Bka cpt

Summary: A relatively new procedure, Regenerative Peripheral Nerve Interface (RPNI), is intended to reduce or eliminate neuroma formation by providing a free muscle graft as physiological target for peripheral nerve ingrowth. This procedure was originally designed for prosthetic control. RPNI would most commonly be done after an …

Policy. Regenerative peripheral nerve interface (RPNI) is a novel approach to minimize the development of painful neuromas after limb amputations, such as below knee amputation (BKA) or above knee amputation (AKA). It is based on the premise that the proximal cut end of a nerve will attempt to grow and reinnervate a target; if not provided with ...We retrospectively studied all BKAs performed by the orthopaedic surgery service at a Level 1 trauma center from 2008 to 2018, as identified by Current Procedural Terminology (CPT) codes. Twenty-eight percent (38 of 138) underwent amputation as treatment for traumatic injury, 57% (79 of 138) for infection, and 15% (21 of 138) for malignancy. INTRODUCTION. Neuroma-related residual limb pain and phantom limb pain (PLP) following amputation remain a challenge. 7 Neuromas represent a cut nerve’s attempt at regeneration, which without a receptive end organ results in disorganized axonal sprouting. 8 PLP is the perception that the missing limb is still present and is experiencing various painful sensations. 2024 Current Procedural Terminology (CPT) Updates New, Revised and Deleted CPT Codes for Oncology This resource is a summary of the coding changes. For full details and guidelines, please refer to the 2024 American Medical Association CPT Professional Edition. New CPT® Codes Evaluation and Management Services 99459: Pelvic examination.The physician first removes the surgical sutures or staples and/or makes additional incisions into the skin. The wound is drained of infected fluid. Any necrotic tissue is removed from the surgical site and the wound is irrigated. The wound may be sutured closed or packed open with gauze to allow additional drainage.Wash your skin at least once a day with lukewarm water and a mild bathing soap. Rinse thoroughly without soaking, and dry carefully without rubbing too hard. Keeping your skin clean will help avoid skin irritation such as cysts or pimples. It is important to check your skin for infection, redness or breakdown.

Tortilla Mexican Grill News: This is the News-site for the company Tortilla Mexican Grill on Markets Insider Indices Commodities Currencies StocksThere are thousands of existing codes that are updated each October. The current version is CPT 2018. But with thousands of codes out there at any given time, how can medical profe...Summary: Targeted muscle reinnervation (TMR) is beneficial for decreasing pain following below-knee amputation (BKA). While most current literature describes the principles behind primary TMR, they provide few principles key to the ampu-tation, as the BKA is usually performed by another surgeon. When the BKA and TMR are performed by the same ...Over 185,000 limb amputations are performed in the United States annually, many of which are due to the sequelae of peripheral vascular disease. Symptomatic neuromas remain a significant source of postamputation morbidity and contribute to both phantom limb (PLP) and residual limb pain (RLP). While many interventions have been …Extremities: Below knee amputation, left leg, no signs of infection, prosthetic limb. No edema. Codes • Z89.512 Acquired absence of left leg below knee • Z97.14 Presence of artificial left leg (complete) (partial) Rationale • Documentation clearly indicates amputation resulting from an accident. No further treatment or sequela is documented.The Current Procedural Terminology (CPT) code range for Amputation Procedures on the Femur (Thigh Region) and Knee Joint 27590-27598 is a medical code set maintained by the American Medical Association.Apr 8, 2014 · Objectives. To assess the effects of different types of incision on the outcome of below knee amputation (BKA) in people with lower limb ischaemia or diabetic foot sepsis, or both. The main focus of the review was to assess the relative merits of skew flap amputation versus the long posterior flap technique. Go to: Current Procedural Terminology CPT 2022 ULTRASOUND - US X-RAY DIGITAL MAMMOGRAPHY (with Computer-Aided Detention) BONE DENSITY - DEXA FLUOROSCOPY POSITRON EMISSION TOMOGRAPHY - PET/CT DOPPLER Brain (Metabolic) Skull Base to Mid Thigh Na18F Bone Whole Body Abdomen KUB1 view …

