2025 ICD-10-CM code T84.05
Periprosthetic osteolysis of internal prosthetic joint.
Medical necessity is established by the presence of periprosthetic osteolysis confirmed by imaging and causing symptoms, functional limitations, or posing a risk of implant failure. The medical record should reflect the need for intervention or further investigation based on the osteolysis.
Diagnosis and treatment are typically managed by orthopedic surgeons or specialists in joint replacement.
In simple words: This code signifies bone loss around an internal joint prosthesis (artificial joint).
Periprosthetic osteolysis of internal prosthetic joint. Use additional code to identify major osseous defect, if applicable (M89.7-)
Example 1: A patient with a total hip replacement presents with pain and loosening of the implant. Imaging reveals bone loss around the prosthesis, indicating periprosthetic osteolysis. Code T84.05 is used, along with a code for the major osseous defect if applicable (M89.7-)., During a follow-up visit for a total knee replacement, a patient's X-ray shows signs of osteolysis around the prosthetic joint. The patient is asymptomatic at this time. T84.05 is assigned., A patient with a previous shoulder replacement experiences increasing pain and limited range of motion. After imaging studies, periprosthetic osteolysis around the shoulder joint is confirmed. T84.05, alongside other relevant codes, aids in treatment planning.
Documentation should include imaging findings (X-ray, CT, MRI) confirming osteolysis around the prosthetic joint, along with any associated symptoms or functional limitations. If a major osseous defect is present, it should also be documented and coded.
** This code is specifically for osteolysis around internal prosthetic joints, and does not apply to other complications such as infection, loosening, or dislocation, which have separate codes.
- Specialties:Orthopedic Surgery
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Outpatient Hospital, Office, Independent Clinic