left Hip Joint with Oxidized Zirconium on Approach
TOT - Total TOTREV - Total Revision Left 0SRB06A 0SPB09Z No Change

TOT - Total TOTREV - Total Revision Left 0SRB06A Replacement of Left Hip Joint with Oxidized Zirconium on 0SPB0BZ Open Approach No Change

TOT - Total TOTREV - Total Revision Left 0SRB06A Replacement of Left Hip Joint with Oxidized Zirconium on 0SPB0EZ Open Approach No Change
Replacement of Left Hip Joint with Oxidized Zirconium on Acetabular Surface, Open Approach
TOT - Total TOTREV - Total Revision Left 0SRB06A 0SPE0JZ No Change

Replacement of Left Hip Joint with Oxidized Zirconium on Femoral Surface, Open Approach
TOT - Total TOTREV - Total Revision Left 0SRB06A 0SPS0JZ No Change
Not Applicable
Replacement of Left Hip Joint with Oxidized Zirconium on No Removal Code
Polyethylene Synthetic Substitute, Uncemented, Open Approach Needed

TOT - Total TOTREV - Total Revision Left 0SRB06A 0SPB0JZ No change
Replacement of Left Hip Joint with Oxidized Zirconium on Removal of Spacer from Left Hip Joint, Open
TOT - Total TOTREV - Total Revision Left 0SRB06Z 0SPB08Z Approach No Change
Replacement of Left Hip Joint with Oxidized Zirconium on Removal of Liner from Left Hip Joint, Open
TOT - Total TOTREV - Total Revision Left 0SRB06Z 0SPB09Z Approach No Change
Replacement of Left Hip Joint with Oxidized Zirconium on Removal of Resurfacing Device from Left Hip Joint,
TOT - Total TOTREV - Total Revision Left 0SRB06Z 0SPB0BZ Open Approach No Change
Replacement of Left Hip Joint with Oxidized Zirconium on Removal of Articulating Spacer from Left Hip Joint,
Replacement of Left Hip Joint with Oxidized Zirconium on Removal of Synthetic Substitute from Left Hip Joint,
Replacement of Left Hip Joint with Oxidized Zirconium on No Removal Code Not Applicable
Polyethylene Synthetic Substitute, Open Approach Needed
Replacement of Left Hip Joint with Synthetic Substitute, Cemented, Removal of Articulating Spacer from Left Hip Joint,
TOT - Total TOTREV - Total Revision Left 0SRB0J9 0SPB0EZ Open Approach No Change
Open Approach
Replacement of Left Hip Joint with Synthetic Substitute, Cemented, Removal of Synthetic Substitute from Left Hip Joint,
TOT - Total TOTREV - Total Revision Left 0SRB0J9 0SPE0JZ Acetabular Surface, Open Approach No Change
Open Approach
TOT - Total TOTREV - Total Revision Left 0SRB0J9 0SPS0JZ Femoral Surface, Open Approach No Change
Open Approach
Replacement of Left Hip Joint with Synthetic Substitute, Cemented, No Removal Code Not Applicable
TOT - Total TOTPRIM - Total Primary Left 0SRB0J9 No change
Replacement of Left Hip Joint with Synthetic Substitute, Cemented, Removal of Spacer from Left Hip Joint, Open
TOT - Total TOTREV - Total Revision Left 0SRB0J9 0SPB08Z Approach No change
Open Approach
Replacement of Left Hip Joint with Synthetic Substitute, Cemented, Removal of Liner from Left Hip Joint, Open
TOT - Total TOTREV - Total Revision Left 0SRB0J9 0SPB09Z Approach No change
Open Approach
Replacement of Left Hip Joint with Synthetic Substitute, Cemented, Removal of Resurfacing Device from Left Hip Joint,
TOT - Total TOTREV - Total Revision Left 0SRB0J9 0SPB0BZ Open Approach No change
Open Approach
TOT - Total TOTREV - Total Revision Left 0SRB0J9 0SPB0JZ Open Approach No change
Open Approach
Replacement of Left Hip Joint with Synthetic Substitute, Removal of Articulating Spacer from Left Hip Joint,
TOT - Total TOTREV - Total Revision Left 0SRB0JA 0SPB0EZ Open Approach No Change
Replacement of Left Hip Joint with Synthetic Substitute, Removal of Synthetic Substitute from Left Hip Joint,
TOT - Total TOTREV - Total Revision Left 0SRB0JA 0SPE0JZ Acetabular Surface, Open Approach No Change
TOT - Total TOTREV - Total Revision Left 0SRB0JA 0SPS0JZ Femoral Surface, Open Approach No Change
Replacement of Left Hip Joint with Synthetic Substitute, No Removal Code Not Applicable
TOT - Total TOTPRIM - Total Primary Left 0SRB0JA No change
Replacement of Left Hip Joint with Synthetic Substitute, Removal of Spacer from Left Hip Joint, Open
TOT - Total TOTREV - Total Revision Left 0SRB0JA 0SPB08Z Approach No change
Replacement of Left Hip Joint with Synthetic Substitute, Removal of Liner from Left Hip Joint, Open
TOT - Total TOTREV - Total Revision Left 0SRB0JA 0SPB09Z Approach No change
Replacement of Left Hip Joint with Synthetic Substitute, Removal of Resurfacing Device from Left Hip Joint,
TOT - Total TOTREV - Total Revision Left 0SRB0JA 0SPB0BZ Open Approach No change
TOT - Total TOTREV - Total Revision Left 0SRB0JA 0SPB0JZ Open Approach No change
Replacement of Left Hip Joint with Synthetic Substitute, Open Removal of Articulating Spacer from Left Hip Joint,
TOT - Total TOTREV - Total Revision Left 0SRB0JZ 0SPB0EZ Open Approach No Change
Approach
Replacement of Left Hip Joint with Synthetic Substitute, Open Removal of Synthetic Substitute from Left Hip Joint,
TOT - Total TOTREV - Total Revision Left 0SRB0JZ 0SPE0JZ Acetabular Surface, Open Approach No Change
Approach
TOT - Total TOTREV - Total Revision Left 0SRB0JZ 0SPS0JZ Femoral Surface, Open Approach No Change
Approach
Replacement of Left Hip Joint with Synthetic Substitute, Open No Removal Code Not Applicable
TOT - Total TOTPRIM - Total Primary Left 0SRB0JZ No change
Approach Needed
Replacement of Left Hip Joint with Synthetic Substitute, Open Removal of Spacer from Left Hip Joint, Open
TOT - Total TOTREV - Total Revision Left 0SRB0JZ 0SPB08Z Approach No change
Approach
Replacement of Left Hip Joint with Synthetic Substitute, Open Removal of Liner from Left Hip Joint, Open
TOT - Total TOTREV - Total Revision Left 0SRB0JZ 0SPB09Z Approach No change
Approach
Replacement of Left Hip Joint with Synthetic Substitute, Open Removal of Resurfacing Device from Left Hip Joint,
TOT - Total TOTREV - Total Revision Left 0SRB0JZ 0SPB0BZ Open Approach No change
Approach
TOT - Total TOTREV - Total Revision Left 0SRB0JZ 0SPB0JZ Open Approach No change
Approach
Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Open Approach
HEMI - Hemi PARTREV - Partial Revision Left 0SRE009 0SPB0EZ No Change
Not Applicable
Replacement of Left Hip Joint, Acetabular Surface with Polyethylene No Removal Code
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRE009 No change

HEMI - Hemi PARTREV - Partial Revision Left 0SRE009 Replacement of Left Hip Joint, Acetabular Surface with Polyethylene 0SPB08Z Approach No change

HEMI - Hemi PARTREV - Partial Revision Left 0SRE009 Replacement of Left Hip Joint, Acetabular Surface with Polyethylene 0SPB09Z Approach No change

HEMI - Hemi PARTREV - Partial Revision Left 0SRE009 Replacement of Left Hip Joint, Acetabular Surface with Polyethylene 0SPB0BZ Open Approach No change

HEMI - Hemi PARTREV - Partial Revision Left 0SRE009 Replacement of Left Hip Joint, Acetabular Surface with Polyethylene 0SPB0JZ Open Approach No change

HEMI - Hemi PARTREV - Partial Revision Left 0SRE009 Replacement of Left Hip Joint, Acetabular Surface with Polyethylene 0SPE0JZ Acetabular Surface, Open Approach No change