We’re looking to see if the following operation was a bone debridement of an infected below-knee amputation stump (11044) or a re-amputation (27886). Only the tibia was cut, not the tibia and fibula per the code description. Would it be appropriate to report code 27886 with a -52 modifier for reduced services? “I then incised the skin on ...3. Encourage the patient to perform prescribed exercises. To prevent stump trauma. 4. Provide stump care on a routine basis: inspect the area, cleanse and dry thoroughly, and rewrap the stump with an elastic bandage or air splint, or apply a stump shrinker (heavy stockinette sock), for “delayed” prosthesis.ICD9 Codes. Traumatic thumb amputation (885.0) Traumatic thumb amputation, compl (885.1) Traumatic finger amputation (886.0) Traumatic finger amputation, compl (886.1) Late effect of traumatic amputation (905.9) Late effect, open wound extremity (nonspecific) (906.1) Neuroma of amputation stump (997.61) CPT Codes.The average Medicare reimbursement for 15853 and 15854 is $11.52 and $16.27, respectively. While not as common in family medicine settings, when suture or staple removal requires either moderate ...

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Once this was done, attentino was taken to the fibula bone. using a large bone forceps and going approx 3 cm proximal of the distal end of the tibia, the fibular bone was cut. We then placed our attention the the distal flap which was then created which included both soft tissue and tibia and fibula. then using an amputation knife, we …A Syme amputation is an amputation done through the ankle joint. The foot is removed but the heel pad is saved so the patient can put weight on the leg without a prosthesis (artificial limb). The goals of a Syme amputation are to remove diseased tissue or a non-usable foot and create a functional, painless limb.The lateral aspect of the left BKA stump was prepped with Betadine and draped in sterile fashion. The point of maximal tenderness was identified with palpation just below the level of the fibular head. The area was then injected with a mixture of 2cc of 0.25% Marcaine mixed with 1mL of 40 mg/mL Kenalog. The injection was performed with a 25 ...15738 Vascularized bone graft. 27880-51 Below-knee amputation. 27758-51 Skeletal fixation. • The vascularized bone graft is an axial pattern. flap, based on the peroneal vessels. It. is reported with code 15738. • The skeletal fixation is not included in the. global code 15738 and is separately reported.Stump problems (SPs) secondary to traumatic lower limb amputation had a crucial influence on amputees’ ability to return to living and work. The purpose of this study was to investigate the surgical management strategies of the SPs after above-ankle amputation of the lower limb secondary to trauma. A cohort of clinical cases, who were …

Sep 14, 2010 · Best answers. 0. Sep 15, 2010. #6. as Bella said for the re-amputation they have to be under the primary surgery site/code and there are two re-amps....1. secondary closure or scar revision is with no bone involvement and 2. re-amputation, when more bone is taken, again under each individual code .....AKA 27590, 27594, 27596 or BKA 27880, 27884 ... Aug 4, 2020 · At 6-month follow-up these percentages dropped to 58.0% and 25.2%, respectively, for all patients. For patients who were ambulatory pre-operatively, 182/246 (73.9%) of BKA and 32/51 (62.7%) of AKA remained so post-amputation. Of those patients with both 6-month and greater than 1-year follow-up, there was no change in ambulatory status between ... Jun 13, 2018 · The CPT lay description for stump revision "27596" reads: After the stump has granulated or healed by scar, the physician performs secondary closure or scar revision. This procedure is usually performed two to three weeks or more after the initial open amputation was completed. Additional bone is sectioned, usually at a more proximal or higher ... Implantable Hand and Feet Prosthetics. L8670-L8670. Vascular Implants. L8678-L8689. Implantable Neurostimulators and Components. L8690-L9900. Miscellaneous Orthotic and Prosthetic Services and Supplies. HCPCS Code range (L5000-L9900), Prosthetic Procedures, contains HCPCS codes for prosthetic procedures, Partial foot,shoe …Guillotine amputation is planned to remove the source of sepsis, as well as allows further stabilization of the patient. The foot had been draped and isolated from the wound. The incision was made 3 fingerbreadths above the malleolus. The incision was made with a #10 blade, carried down to subcutaneous tissues.15738 Vascularized bone graft. 27880-51 Below-knee amputation. 27758-51 Skeletal fixation. • The vascularized bone graft is an axial pattern. flap, based on the peroneal vessels. It. is reported with code 15738. • The skeletal fixation is not included in the. global code 15738 and is separately reported.The most common performed procedure concerning BKA is usually through the tibia and fibula which is coded as 27880. This would be the cpt to use. Sepsis, unspecified …INTRODUCTION. Neuroma-related residual limb pain and phantom limb pain (PLP) following amputation remain a challenge. 7 Neuromas represent a cut nerve’s attempt at regeneration, which without a receptive end organ results in disorganized axonal sprouting. 8 PLP is the perception that the missing limb is still present and is experiencing various painful sensations.Within the musculoskeletal section of CPT®, there is a general incision code (20005 Incision and drainage of soft tissue abscess, subfascial (ie., involves the soft tissue below the deep fascia), and codes specific to neck; shoulder; upper arm and elbow; forearm and wrist; hand and fingers; pelvis and hip joint; femur and knee joint, leg and ...

