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Coding osteoarthritis scenarios

HCPro Coder Connection, January 25, 2006

Read these osteoarthritis scenarios and use your ICD-9 Manual to assign the correct codes for each:

1. The patient has osteoarthritis of the shoulders, elbows, and hands.

2. The patient has a localized, primary osteoarthritis of the knee.

3. The patient has polyarticular osteoarthritis.

4. The patient has Heberden's Nodes. (This refers to a generalized osteoarthritis in the joints of the hands.)

5. The patient has coxae malum senilis. (This refers to a disease of the hip joint that usually appears in late/middle or old age that can arise from acetabular dysplasia.)

Answers: 

1. Report 715.89 because the provider indicated osteoarthritis of multiple sites, but did not specify "generalized."

2. Report 715.16 for localized, primary osteoarthritis of the knee.

3. Report 715.09 for generalized osteoarthritis of multiple sites.

4. Report 715.04 for generalized osteoarthritis in the joints of the hands.

5. Report 715.25 for localized, secondary osteoarthritis of the pelvic region and thigh. Diseases that can cause this condition include Padget's disease, joint injury, developmental deformities, osteochondritis, and many others.