HEMI - Hemi PARTREV - Partial Revision Left 0SRE00A Replacement of Left Hip Joint, Acetabular Surface with Polyethylene 0SPB0EZ Open Approach No Change
Not Applicable
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRE00A Replacement of Left Hip Joint, Acetabular Surface with Polyethylene No Removal Code No change

Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Approach
HEMI - Hemi PARTREV - Partial Revision Left 0SRE00A 0SPB08Z No change

Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Approach
HEMI - Hemi PARTREV - Partial Revision Left 0SRE00A 0SPB09Z No change

HEMI - Hemi PARTREV - Partial Revision Left 0SRE00A 0SPB0BZ No change

HEMI - Hemi PARTREV - Partial Revision Left 0SRE00A 0SPB0JZ No change

Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Acetabular Surface, Open Approach
HEMI - Hemi PARTREV - Partial Revision Left 0SRE00A 0SPE0JZ No change
Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Removal of Articulating Spacer from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRE00Z 0SPB0EZ Open Approach No Change
Replacement of Left Hip Joint, Acetabular Surface with Polyethylene No Removal Code Not Applicable
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRE00Z No change
Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Removal of Spacer from Left Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Left 0SRE00Z 0SPB08Z Approach No change
Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Removal of Liner from Left Hip Joint, Open
Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Removal of Resurfacing Device from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRE00Z 0SPB0BZ Open Approach No change
Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Removal of Synthetic Substitute from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRE00Z 0SPB0JZ Open Approach No change
Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Removal of Synthetic Substitute from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRE00Z 0SPE0JZ Acetabular Surface, Open Approach No change
Replacement of Left Hip Joint, Acetabular Surface with Metal Removal of Articulating Spacer from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRE019 0SPB0EZ Open Approach No Change
Replacement of Left Hip Joint, Acetabular Surface with Metal No Removal Code Not Applicable
Replacement of Left Hip Joint, Acetabular Surface with Metal Removal of Spacer from Left Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Left 0SRE019 0SPB08Z Approach No change
Replacement of Left Hip Joint, Acetabular Surface with Metal Removal of Liner from Left Hip Joint, Open
Replacement of Left Hip Joint, Acetabular Surface with Metal Removal of Resurfacing Device from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRE019 0SPB0BZ Open Approach No change
Replacement of Left Hip Joint, Acetabular Surface with Metal Removal of Synthetic Substitute from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRE019 0SPB0JZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE019 0SPE0JZ Acetabular Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE01A 0SPB0EZ Open Approach No Change
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRE01A No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE01A 0SPB08Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE01A 0SPB0BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE01A 0SPE0JZ Acetabular Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE01A 0SPB0JZ Open Approach No change
Replacement of Left Hip Joint, Acetabular Surface with Ceramic Removal of Articulating Spacer from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRE039 0SPB0EZ Open Approach No Change
Replacement of Left Hip Joint, Acetabular Surface with Ceramic No Removal Code Not Applicable
Replacement of Left Hip Joint, Acetabular Surface with Ceramic Removal of Spacer from Left Hip Joint, Open
Replacement of Left Hip Joint, Acetabular Surface with Ceramic Removal of Liner from Left Hip Joint, Open
Replacement of Left Hip Joint, Acetabular Surface with Ceramic Removal of Resurfacing Device from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRE039 0SPB0BZ Open Approach No change
Replacement of Left Hip Joint, Acetabular Surface with Ceramic Removal of Synthetic Substitute from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRE039 0SPB0JZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE039 0SPE0JZ Acetabular Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE03A 0SPB0EZ Open Approach No Change
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRE03A No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE03A 0SPB0BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE03A 0SPB0JZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE03A 0SPE0JZ Acetabular Surface, Open Approach No change
Replacement of Left Hip Joint, Acetabular Surface with Synthetic Removal of Articulating Spacer from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRE0J9 0SPB0EZ Open Approach No Change
Replacement of Left Hip Joint, Acetabular Surface with Synthetic No Removal Code Not Applicable
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRE0J9 No change
Replacement of Left Hip Joint, Acetabular Surface with Synthetic Removal of Spacer from Left Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Left 0SRE0J9 0SPB08Z Approach No change
Replacement of Left Hip Joint, Acetabular Surface with Synthetic Removal of Liner from Left Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Left 0SRE0J9 0SPB09Z Approach No change
Replacement of Left Hip Joint, Acetabular Surface with Synthetic Removal of Resurfacing Device from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRE0J9 0SPB0BZ Open Approach No change
Replacement of Left Hip Joint, Acetabular Surface with Synthetic Removal of Synthetic Substitute from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRE0J9 0SPB0JZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE0J9 0SPE0JZ Acetabular Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE0JA 0SPB0EZ Open Approach No Change
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRE0JA No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE0JA 0SPB08Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE0JA 0SPB09Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE0JA 0SPB0BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE0JA 0SPB0JZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE0JA 0SPE0JZ Acetabular Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE0JZ 0SPB0EZ Open Approach No Change
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRE0JZ No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE0JZ 0SPB08Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE0JZ 0SPB09Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE0JZ 0SPB0BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE0JZ 0SPB0JZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRE0JZ 0SPE0JZ Acetabular Surface, Open Approach No change
Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Removal of Articulating Spacer from Right Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Right 0SRR019 0SP90EZ Open Approach No Change
Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic No Removal Code Not Applicable
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRR019 No change
Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Removal of Synthetic Substitute from Right Hip
HEMI - Hemi PARTREV - Partial Revision Right 0SRR019 0SPR0JZ Joint, Femoral Surface, Open Approach No change
Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Removal of Liner from Right Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Right 0SRR019 0SP909Z Approach No change
Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Removal of Resurfacing Device from Right Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Right 0SRR019 0SP90BZ Open Approach No change
Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Removal of Spacer from Right Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Right 0SRR019 0SP90JZ Joint, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR01A 0SP90EZ Open Approach No Change
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRR01A No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR01A 0SPR0JZ Joint, Femoral Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR01A 0SP909Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR01A 0SP90BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR01A 0SP90JZ Joint, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR01Z 0SP90EZ Open Approach No Change
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRR01Z No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR01Z 0SPR0JZ Joint, Femoral Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR01Z 0SP909Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR01Z 0SP90BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR01Z 0SP90JZ Joint, Open Approach No change
Replacement of Right Hip Joint, Femoral Surface with Ceramic Removal of Articulating Spacer from Right Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Right 0SRR039 0SP90EZ Open Approach No Change
Replacement of Right Hip Joint, Femoral Surface with Ceramic No Removal Code Not Applicable
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRR039 No change
Replacement of Right Hip Joint, Femoral Surface with Ceramic Removal of Synthetic Substitute from Right Hip
HEMI - Hemi PARTREV - Partial Revision Right 0SRR039 0SPR0JZ Joint, Femoral Surface, Open Approach No change
Replacement of Right Hip Joint, Femoral Surface with Ceramic Removal of Liner from Right Hip Joint, Open
Replacement of Right Hip Joint, Femoral Surface with Ceramic Removal of Resurfacing Device from Right Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Right 0SRR039 0SP90BZ Open Approach No change
Replacement of Right Hip Joint, Femoral Surface with Ceramic Removal of Spacer from Right Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Right 0SRR039 0SP90JZ Joint, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR03A 0SP90EZ Open Approach No Change
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRR03A No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR03A 0SPR0JZ Joint, Femoral Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR03A 0SP90BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR03A 0SP90JZ Joint, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR03Z 0SP90EZ Open Approach No Change
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRR03Z No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR03Z 0SPR0JZ Joint, Femoral Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR03Z 0SP90BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR03Z 0SP90JZ Joint, Open Approach No change
Replacement of Right Hip Joint, Femoral Surface with Synthetic Removal of Articulating Spacer from Right Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Right 0SRR0J9 0SP90EZ Open Approach No Change
Replacement of Right Hip Joint, Femoral Surface with Synthetic No Removal Code Not Applicable
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRR0J9 No change
Replacement of Right Hip Joint, Femoral Surface with Synthetic Removal of Synthetic Substitute from Right Hip
HEMI - Hemi PARTREV - Partial Revision Right 0SRR0J9 0SPR0JZ Joint, Femoral Surface, Open Approach No change
Replacement of Right Hip Joint, Femoral Surface with Synthetic Removal of Liner from Right Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Right 0SRR0J9 0SP909Z Approach No change
Replacement of Right Hip Joint, Femoral Surface with Synthetic Removal of Resurfacing Device from Right Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Right 0SRR0J9 0SP90BZ Open Approach No change
Replacement of Right Hip Joint, Femoral Surface with Synthetic Removal of Spacer from Right Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Right 0SRR0J9 0SP908Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR0J9 0SP90JZ Joint, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR0JA 0SP90EZ Open Approach No Change
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRR0JA No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR0JA 0SPR0JZ Joint, Femoral Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR0JA 0SP909Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR0JA 0SP90BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR0JA 0SP908Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR0JA 0SP90JZ Joint, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR0JZ 0SP90EZ Open Approach No Change
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRR0JZ No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR0JZ 0SPR0JZ Joint, Femoral Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR0JZ 0SP909Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR0JZ 0SP90BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR0JZ 0SP908Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SRR0JZ 0SP90JZ Joint, Open Approach No change
Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Removal of Articulating Spacer from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRS019 0SPB0EZ Open Approach No Change
Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic No Removal Code Not Applicable
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRS019 No change
Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Removal of Spacer from Left Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Left 0SRS019 0SPB08Z Approach No change
Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Removal of Liner from Left Hip Joint, Open
Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Removal of Resurfacing Device from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRS019 0SPB0BZ Open Approach No change
Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Removal of Synthetic Substitute from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRS019 0SPB0JZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS019 0SPS0JZ Femoral Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS01A 0SPB0EZ Open Approach No Change
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRS01A No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS01A 0SPB08Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS01A 0SPB0BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS01A 0SPB0JZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS01A 0SPS0JZ Femoral Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS01Z 0SPB0EZ Open Approach No Change
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRS01Z No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS01Z 0SPB08Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS01Z 0SPB0BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS01Z 0SPB0JZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS01Z 0SPS0JZ Femoral Surface, Open Approach No change
Replacement of Left Hip Joint, Femoral Surface with Ceramic Removal of Articulating Spacer from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRS039 0SPB0EZ Open Approach No Change
Replacement of Left Hip Joint, Femoral Surface with Ceramic No Removal Code Not Applicable
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRS039 No change
Replacement of Left Hip Joint, Femoral Surface with Ceramic Removal of Spacer from Left Hip Joint, Open
Replacement of Left Hip Joint, Femoral Surface with Ceramic Removal of Liner from Left Hip Joint, Open
Replacement of Left Hip Joint, Femoral Surface with Ceramic Removal of Resurfacing Device from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRS039 0SPB0BZ Open Approach No change
Replacement of Left Hip Joint, Femoral Surface with Ceramic Removal of Synthetic Substitute from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRS039 0SPB0JZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS039 0SPS0JZ Femoral Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS03A 0SPB0EZ Open Approach No Change
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRS03A No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS03A 0SPB0BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS03A 0SPB0JZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS03A 0SPS0JZ Femoral Surface, Open Approach No change
Replacement of Left Hip Joint, Femoral Surface with Ceramic Removal of Articulating Spacer from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRS03Z 0SPB0EZ Open Approach No Change
Replacement of Left Hip Joint, Femoral Surface with Ceramic No Removal Code Not Applicable
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRS03Z No change
Replacement of Left Hip Joint, Femoral Surface with Ceramic Removal of Spacer from Left Hip Joint, Open
Replacement of Left Hip Joint, Femoral Surface with Ceramic Removal of Liner from Left Hip Joint, Open
Replacement of Left Hip Joint, Femoral Surface with Ceramic Removal of Resurfacing Device from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRS03Z 0SPB0BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS03Z 0SPB0JZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS03Z 0SPS0JZ Femoral Surface, Open Approach No change
Replacement of Left Hip Joint, Femoral Surface with Synthetic Removal of Articulating Spacer from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRS0J9 0SPB0EZ Open Approach No Change
Replacement of Left Hip Joint, Femoral Surface with Synthetic No Removal Code Not Applicable
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRS0J9 No change
Replacement of Left Hip Joint, Femoral Surface with Synthetic Removal of Spacer from Left Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Left 0SRS0J9 0SPB08Z Approach No change
Replacement of Left Hip Joint, Femoral Surface with Synthetic Removal of Liner from Left Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Left 0SRS0J9 0SPB09Z Approach No change
Replacement of Left Hip Joint, Femoral Surface with Synthetic Removal of Resurfacing Device from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRS0J9 0SPB0BZ Open Approach No change
Replacement of Left Hip Joint, Femoral Surface with Synthetic Removal of Synthetic Substitute from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SRS0J9 0SPB0JZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS0J9 0SPS0JZ Femoral Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS0JA 0SPB0EZ Open Approach No Change
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRS0JA No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS0JA 0SPB08Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS0JA 0SPB09Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS0JA 0SPB0BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS0JA 0SPB0JZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS0JA 0SPS0JZ Femoral Surface, Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS0JZ 0SPB0EZ Open Approach No Change
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRS0JZ No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS0JZ 0SPB08Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS0JZ 0SPB09Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS0JZ 0SPB0BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS0JZ 0SPB0JZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SRS0JZ 0SPS0JZ Femoral Surface, Open Approach No change
No Removal Code Not Applicable
HEMI - Hemi PARTPRIM - Partial Primary Right 0SU909Z Supplement Right Hip Joint with Liner, Open Approach No Change
Needed
HEMI - Hemi PARTREV - Partial Revision Right 0SU909Z Supplement Right Hip Joint with Liner, Open Approach 0SP90EZ Open Approach No Change
HEMI - Hemi PARTREV - Partial Revision Right 0SU909Z Supplement Right Hip Joint with Liner, Open Approach 0SP909Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SU909Z Supplement Right Hip Joint with Liner, Open Approach 0SP90BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SU909Z Supplement Right Hip Joint with Liner, Open Approach 0SP908Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Right 0SU909Z Supplement Right Hip Joint with Liner, Open Approach 0SP90JZ Joint, Open Approach No change
RES - Resurfacing PARTREV - Partial Revision Right 0SU90BZ Supplement Right Hip Joint with Resurfacing Device, Open Approach 0SP909Z Open Approach No Change
RES - Resurfacing PARTREV - Partial Revision Right 0SU90BZ Supplement Right Hip Joint with Resurfacing Device, Open Approach 0SP90BZ Open Approach No Change
RES - Resurfacing PARTREV - Partial Revision Right 0SU90BZ Supplement Right Hip Joint with Resurfacing Device, Open Approach 0SP908Z Approach No Change
RES - Resurfacing PARTREV - Partial Revision Right 0SU90BZ Supplement Right Hip Joint with Resurfacing Device, Open Approach 0SP90EZ Joint, Open Approach No Change
RES - Resurfacing PARTREV - Partial Revision Right 0SU90BZ Supplement Right Hip Joint with Resurfacing Device, Open Approach 0SP90JZ Approach No Change