For CSF order test code 18901-BK Virus DNA, Quantitative Real-Time PCR, CSF and for urine order test code 16581-BK Virus DNA, Quantitative Real-Time PCR, Urine. Plasma: Collect blood in sterile tubes containing EDTA as an anticoagulant, or in plasma preparation tube (PPT). Collect whole blood at room temperature and separate plasma from cells ...

Current Procedure Terminology codes are available to members of and subscribers to the American Medical Association, which holds the trademark on CPT codes. Users of the AMA’s CPT ...The study population was adults who underwent elective primary BKA performed by vascular surgeons at the University of Michigan from January 2017 to July 2022. Patients were identified using CPT codes for BKA (Supplementary Table I, online only). Patients aged <18 years, those with a previous ipsilateral amputation prior to …It is a generally accepted long-standing clinical axiom in peripheral artery disease (PAD) patients who have had a below-knee amputation (BKA) and develop stump breakdown or infection that all efforts should be undertaken to preserve the knee joint. Conventional wisdom is that most BKA patients are ambulatory, whereas patients with an above-knee … The HCPCS codes range Prosthetic Sheaths, Socks, and Shrinkers L8400-L8485 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims. Aug 21, 2023 · CPT Codes: 33875, Descending thoracic aorta graft, with or without bypass 47370 Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency Technique guides are not considered high yield topics for orthopaedic standardized exams including ABOS, EBOT and RC. Dec 19, 2019. #1. My provider list the procedure performed as a revision of AKA stump. Patient had previous AKA by another physician in another state and when moving here the stump became infected and bone exposed. Physician brought the patient to the OR and mad an elliptical incision around the stump. then went through the subcutaneous tissue ... The HCPCS codes range Prosthetic Sheaths, Socks, and Shrinkers L8400-L8485 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims. Lower extremity amputation is performed to remove ischemic, infected, necrotic tissue or locally unresectable tumor and, at times, is a life-saving procedure. Peripheral artery disease, alone or in combination with diabetes mellitus, contributes to more than one-half of all amputations; trauma is the second leading cause.Current Procedural Terminology (CPT) codes were used to identify patients who underwent TKA (CPT-27447), BKA (CPT-27438 and CPT-27446 on the same day), and UKA (CPT-27446). Only patients who underwent these procedures for a primary indication of osteoarthritis (OA) were included in the study. Additionally, only patients …Procedure: Revision right BKA Procedure note: (See attached file) Attachments. image1449.pdf. 66.4 KB · Views: 7 0 F. fwnewbie Guest. Messages 541 Location New Haven, IN Best answers 0. Jan 28, 2021 #2 Wound dehiscence is a complication so start looking under Complications is the ICD index . The procedure itself …

