Table 1 Specific cost categories
From: Knee OA cost comparison for hyaluronic acid and knee arthroplasty
Category | ICD procedure or HCPCS codes |
|---|---|
HA | J7321, J7323 to J7327 (with diagnosis code of 711.x6, 712.x6, 715.x6, 716.x6, 717.x, 718.x6, 719.x6, 836.x, 844.x on the same claim as injection) |
Primary knee arthroplasty | 81.54, 0SRC0J* (without 0SPC* on the same claim), 0SRT0J* (without 0SPC0* on the same claim), 0SRU0J* (without 0SPD0* on the same claim), 0SRV0J* (without 0SPC0* on the same claim), 0SRW0J* (without 0SPD0* on the same claim), 0SRC0L*, 0SRD0J* (without 0SPD*on the same claim), 0SRD0L*, 27446, 27447 |
Revision knee arthroplasty | 80.06, 81.55, 00.8x, 84.56, 84.57, 0SWC*JZ, 0SWD*JZ, (0SRC0JZ with 0SPC*), (0SRD0JZ with 0SPD*), (0SRV0JZ with 0SPC0*), (0SRW0JZ with 0SPD0*), (0SRT0JZ with 0SPC0*), (0SRU0JZ with 0SPD0*), (0SUW09Z with 0SPD0*), (0SUC0JZ with 0SPC0*), (0SUT09Z with 0SPC0*), (0SUD0JZ with 0SPD0*), (0SUU09Z with 0SPD0*), (0QRD0JZ with 0QPD0*), (0QUD0JZ with 0QPD0*), (0SUC09C with 0QPD0*), (0QRF0JZ with 0QPF0*), (0QUF0JZ with 0QPF0*), (0SUD09C with 0QPF0*), (0SUV09Z with 0SPC0*), (0SUW09Z with 0SPD0*), 0SHB08Z, 0SH908Z, 0SHC08Z, 0SHD08Z, 0SPC08Z, 0SPD08Z, 0SPB08Z, 0SP908Z, 27091, 27486, 27487, 11981, 11982 |
Physical therapy | 97012, 97014, 97016, 97022, 97032, 97034, 97035, 97036, 97110, 97112, 97113, 97116, 97140, 97150, 97530, G0151 |
Intra-articular corticosteroid | J0702, J0704 (expired after Dec 31, 2010), J1020, J1030, J1040, J1094, J1100, J1700, J1710, J1720, J2650, J2920, J2930, J3300, J3301, J3302, J3303 (eff Jan 1, 2009) |
Arthrocentesis | 20610 |
Knee arthroscopy | 80.26, 80.6, 80.76, 80.86, 81.45, 81.46, 81.47, 0SJC4ZZ, 0SJD4ZZ, 0SQC4ZZ, 0SQD4ZZ, 0SBD4ZZ, 0SBC4ZZ, 0S9C40Z, 0S9D40Z, 29866 to 29868, 29870 to 29871, 29873 to 29877, 29879 to 29888, 29999, G0289 |
Knee brace | L1800, L1810, L1812, L1820, L1830, L1831, L1832, L1833, L1834, L1836, L1840, L1843, L1844, L1845, L1846, L1847, L1848, L1850, L1860, L1870, L1880, K0901, K0902 |
Anesthesia for knee surgery | 01400, 01402, 01404 |
Ultrasound/fluoroscopic imaging | 20611 (eff 2015 onwards), 76942 or 77002 |
Knee imaging | 73560, 73562, 73564, 73565, 73580, 73700 to 73702, 73706, 73721 to 73723, 73725, 76942 |