RES - Resurfacing PARTPRIM - Partial Primary Right 0SU90BZ Supplement Right Hip Joint with Resurfacing Device, Open Approach No change
Needed
Supplement Right Hip Joint, Acetabular Surface with Liner, Open No Removal Code Not Applicable
HEMI - Hemi PARTPRIM - Partial Primary Right 0SUA09Z No Change
Approach Needed
Supplement Right Hip Joint, Acetabular Surface with Liner, Open Removal of Articulating Spacer from Right Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Right 0SUA09Z 0SP90EZ Open Approach No Change
Approach
Supplement Right Hip Joint, Acetabular Surface with Liner, Open Removal of Liner from Right Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Right 0SUA09Z 0SP909Z Approach No change
Approach
Supplement Right Hip Joint, Acetabular Surface with Liner, Open Removal of Resurfacing Device from Right Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Right 0SUA09Z 0SP90BZ Open Approach No change
Approach
Supplement Right Hip Joint, Acetabular Surface with Liner, Open Removal of Spacer from Right Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Right 0SUA09Z 0SP908Z Approach No change
Approach
Supplement Right Hip Joint, Acetabular Surface with Liner, Open Removal of Synthetic Substitute from Right Hip
HEMI - Hemi PARTREV - Partial Revision Right 0SUA09Z 0SP90JZ Joint, Open Approach No change
Approach
Supplement Right Hip Joint, Acetabular Surface with Resurfacing Removal of Resurfacing Device from Right Hip Joint,
RES - Resurfacing PARTREV - Partial Revision Right 0SUA0BZ 0SP90BZ Open Approach No Change
Device, Open Approach
Supplement Right Hip Joint, Acetabular Surface with Resurfacing Removal of Synthetic Substitute from Right Hip
RES - Resurfacing PARTREV - Partial Revision Right 0SUA0BZ 0SP90JZ Joint, Open Approach No Change
Supplement Right Hip Joint, Acetabular Surface with Resurfacing Removal of Synthetic Substitute from Right Hip
RES - Resurfacing PARTREV - Partial Revision Right 0SUA0BZ 0SPA0JZ Joint, Acetabular Surface, Open Approach No Change
Supplement Right Hip Joint, Acetabular Surface with Resurfacing No Removal Code Not Applicable
RES - Resurfacing PARTPRIM - Partial Primary Right 0SUA0BZ No change
Device, Open Approach Needed
HEMI - Hemi PARTPRIM - Partial Primary Left 0SUB09Z Supplement Left Hip Joint with Liner, Open Approach No Change
Needed
HEMI - Hemi PARTREV - Partial Revision Left 0SUB09Z Supplement Left Hip Joint with Liner, Open Approach 0SPB0EZ Open Approach No Change
HEMI - Hemi PARTREV - Partial Revision Left 0SUB09Z Supplement Left Hip Joint with Liner, Open Approach 0SPB09Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SUB09Z Supplement Left Hip Joint with Liner, Open Approach 0SPB0BZ Open Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SUB09Z Supplement Left Hip Joint with Liner, Open Approach 0SPB08Z Approach No change
HEMI - Hemi PARTREV - Partial Revision Left 0SUB09Z Supplement Left Hip Joint with Liner, Open Approach 0SPB0JZ Open Approach No change
RES - Resurfacing PARTREV - Partial Revision Left 0SUB0BZ Supplement Left Hip Joint with Resurfacing Device, Open Approach 0SPB09Z Approach No Change
RES - Resurfacing PARTREV - Partial Revision Left 0SUB0BZ Supplement Left Hip Joint with Resurfacing Device, Open Approach 0SPB0BZ Open Approach No Change
RES - Resurfacing PARTREV - Partial Revision Left 0SUB0BZ Supplement Left Hip Joint with Resurfacing Device, Open Approach 0SPB08Z Approach No Change
RES - Resurfacing PARTREV - Partial Revision Left 0SUB0BZ Supplement Left Hip Joint with Resurfacing Device, Open Approach 0SPB0EZ Open Approach No Change
RES - Resurfacing PARTREV - Partial Revision Left 0SUB0BZ Supplement Left Hip Joint with Resurfacing Device, Open Approach 0SPB0JZ Open Approach No Change

