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Arthroplasty of the femoral condyles or tibial plateaus is a surgical procedure aimed at addressing degenerative joint disease, which often leads to significant pain and functional impairment in the knee joint. The femoral condyles are the rounded ends of the femur that articulate with the tibial plateaus, which are the flat surfaces at the top of the tibia. This procedure involves the replacement or resurfacing of these joint surfaces to restore mobility and alleviate discomfort. The proximal tibia consists of the medial and lateral plateaus, along with the intercondylar eminence, which plays a crucial role in knee stability and movement. During the procedure, an anterior incision is made over the knee joint to access the joint capsule, allowing for a thorough inspection and preparation of the joint surfaces. The surgical approach may involve either the femoral condyles or the tibial plateaus, depending on the extent of the degenerative changes. The use of prosthetic components, which can be either cemented or uncemented, is integral to the success of the procedure, as they provide a durable surface for articulation and help restore the knee's function. Overall, this arthroplasty procedure is designed to improve the quality of life for patients suffering from severe knee joint issues by enhancing mobility and reducing pain.
© Copyright 2025 Coding Ahead. All rights reserved.
Arthroplasty of the femoral condyles or tibial plateaus is indicated for patients suffering from degenerative joint disease, which may manifest as chronic pain, stiffness, and reduced range of motion in the knee. The following conditions may warrant this surgical intervention:
The procedure for arthroplasty of the femoral condyles or tibial plateaus involves several critical steps to ensure proper alignment and function of the knee joint. The following outlines the procedural steps:
Post-procedure care following arthroplasty of the femoral condyles or tibial plateaus typically involves monitoring for complications, managing pain, and initiating rehabilitation. Patients are often advised to engage in physical therapy to restore strength and mobility in the knee. Recovery may vary based on individual circumstances, but patients can generally expect a gradual return to normal activities as healing progresses. Follow-up appointments are essential to assess the success of the procedure and to make any necessary adjustments to the rehabilitation plan.
| Short Descr | REVISION OF KNEE JOINT | Medium Descr | ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE | Long Descr | Arthroplasty, femoral condyles or tibial plateau(s), knee; | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Device-intensive procedure added to ASC list in CY 2008 or later; paid at adjusted rate. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P3C - Major procedure, orthopedic - Knee replacement | MUE | 1 | CCS Clinical Classification | 152 - Arthroplasty knee |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | SG | Ambulatory surgical center (asc) facility service | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2010-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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