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CPT ® 27889, Under Amputation Procedures on the Leg (Tibia and Fibula) and Ankle Joint The Current Procedural Terminology (CPT ® ) code 27889 as maintained by American Medical Association, is a medical procedural code under the range - Amputation Procedures on the Leg (Tibia and Fibula) and Ankle Joint.Feb 24, 2010 · Once this was done, attentino was taken to the fibula bone. using a large bone forceps and going approx 3 cm proximal of the distal end of the tibia, the fibular bone was cut. We then placed our attention the the distal flap which was then created which included both soft tissue and tibia and fibula. then using an amputation knife, we continued ... May 17, 2023 · Despite improvements in the management of peripheral vascular disease, it is estimated that 150 000 patients in the United States have non-traumatic lower-extremity amputations yearly. 1 Above-knee amputation (AKA) and below-knee amputation (BKA) are associated with significant morbidity and mortality, yet the import of maintaining a BKA has major physical (decreased energy expenditure) and ... May 7, 2023 · A below-knee amputation (BKA) is a transtibial amputation that involves removing the foot, ankle joint, distal tibia, and fibula with related soft tissue structures. Generally, a BKA is preferred over an above-knee amputation (AKA), as the former has better rehabilitation and functional outcomes. Below-knee amputation (BKA) is a treatment option which can be performed to remove ischemic, infected, necrotic, or otherwise nonfunctional tissue from the lower extremity. Amputation techniques for a BKA procedure vary in location from posterior flap transtibial amputation to sagittal, skew, medial, and fish-mouth flaps.CPT ® 27881, Under Amputation Procedures on the Leg (Tibia and Fibula) and Ankle Joint The Current Procedural Terminology (CPT ® ) code 27881 as maintained by American Medical Association, is a medical procedural code under the range - Amputation Procedures on the Leg (Tibia and Fibula) and Ankle Joint.Below-knee amputation (BKA) is a treatment option which can be performed to remove ischemic, infected, necrotic, or otherwise nonfunctional tissue from the lower extremity. Amputation techniques for a BKA procedure vary in location from posterior flap transtibial amputation to sagittal, skew, medial, and fish-mouth flaps.AMA CPT® Code: Notes / Synonyms: ICD-9 Cross Reference 27487 (removal and replacement of TKA in a single stage) 27488 (removal of TKA) use for removal of prosthesis for initial stage in staged revison. 11981-58,51 (insertion, nonbiodegradable drug delivery implant) 27447-58,22 (second stage of revision TKA)The study population was adults who underwent elective primary BKA performed by vascular surgeons at the University of Michigan from January 2017 to July 2022. Patients were identified using CPT codes for BKA (Supplementary Table I, online only). Patients aged <18 years, those with a previous ipsilateral amputation prior to …• R BKA is infected T87.43 • Infection is resolved Z47.81 Aftercare following amputation Z89.511 Acquired absence of right leg below knee • R BKA is dehisced T87.81 • Stump has been revised; no longer dehisced, but the dressing change is the focus of care • Z48.01 Surgical dressing care Z47.81 Aftercare following amputationCurrent Procedure Terminology codes are available to members of and subscribers to the American Medical Association, which holds the trademark on CPT codes. Users of the AMA’s CPT ... ….