RES - Resurfacing PARTPRIM - Partial Primary Left 0SUB0BZ Supplement Left Hip Joint with Resurfacing Device, Open Approach No change
Needed
Supplement Left Hip Joint, Acetabular Surface with Liner, Open No Removal Code Not Applicable
HEMI - Hemi PARTPRIM - Partial Primary Left 0SUE09Z No Change
Approach Needed
Supplement Left Hip Joint, Acetabular Surface with Liner, Open Removal of Articulating Spacer from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SUE09Z 0SPB0EZ Open Approach No Change
Approach
Supplement Left Hip Joint, Acetabular Surface with Liner, Open Removal of Spacer from Left Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Left 0SUE09Z 0SPB08Z Approach No change
Approach
Supplement Left Hip Joint, Acetabular Surface with Liner, Open Removal of Liner from Left Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Left 0SUE09Z 0SPB09Z Approach No change
Approach
Supplement Left Hip Joint, Acetabular Surface with Liner, Open Removal of Resurfacing Device from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SUE09Z 0SPB0BZ Open Approach No change
Approach
Supplement Left Hip Joint, Acetabular Surface with Liner, Open Removal of Synthetic Substitute from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SUE09Z 0SPB0JZ Open Approach No change
Approach
Supplement Left Hip Joint, Acetabular Surface with Resurfacing Removal of Resurfacing Device from Left Hip Joint,
RES - Resurfacing PARTREV - Partial Revision Left 0SUE0BZ 0SPB0BZ Open Approach No Change
Supplement Left Hip Joint, Acetabular Surface with Resurfacing Removal of Synthetic Substitute from Left Hip Joint,
RES - Resurfacing PARTREV - Partial Revision Left 0SUE0BZ 0SPB0JZ Open Approach No Change
Supplement Left Hip Joint, Acetabular Surface with Resurfacing Removal of Synthetic Substitute from Left Hip Joint,
RES - Resurfacing PARTREV - Partial Revision Left 0SUE0BZ 0SPE0JZ Acetabular Surface, Open Approach No Change
Supplement Left Hip Joint, Acetabular Surface with Resurfacing No Removal Code Not Applicable
RES - Resurfacing PARTPRIM - Partial Primary Left 0SUE0BZ No change
Device, Open Approach Needed
Supplement Right Hip Joint, Femoral Surface with Liner, Open No Removal Code Not Applicable
HEMI - Hemi PARTPRIM - Partial Primary Right 0SUR09Z No Change
Approach Needed
Supplement Right Hip Joint, Femoral Surface with Liner, Open Removal of Articulating Spacer from Right Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Right 0SUR09Z 0SP90EZ Open Approach No Change
Approach
Supplement Right Hip Joint, Femoral Surface with Liner, Open Removal of Spacer from Right Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Right 0SUR09Z 0SP908Z Approach No change
Approach
Supplement Right Hip Joint, Femoral Surface with Liner, Open Removal of Liner from Right Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Right 0SUR09Z 0SP909Z Approach No change
Approach
Supplement Right Hip Joint, Femoral Surface with Liner, Open Removal of Resurfacing Device from Right Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Right 0SUR09Z 0SP90BZ Open Approach No change
Approach
Supplement Right Hip Joint, Femoral Surface with Liner, Open Removal of Synthetic Substitute from Right Hip
HEMI - Hemi PARTREV - Partial Revision Right 0SUR09Z 0SP90JZ No change
Approach Joint, Open Approach
Supplement Right Hip Joint, Femoral Surface with Resurfacing Device, Removal of Articulating Spacer from Right Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Right 0SUR0BZ 0SP90EZ Open Approach No Change
Open Approach
Supplement Right Hip Joint, Femoral Surface with Resurfacing Device, No Removal Code Not Applicable
RES - Resurfacing PARTPRIM - Partial Primary Right 0SUR0BZ No change
RES - Resurfacing PARTREV - Partial Revision Right 0SUR0BZ Supplement Right Hip Joint, Femoral Surface with Resurfacing Device, 0SP90JZ Removal of Synthetic Substitute from Right Hip No change
Open Approach Joint, Open Approach
Supplement Right Hip Joint, Femoral Surface with Resurfacing Device, Removal of Resurfacing Device from Right Hip Joint,
RES - Resurfacing PARTREV - Partial Revision Right 0SUR0BZ 0SP90BZ Open Approach No change
Open Approach
Supplement Left Hip Joint, Femoral Surface with Liner, Open No Removal Code Not Applicable
HEMI - Hemi PARTPRIM - Partial Primary Left 0SUS09Z No Change
Approach Needed
Supplement Left Hip Joint, Femoral Surface with Liner, Open Removal of Articulating Spacer from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SUS09Z 0SPB0EZ Open Approach No Change
Approach
Supplement Left Hip Joint, Femoral Surface with Liner, Open Removal of Spacer from Left Hip Joint, Open
HEMI - Hemi PARTREV - Partial Revision Left 0SUS09Z 0SPB08Z Approach No change
Approach
HEMI - Hemi PARTREV - Partial Revision Left 0SUS09Z Supplement Left Hip Joint, Femoral Surface with Liner, Open 0SPB09Z Approach No change
Approach
Supplement Left Hip Joint, Femoral Surface with Liner, Open Removal of Resurfacing Device from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SUS09Z 0SPB0BZ Open Approach No change
Approach
Supplement Left Hip Joint, Femoral Surface with Liner, Open Removal of Synthetic Substitute from Left Hip Joint,
HEMI - Hemi PARTREV - Partial Revision Left 0SUS09Z 0SPB0JZ Open Approach No change
Approach
Supplement Left Hip Joint, Femoral Surface with Resurfacing Device, Removal of Articulating Spacer from Left Hip Joint,
RES - Resurfacing PARTREV - Partial Revision Left 0SUS0BZ 0SPB0EZ Open Approach No Change
Open Approach
Supplement Left Hip Joint, Femoral Surface with Resurfacing Device, No Removal Code Not Applicable
RES - Resurfacing PARTPRIM - Partial Primary Left 0SUS0BZ No change
Supplement Left Hip Joint, Femoral Surface with Resurfacing Device, Removal of Resurfacing Device from Left Hip Joint,
RES - Resurfacing PARTREV - Partial Revision Left 0SUS0BZ 0SPB0BZ Open Approach No change
Open Approach
Supplement Left Hip Joint, Femoral Surface with Resurfacing Device, Removal of Synthetic Substitute from Left Hip Joint,
RES - Resurfacing PARTREV - Partial Revision Left 0SUS0BZ 0SPB0JZ Open Approach No change
Open Approach
RES - Resurfacing PARTREV - Partial Revision Right 0SW90BZ Revision of Resurfacing Device in Right Hip Joint, Open Approach No change
Needed
TOT - Total TOTREV - Total Revision Right 0SW90JZ Revision of Synthetic Substitute in Right Hip Joint, Open Approach No change
Needed
Revision of Synthetic Substitute in Right Hip Joint, Acetabular No Removal Code Not Applicable
HEMI - Hemi PARTREV - Partial Revision Right 0SWA0JZ No change
Surface, Open Approach Needed
RES - Resurfacing PARTREV - Partial Revision Left 0SWB0BZ Revision of Resurfacing Device in Left Hip Joint, Open Approach No change
Needed
TOT - Total TOTREV - Total Revision Left 0SWB0JZ Revision of Synthetic Substitute in Left Hip Joint, Open Approach No change
Needed
Revision of Synthetic Substitute in Left Hip Joint, Acetabular Surface, No Removal Code Not Applicable
HEMI - Hemi PARTREV - Partial Revision Left 0SWE0JZ No change
Revision of Synthetic Substitute in Right Hip Joint, Femoral Surface, No Removal Code Not Applicable
HEMI - Hemi PARTREV - Partial Revision Right 0SWR0JZ No change
Revision of Synthetic Substitute in Left Hip Joint, Femoral Surface, No Removal Code Not Applicable
HEMI - Hemi PARTREV - Partial Revision Left 0SWS0JZ No change
Knee prosthesis -- KPRO - Arthroplasty of knee - ICD-10-PCS Codes
Type of KPRO Specific Type of KPRO Laterality ICD-10 KPRO Code
HEMI - Hemi PARTPRIM - Partial Primary Left 0SUD09Z
HEMI - Hemi PARTPRIM - Partial Primary Left 0SUU09Z
HEMI - Hemi PARTREV - Partial Revision Left 0SUU09Z
HEMI - Hemi PARTPRIM - Partial Primary Left 0SUW09Z
HEMI - Hemi PARTREV - Partial Revision Left 0SUW09Z
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRD0L9
HEMI - Hemi PARTREV - Partial Revision Left 0SRD0L9
HEMI - Hemi PARTREV - Partial Revision Left 0SRD0L9
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRD0LA
HEMI - Hemi PARTREV - Partial Revision Left 0SRD0LA
HEMI - Hemi PARTREV - Partial Revision Left 0SRD0LA
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRD0LZ
HEMI - Hemi PARTREV - Partial Revision Left 0SRD0LZ
HEMI - Hemi PARTREV - Partial Revision Left 0SRD0LZ
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRD0M9
HEMI - Hemi PARTREV - Partial Revision Left 0SRD0M9
HEMI - Hemi PARTREV - Partial Revision Left 0SRD0M9
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRD0MA
HEMI - Hemi PARTREV - Partial Revision Left 0SRD0MA
HEMI - Hemi PARTREV - Partial Revision Left 0SRD0MA
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRD0MZ

HEMI - Hemi PARTREV - Partial Revision Left 0SRD0MZ
HEMI - Hemi PARTREV - Partial Revision Left 0SRD0MZ
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRD0N9
HEMI - Hemi PARTREV - Partial Revision Left 0SRD0N9
HEMI - Hemi PARTREV - Partial Revision Left 0SRD0N9
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRD0NA
HEMI - Hemi PARTREV - Partial Revision Left 0SRD0NA
HEMI - Hemi PARTREV - Partial Revision Left 0SRD0NA
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRD0NZ
HEMI - Hemi PARTREV - Partial Revision Left 0SRD0NZ
HEMI - Hemi PARTREV - Partial Revision Left 0SRD0NZ
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRU0J9
HEMI - Hemi PARTREV - Partial Revision Left 0SRU0J9
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRU0JA
HEMI - Hemi PARTREV - Partial Revision Left 0SRU0JA

HEMI - Hemi PARTPRIM - Partial Primary Left 0SRU0JZ
HEMI - Hemi PARTREV - Partial Revision Left 0SRU0JZ
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRW0J9
HEMI - Hemi PARTREV - Partial Revision Left 0SRW0J9
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRW0JA
HEMI - Hemi PARTREV - Partial Revision Left 0SRW0JA
HEMI - Hemi PARTPRIM - Partial Primary Left 0SRW0JZ
HEMI - Hemi PARTREV - Partial Revision Left 0SRW0JZ

HEMI - Hemi PARTPRIM - Partial Primary Left 0SUD09C
HEMI - Hemi PARTREV - Partial Revision Left 0SUD09C
HEMI - Hemi PARTREV - Partial Revision Left 0SUD09Z
HEMI - Hemi PARTREV - Partial Revision Left 0SWD0JC
HEMI - Hemi PARTREV - Partial Revision Left 0SWD0JZ
HEMI - Hemi PARTREV - Partial Revision Left 0SWU0JZ
HEMI - Hemi PARTREV - Partial Revision Left 0SWW0JZ
TOT - Total TOTREV - Total Revision Left 0SRD069
TOT - Total TOTREV - Total Revision Left 0SRD06A

TOT - Total TOTREV - Total Revision Left 0SRD06Z
TOT - Total TOTPRIM - Total Primary Left 0SRD069
TOT - Total TOTPRIM - Total Primary Left 0SRD06A
TOT - Total TOTPRIM - Total Primary Left 0SRD06Z
TOT - Total TOTPRIM - Total Primary Left 0SRD0J9
TOT - Total TOTREV - Total Revision Left 0SRD0J9
TOT - Total TOTPRIM - Total Primary Left 0SRD0JA
TOT - Total TOTREV - Total Revision Left 0SRD0JA
TOT - Total TOTPRIM - Total Primary Left 0SRD0JZ
TOT - Total TOTREV - Total Revision Left 0SRD0JZ

HEMI - Hemi PARTPRIM - Partial Primary Right 0SUC09Z
HEMI - Hemi PARTPRIM - Partial Primary Right 0SUT09Z
HEMI - Hemi PARTREV - Partial Revision Right 0SUT09Z
HEMI - Hemi PARTPRIM - Partial Primary Right 0SUV09Z
HEMI - Hemi PARTREV - Partial Revision Right 0SUV09Z
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRC0L9
HEMI - Hemi PARTREV - Partial Revision Right 0SRC0L9
HEMI - Hemi PARTREV - Partial Revision Right 0SRC0L9
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRC0LA
HEMI - Hemi PARTREV - Partial Revision Right 0SRC0LA
HEMI - Hemi PARTREV - Partial Revision Right 0SRC0LA
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRC0LZ
HEMI - Hemi PARTREV - Partial Revision Right 0SRC0LZ
HEMI - Hemi PARTREV - Partial Revision Right 0SRC0LZ
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRC0M9
HEMI - Hemi PARTREV - Partial Revision Right 0SRC0M9
HEMI - Hemi PARTREV - Partial Revision Right 0SRC0M9
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRC0MA
HEMI - Hemi PARTREV - Partial Revision Right 0SRC0MA
HEMI - Hemi PARTREV - Partial Revision Right 0SRC0MA

HEMI - Hemi PARTPRIM - Partial Primary Right 0SRC0MZ
HEMI - Hemi PARTREV - Partial Revision Right 0SRC0MZ
HEMI - Hemi PARTREV - Partial Revision Right 0SRC0MZ
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRC0N9
HEMI - Hemi PARTREV - Partial Revision Right 0SRC0N9
HEMI - Hemi PARTREV - Partial Revision Right 0SRC0N9
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRC0NA
HEMI - Hemi PARTREV - Partial Revision Right 0SRC0NA
HEMI - Hemi PARTREV - Partial Revision Right 0SRC0NA
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRC0NZ
HEMI - Hemi PARTREV - Partial Revision Right 0SRC0NZ
HEMI - Hemi PARTREV - Partial Revision Right 0SRC0NZ
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRT0J9
HEMI - Hemi PARTREV - Partial Revision Right 0SRT0J9
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRT0JA
HEMI - Hemi PARTREV - Partial Revision Right 0SRT0JA

HEMI - Hemi PARTPRIM - Partial Primary Right 0SRT0JZ
HEMI - Hemi PARTREV - Partial Revision Right 0SRT0JZ
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRV0J9
HEMI - Hemi PARTREV - Partial Revision Right 0SRV0J9
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRV0JA
HEMI - Hemi PARTREV - Partial Revision Right 0SRV0JA
HEMI - Hemi PARTPRIM - Partial Primary Right 0SRV0JZ
HEMI - Hemi PARTREV - Partial Revision Right 0SRV0JZ

HEMI - Hemi PARTPRIM - Partial Primary Right 0SUC09C
HEMI - Hemi PARTREV - Partial Revision Right 0SUC09C
HEMI - Hemi PARTREV - Partial Revision Right 0SUC09Z
HEMI - Hemi PARTREV - Partial Revision Right 0SWC0JC
HEMI - Hemi PARTREV - Partial Revision Right 0SWC0JZ
HEMI - Hemi PARTREV - Partial Revision Right 0SWT0JZ
HEMI - Hemi PARTREV - Partial Revision Right 0SWV0JZ
TOT - Total TOTREV - Total Revision Right 0SRC069
TOT - Total TOTREV - Total Revision Right 0SRC06A

TOT - Total TOTREV - Total Revision Right 0SRC06Z
TOT - Total TOTPRIM - Total Primary Right 0SRC069
TOT - Total TOTPRIM - Total Primary Right 0SRC06A
TOT - Total TOTPRIM - Total Primary Right 0SRC06Z
TOT - Total TOTPRIM - Total Primary Right 0SRC0J9
TOT - Total TOTREV - Total Revision Right 0SRC0J9
TOT - Total TOTPRIM - Total Primary Right 0SRC0JA
TOT - Total TOTREV - Total Revision Right 0SRC0JA
TOT - Total TOTPRIM - Total Primary Right 0SRC0JZ
TOT - Total TOTREV - Total Revision Right 0SRC0JZ


ICD-10 KPRO Code Description Removal Code
No Removal Code
Supplement Left Knee Joint with Liner, Open Approach
Needed
No Removal Code
Supplement Left Knee Joint, Femoral Surface with Liner, Open Approach
Needed
Supplement Left Knee Joint, Femoral Surface with Liner, Open Approach 0SPD0JZ
No Removal Code
Supplement Left Knee Joint, Tibial Surface with Liner, Open Approach
Needed
Supplement Left Knee Joint, Tibial Surface with Liner, Open Approach 0SPD0JZ
Replacement of Left Knee Joint with Medial Unicondylar Synthetic No Removal Code
Replacement of Left Knee Joint with Medial Unicondylar Synthetic
Substitute, Cemented, Open Approach 0SPD0JZ
Replacement of Left Knee Joint with Medial Unicondylar Synthetic 0SPD0LZ

Replacement of Left Knee Joint with Medial Unicondylar Synthetic 0SPD0JZ
Replacement of Left Knee Joint with Medial Unicondylar Synthetic 0SPD0LZ
0SPD0JZ
0SPD0LZ
Replacement of Left Knee Joint with Lateral Unicondylar Synthetic No Removal Code
Replacement of Left Knee Joint with Lateral Unicondylar Synthetic
0SPD0JZ
0SPD0MZ
0SPD0JZ
0SPD0MZ
0SPD0JZ
Replacement of Left Knee Joint with Lateral Unicondylar Synthetic 0SPD0MZ
Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, No Removal Code
Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute,
0SPD0JZ
Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, 0SPD0NZ
Uncemented, Open Approach 0SPD0JZ

Uncemented, Open Approach 0SPD0NZ
Open Approach 0SPD0JZ

Open Approach 0SPD0NZ
Replacement of Left Knee Joint, Femoral Surface with Synthetic No Removal Code
Replacement of Left Knee Joint, Femoral Surface with Synthetic
0SPD08Z
Replacement of Left Knee Joint, Femoral Surface with Synthetic 0SPD09Z
0SPD0EZ
0SPD0JZ
0SPU0JZ
0SPD08Z
0SPD09Z
0SPD0EZ
0SPD0JZ
0SPU0JZ
0SPD08Z
0SPD09Z
Replacement of Left Knee Joint, Femoral Surface with Synthetic 0SPD0EZ
0SPD0JZ
Substitute, Open Approach 0SPU0JZ
Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, No Removal Code
Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute,
0SPD08Z
0SPD09Z
Cemented, Open Approach 0SPD0EZ

0SPD0JZ
Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, 0SPW0JZ
0SPD08Z
0SPD09Z
Uncemented, Open Approach 0SPD0EZ

0SPD0JZ
0SPW0JZ
Open Approach 0SPD08Z

0SPD09Z
Open Approach
0SPD0EZ
Open Approach
Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, 0SPD0JZ
Open Approach
0SPW0JZ
Open Approach
No Removal Code
Supplement Left Knee Joint with Liner, Patellar Surface, Open Approach
Needed
Supplement Left Knee Joint with Liner, Patellar Surface, Open Approach 0SPD09Z
Supplement Left Knee Joint with Liner, Patellar Surface, Open Approach 0SPD0EZ
Supplement Left Knee Joint with Liner, Patellar Surface, Open Approach 0SPD0JC
Supplement Left Knee Joint with Liner, Open Approach 0SPD09Z
Supplement Left Knee Joint, Femoral Surface with Liner, Open Approach 0SPD09Z
Supplement Left Knee Joint, Femoral Surface with Liner, Open Approach 0SPD0EZ
Supplement Left Knee Joint, Tibial Surface with Liner, Open Approach 0SPD09Z
Supplement Left Knee Joint, Tibial Surface with Liner, Open Approach 0SPD0EZ
Revision of Synthetic Substitute from Left Knee Joint, Patellar Surface, No Removal Code
No Removal Code
Revision of Synthetic Substitute from Left Knee Joint, Open Approach
Needed
Revision of Synthetic Substitute from Left Knee Joint, Femoral Surface, No Removal Code
Revision of Synthetic Substitute from Left Knee Joint, Tibial Surface, Open No Removal Code
Approach Needed
Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene
Synthetic Substitute, Cemented, Open Approach 0SPD08Z

0SPD09Z
0SPD0EZ
Synthetic Substitute, Uncemented, Open Approach 0SPD08Z

Synthetic Substitute, Uncemented, Open Approach 0SPD09Z

0SPD0EZ
0SPD08Z
Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene 0SPD09Z
0SPD0EZ
Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene No Removal Code
Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene 0SPD0JZ
Synthetic Substitute, Uncemented, Open Approach 0SPD0JZ
0SPD0JZ
Replacement of Left Knee Joint with Synthetic Substitute, Cemented, No Removal Code
Replacement of Left Knee Joint with Synthetic Substitute, Cemented,

0SPD09Z
Open Approach
Replacement of Left Knee Joint with Synthetic Substitute, Cemented, 0SPD0EZ
Open Approach
0SPD0JZ
Open Approach
Replacement of Left Knee Joint with Synthetic Substitute, Uncemented, No Removal Code
Replacement of Left Knee Joint with Synthetic Substitute, Uncemented,
0SPD08Z
Open Approach

0SPD0EZ
Open Approach
0SPD0JZ
Open Approach
No Removal Code
Replacement of Left Knee Joint with Synthetic Substitute, Open Approach Needed
Replacement of Left Knee Joint with Synthetic Substitute, Open Approach 0SPD08Z
Replacement of Left Knee Joint with Synthetic Substitute, Open Approach 0SPD09Z
Replacement of Left Knee Joint with Synthetic Substitute, Open Approach 0SPD0EZ
Replacement of Left Knee Joint with Synthetic Substitute, Open Approach 0SPD0JZ
No Removal Code
Supplement Right Knee Joint with Liner, Open Approach
Needed
No Removal Code
Supplement Right Knee Joint, Femoral Surface with Liner, Open Approach
Needed
Supplement Right Knee Joint, Femoral Surface with Liner, Open Approach 0SPC0JC
No Removal Code
Supplement Right Knee Joint, Tibial Surface with Liner, Open Approach
Needed
Supplement Right Knee Joint, Tibial Surface with Liner, Open Approach 0SPC0JC
Replacement of Right Knee Joint with Medial Unicondylar Synthetic No Removal Code
Replacement of Right Knee Joint with Medial Unicondylar Synthetic
0SPC0JZ
0SPC0LZ
0SPC0JZ
Replacement of Right Knee Joint with Medial Unicondylar Synthetic 0SPC0LZ
0SPC0JZ
0SPC0LZ
Replacement of Right Knee Joint with Lateral Unicondylar Synthetic No Removal Code
Replacement of Right Knee Joint with Lateral Unicondylar Synthetic
0SPC0JZ
0SPC0MZ
Substitute, Uncemented, Open Approach 0SPC0JZ

0SPC0MZ
Replacement of Right Knee Joint with Lateral Unicondylar Synthetic 0SPC0JZ
0SPC0MZ
Replacement of Right Knee Joint with Patellofemoral Synthetic Substitute, No Removal Code
Replacement of Right Knee Joint with Patellofemoral Synthetic Substitute, 0SPC0JZ
Replacement of Right Knee Joint with Patellofemoral Synthetic Substitute,
0SPC0NZ
Uncemented, Open Approach 0SPC0JZ

0SPC0NZ
Open Approach 0SPC0JZ

0SPC0NZ
Open Approach
Replacement of Right Knee Joint, Femoral Surface with Synthetic No Removal Code
Replacement of Right Knee Joint, Femoral Surface with Synthetic
0SPC08Z
0SPC09Z
0SPC0EZ
Substitute, Cemented, Open Approach 0SPC0JZ

0SPT0JZ
Substitute, Uncemented, Open Approach 0SPC08Z

Substitute, Uncemented, Open Approach 0SPC09Z

0SPC0EZ
0SPC0JZ
Replacement of Right Knee Joint, Femoral Surface with Synthetic 0SPT0JZ
0SPC08Z
Replacement of Right Knee Joint, Femoral Surface with Synthetic 0SPC09Z
0SPC0EZ
Substitute, Open Approach 0SPC0JZ

Substitute, Open Approach 0SPT0JZ
Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, No Removal Code
Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute,
0SPC08Z
Cemented, Open Approach 0SPC09Z

0SPC0EZ
Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, 0SPC0JZ
0SPV0JZ
0SPC08Z
Uncemented, Open Approach 0SPC09Z

0SPC0EZ
0SPC0JZ
Uncemented, Open Approach 0SPV0JZ
0SPC08Z
Open Approach
0SPC0EZ
Open Approach
Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, 0SPC09Z
Open Approach
0SPC0JZ
Open Approach
0SPV0JZ
Open Approach
Supplement Right Knee Joint with Liner, Patellar Surface, Open Approach No Removal Code
Needed
Supplement Right Knee Joint with Liner, Patellar Surface, Open Approach 0SPC09Z
Supplement Right Knee Joint with Liner, Patellar Surface, Open Approach 0SPC0EZ
Supplement Right Knee Joint with Liner, Patellar Surface, Open Approach 0SPC0JC
Supplement Right Knee Joint with Liner, Open Approach 0SPC09Z
Supplement Right Knee Joint, Femoral Surface with Liner, Open Approach 0SPC09Z
Supplement Right Knee Joint, Femoral Surface with Liner, Open Approach 0SPC0EZ
Supplement Right Knee Joint, Tibial Surface with Liner, Open Approach 0SPC09Z
Supplement Right Knee Joint, Tibial Surface with Liner, Open Approach 0SPC0EZ
Revision of Synthetic Substitute from Right Knee Joint, Patellar Surface, No Removal Code
No Removal Code
Revision of Synthetic Substitute from Right Knee Joint, Open Approach
Needed
Revision of Synthetic Substitute from Right Knee Joint, Femoral Surface, No Removal Code
Revision of Synthetic Substitute from Right Knee Joint, Tibial Surface, No Removal Code
Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene
0SPC08Z
0SPC09Z
Synthetic Substitute, Cemented, Open Approach 0SPC0EZ

Synthetic Substitute, Uncemented, Open Approach 0SPC08Z

0SPC09Z
0SPC0EZ
Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene 0SPC08Z
0SPC09Z
0SPC0EZ
Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene No Removal Code
0SPC0JZ
Synthetic Substitute, Uncemented, Open Approach 0SPC0JZ
0SPC0JZ
Replacement of Right Knee Joint with Synthetic Substitute, Cemented, No Removal Code
Replacement of Right Knee Joint with Synthetic Substitute, Cemented,
0SPC08Z
Open Approach
Replacement of Right Knee Joint with Synthetic Substitute, Cemented, 0SPC09Z
Open Approach
0SPC0EZ
Open Approach
0SPC0JZ
Open Approach
Replacement of Right Knee Joint with Synthetic Substitute, Uncemented, No Removal Code
Replacement of Right Knee Joint with Synthetic Substitute, Uncemented,
Open Approach 0SPC08Z

0SPC09Z
Open Approach
0SPC0EZ
Open Approach
Open Approach 0SPC0JZ
Replacement of Right Knee Joint with Synthetic Substitute, Open No Removal Code
Approach Needed
Replacement of Right Knee Joint with Synthetic Substitute, Open
0SPC08Z
Approach
0SPC09Z
Approach
Replacement of Right Knee Joint with Synthetic Substitute, Open 0SPC0EZ
Approach
0SPC0JZ
Approach
Removal Code Description Code Status NHSN:
Code Status references how the code was
Not Applicable No Change listed during the previous reporting year.
Not Applicable No Change
Removal of Synthetic Substitute from Left Knee Joint, Open

No Change
Approach

No Change
Approach
Not Applicable No change

Approach No change
Removal of Medial Unicondylar Synthetic Substitute from No change

Left Knee Joint, Open Approach
Removal of Synthetic Substitute from Left Knee Joint, Open No change

Approach

No change
Approach
Removal of Medial Unicondylar Synthetic Substitute from
No change

No change
Approach
Removal of Lateral Unicondylar Synthetic Substitute from
No change

No change
Approach
No change

No change
Approach
Removal of Lateral Unicondylar Synthetic Substitute from No change

No change
Approach
Removal of Patellofemoral Synthetic Substitute from Left No change
Knee Joint, Open Approach

Approach No change
Removal of Patellofemoral Synthetic Substitute from Left

Knee Joint, Open Approach No change

Approach No change
Removal of Patellofemoral Synthetic Substitute from Left

Knee Joint, Open Approach No change
Removal of Spacer from Left Knee Joint, Open Approach No change
Removal of Liner from Left Knee Joint, Open Approach No change
Removal of Articulating Spacer from Left Knee Joint, Open

No change
Approach
No change
Approach
Removal of Synthetic Substitue from Left Knee Joint,
No change
Femoral Surface, Open Approach

No change
Approach
No change
Approach
No change
Removal of Articulating Spacer from Left Knee Joint, Open No change

Approach
No change
Approach
Femoral Surface, Open Approach No change

Approach No change

No change
Approach
Removal of Synthetic Substitute from Left Knee Joint, Tibial No change
Surface, Open Approach

Approach No change

No change
Approach
Removal of Synthetic Substitute from Left Knee Joint, Tibial
No change

No change
Approach
Approach
Removal of Synthetic Substitute from Left Knee Joint, Tibial
No change

No change
Approach
Removal of Synthetic Substitute from Left Knee Joint,
Patellar Surface, Open Approach No change

No change
Approach

No change
Approach
Removal of Spacer from Left Knee Joint, Open Approach No Change
Removal of Liner from Left Knee Joint, Open Approach No Change

No Change
Approach

No Change
Approach

No Change
Approach

Approach

Approach No change

No change
Approach
Removal of Articulating Spacer from Left Knee Joint, Open No change

Approach
No change
Approach

No change
Approach
No change
Approach

No change
Approach
Approach
Removal of Synthetic Substitute from Right Knee Joint, No Change

Patellar Surface, Open Approach
Removal of Synthetic Substitute from Right Knee Joint,

Patellar Surface, Open Approach No Change
Removal of Synthetic Substitute from Right Knee Joint, Open

No change
Approach
No change
Right Knee Joint, Open Approach

No change
Approach

No change
Approach
No change

No change
Approach
No change

Approach No change

No change
Removal of Synthetic Substitute from Right Knee Joint, Open No change

Approach
No change

Approach
Removal of Patellofemoral Synthetic Substitute from Right
No change

Approach No change

No change

Approach No change

No change
Removal of Spacer from Right Knee Joint, Open Approach No change
Removal of Liner from Right Knee Joint, Open Approach No change
Removal of Articulating Spacer from Right Knee Joint, Open

No change
Approach
Approach No change
Removal of Synthetic Substitue from Right Knee Joint,

No change

No change
Approach
No change
Approach
Removal of Synthetic Substitue from Right Knee Joint, No change

No change
Approach
Approach No change
Removal of Synthetic Substitue from Right Knee Joint,

Femoral Surface, Open Approach No change

No change
Approach
Approach
Removal of Synthetic Substitute from Right Knee Joint, Tibial
No change

No change
Approach
No change
Approach
Surface, Open Approach No change

No change
Approach

No change
Approach
No change

Approach No change
Removal of Synthetic Substitute from Right Knee Joint,

Patellar Surface, Open Approach No change

Approach No change
Removal of Articulating Spacer from Right Knee Joint, Open No change

Approach
Removal of Spacer from Right Knee Joint, Open Approach No Change
Removal of Liner from Right Knee Joint, Open Approach No Change

Approach No Change

No Change
Approach

No Change
Approach

No change
Approach

Approach No change

No change
Approach

No change
Approach
No change
Approach

No change
Approach
Approach No change

Removal of Articulating Spacer from Right Knee Joint, Open No change

Approach
No change
Approach
NHSN:
Hip prosthesis -- HPRO - Arthroplasty of hip - CPT codes
Type of HPRO Specific Type of HPRO CPT Codes
HEMI - Hemi PARTPRIM - Partial Primary 27125
TOT - Total TOTPRIM - Total Primary 27130
TOT - Total TOTREV - Total Revision 27134
HEMI - Hemi PARTREV - Partial Revision 27137

PT codes
NHSN:
Procedure Description Code Status Code Status references how t
listed during the previous repor
Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar No change
arthroplasty)
Arthroplasty, acetabular and proximal femoral prosthetic replacement No change

(total hip arthroplasty), with or without autograft or allograft
Conversion of previous hip surgery to total hip arthroplasty, with or No change
without autograft or allograft
Revision of total hip arthroplasty; both components, with or without No change
autograft or allograft
Revision of total hip arthroplasty; acetabular component only, with or No change
without autograft or allograft
Revision of total hip arthroplasty; femoral component only, with or No change
without allograft
Open treatment of femoral fracture, proximal end, neck, internal fixation No change
or prosthetic replacement
NHSN:
Knee prosthesis -- KPRO - Arthroplasty of knee - CPT Codes
Type of KPRO Specific Type of KPRO CPT Codes
TOT - Total TOTREV - Total Revision 27487

- CPT Codes
NHSN:
Procedure Description Code Status Code Status references how the
Arthroplasty, patella; with prosthesis No change during the previous reporting yea
Arthroplasty, knee, tibial plateau No change
Arthroplasty, knee, tibial plateau; with debridement and partial
No change
synovectomy
Arthroplasty, femoral condyles or tibial plateau(s), knee No change
Arthroplasty, femoral condyles or tibial plateau(s), knee; with
No change
debridement and partial synovectomy
Arthroplasty, knee, hinge prosthesis (e.g., Walldius type) No change
Arthroplasty, knee, condyle and plateau; medial OR lateral
No change
compartment
Arthroplasty, knee, condyle and plateau; medial AND lateral
compartments with or without patella resurfacing (total knee No change
arthroplasty)
Revision of total knee arthroplasty, with or without allograft, one
No change
component
Revision of total knee arthroplasty, with or without allograft; femoral No change
and entire tibial component
NHSN:
Code Status references how the code was listed
during the previous reporting year.

ICD-10-PCS & CPT Codes - Guidance For HPRO & KPRO Procedure Details

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ICD-10-PCS & CPT Codes - Guidance For HPRO & KPRO Procedure Details

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ICD-10-PCS & CPT Codes - Guidance for HPRO & KPRO Procedure

Instructions for Using ICD-10-PCS worksheets (blue tabs):

Instructions for Using CPT worksheets (orange tabs):

nd KPRO procedures. This guidance document should be used for procedure

ocedures are included in columns highlighted in lavender:

rocedures. When used for:

F is indicated by the comment “No Removal Code Needed” in column G.

ocedures are included in columns highlighted in lavender:

Removal of Synthetic Substitute from Right Hip

Removal of Synthetic Substitute from Right Hip

Removal of Spacer from Right Hip Joint, Open

Removal of Liner from Right Hip Joint, Open

Removal of Resurfacing Device from Right Hip Joint,

Removal of Synthetic Substitute from Right Hip

Removal of Articulating Spacer from Right Hip Joint,

Removal of Synthetic Substitute from Right Hip

Removal of Synthetic Substitute from Right Hip

Removal of Spacer from Right Hip Joint, Open

Removal of Liner from Right Hip Joint, Open

Removal of Resurfacing Device from Right Hip Joint,

Removal of Synthetic Substitute from Right Hip

Removal of Spacer from Right Hip Joint, Open

Removal of Liner from Right Hip Joint, Open

Removal of Resurfacing Device from Right Hip Joint,

Removal of Articulating Spacer from Right Hip Joint,

Removal of Synthetic Substitute from Right Hip

Removal of Synthetic Substitute from Right Hip

Removal of Synthetic Substitute from Right Hip

Removal of Articulating Spacer from Right Hip Joint,

Removal of Spacer from Right Hip Joint, Open

Removal of Liner from Right Hip Joint, Open

Removal of Resurfacing Device from Right Hip Joint,

Removal of Synthetic Substitute from Right Hip

Removal of Liner from Left Hip Joint, Open

Removal of Resurfacing Device from Left Hip Joint,

Removal of Articulating Spacer from Left Hip Joint,

Removal of Synthetic Substitute from Left Hip Joint,

Removal of Synthetic Substitute from Left Hip Joint,

Removal of Synthetic Substitute from Left Hip Joint,

Removal of Spacer from Left Hip Joint, Open

Removal of Liner from Left Hip Joint, Open

Removal of Resurfacing Device from Left Hip Joint,

Removal of Articulating Spacer from Left Hip Joint,

Removal of Synthetic Substitute from Left Hip Joint,

Removal of Synthetic Substitute from Left Hip Joint,

Removal of Spacer from Left Hip Joint, Open

Removal of Liner from Left Hip Joint, Open

Removal of Resurfacing Device from Left Hip Joint,

Removal of Synthetic Substitute from Left Hip Joint,

Removal of Synthetic Substitute from Left Hip Joint,

Removal of Articulating Spacer from Left Hip Joint,

Removal of Spacer from Left Hip Joint, Open

Removal of Liner from Left Hip Joint, Open

Removal of Resurfacing Device from Left Hip Joint,

Removal of Synthetic Substitute from Left Hip Joint,

Removal of Synthetic Substitute from Left Hip Joint,

No Removal Code Not Applicable

No Removal Code Not Applicable

HEMI - Hemi PARTPRIM - Partial Primary Left 0SUD09Z

HEMI - Hemi PARTPRIM - Partial Primary Left 0SUU09Z

HEMI - Hemi PARTREV - Partial Revision Left 0SUU09Z

HEMI - Hemi PARTPRIM - Partial Primary Left 0SUW09Z