Answer: Technique differentiates leg amputation codes (27880-27882). The most commonly performed procedure is coded as 27880 (Amputation, leg, through tibia …Best answers. 0. Oct 16, 2009. #1. Hi, there's a pt who had right groin AV graft inserted for ESRD & came back to OR 1 hr later for "right groin wound exploration" with dx:"post-op bleeding" can you help me find the right CPT for the 2nd proc.? I have no access to OP report. the closest I got is 20103X00400=3 but that's for penetrating wound ...Many real estate technology companies are developing technology that is in competition with, or could potentially replace, real estate agents. One startup that aims to help agents ...The patient has a distal fingertip amputation..the ER phys procedure note states.. Tissue debrided from left ring finger distal tuft of distal phalynx. cleansed with betadine and saline. Patient was anesthetized wih sensorcaine. I used the bone clippers and removed the distal tuft and filed it to smooth. after aggressive irrigation and bony ...CPT code 10040, 10060, 10061 – Incision And Drainage Of Abscess; CPT Code 0007U, 0008U, 0009U – Drug Test(S), Presumptive; CPT code 99499 – Billing and coding guidelines; CPT 92521,92522,92523,92524 – Speech language pathologyThe ability to ambulate following major lower extremity amputation, either below (BKA) or above knee (AKA), is a major concern for all prospective patients. ... (Albert Einstein College of Medicine, Bronx, NY). The following Current Procedural Terminology (CPT) codes were used for the query: BKA: 27880, 27881, 27884; AKA: 27590, 27591, …Lower extremity amputation is performed to remove ischemic, infected, necrotic tissue or locally unresectable tumor and, at times, is a life-saving procedure. Peripheral artery disease, alone or in combination with diabetes mellitus, contributes to more than one-half of all amputations; trauma is the second leading cause.Aug 21, 2023 · CPT Codes: 33875, Descending thoracic aorta graft, with or without bypass 47370 Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency Technique guides are not considered high yield topics for orthopaedic standardized exams including ABOS, EBOT and RC. 1. Jan 29, 2019. #1. CPT? Patient had partial amputation of right foot and came back to the operating suite for delayed primary closure, rotational skin flap and "Myodesis of intrinsic muscles to metatarsal stumps". I'm okay up until the myodesis. What I've read is that this is attaching the muscle to the bone and that it is included when done ... Bka cpt, We included all adults, age ≥65 years patients with a diagnosis of PAD who underwent surgical procedure for a lower extremity amputation (transmetatarsal [common procedural technology (CPT) code: 28805], below-the-knee [BKA: CPT codes: 27880, 27881], or above-the-knee amputation [AKA; CPT codes: 27950, 27951])., The surgical technique is described for various levels of amputation in the upper extremity as well as transfemoral and delayed/secondary below-knee amputation (BKA) in the lower extremity. 3 – 5 Primary, or acute, TMR at the time of BKA has been increasingly used for the prevention of neuromas, and principles have been described following ..., We’re looking to see if the following operation was a bone debridement of an infected below-knee amputation stump (11044) or a re-amputation (27886). Only the tibia was cut, not the tibia and fibula per the code description. Would it be appropriate to report code 27886 with a -52 modifier for reduced services? “I then incised the skin on ..., ICD-10-CM Diagnosis Code S78.1. Traumatic amputation at level between hip and knee. traumatic amputation of knee (S88.0-) ICD-10-CM Diagnosis Code S88.11. Complete traumatic amputation at level between knee and ankle. Complete traumatic amputation at level betw knee and ankle., CPT code 97110 provides information about medical procedures and services to payers and indicate that the procedure involves therapeutic exercises that develop endurance, range of ..., • For 4 weeks following surgery take one aspirin 325mg tablet daily to lower the risk of developing a blood clot after surgery. Please contact the office should severe calf pain occur or, The area is drained and debrided of infected bony and soft tissue. The physician irrigates the are with antibiotic solution, the periosteum is closed over the bone, and the soft tissues are sutured closed, or the wound is packed and left open, allowing the area to drain. T., What are the 10 best spots on Earth to watch the auroras? Learn about 10 places that offer incredible views of the auroras. Advertisement At the highest and lowest latitudes on the..., A new survey from Printify shows about one-third of its users and small business owners are more willing to take risks than they were prior to the pandemic. If you buy something th..., Below is a list summarizing the CPT codes for amputation procedures on the leg (tibia and fibula) and ankle joint. CPT Code 27880. CPT 27880 describes an amputation of the leg …, Despite improvements in the management of peripheral vascular disease, it is estimated that 150 000 patients in the United States have non-traumatic lower-extremity amputations yearly. 1 Above-knee amputation (AKA) and below-knee amputation (BKA) are associated with significant morbidity and mortality, yet the import of maintaining a BKA has major physical (decreased energy expenditure) and ..., The BKA is marked with a planned tibial osteotomy 10–18 cm distal to the tibial tuberosity, with the anterior skin incision made 2 cm distal to the planned osteotomy. The anterior compartment is cut at the level of the tibial osteotomy, and the deep peroneal nerve (DPN) is dissected away from the vascular bundle, which is ligated separately., Objectives. To assess the effects of different types of incision on the outcome of below knee amputation (BKA) in people with lower limb ischaemia or diabetic foot sepsis, or both. The main focus of the review was to assess the relative merits of skew flap amputation versus the long posterior flap technique. Go to:, Annville, PA. Best answers. 0. Feb 5, 2013. #1. I am looking for a cpt for above the knee amputation, this patient had a below the knee amputation (cpt 27880) done approx 2 mos ago. dx: nonhealing wound cellulitis. J., A below-the-knee amputation is a relatively common and simple procedure. However, surprisingly, very little about the procedure has been standardized. The current techniques used frequently result in flaccid flaps with significant dead space and excess skin or a flap that is too short, requiring revision. The outcomes that arise from these deformities can delay wound healing and ultimately ..., CPT ® 27889, Under Amputation Procedures on the Leg (Tibia and Fibula) and Ankle Joint The Current Procedural Terminology (CPT ® ) code 27889 as maintained by American Medical Association, is a medical procedural code under the range - Amputation Procedures on the Leg (Tibia and Fibula) and Ankle Joint., Aug 20, 2020 · From January 1, 2008 to December 31, 2018, 138 patients undergoing BKA were retrospectively identified using CPT codes for BKA (27880, 27881, and 27882). Twenty-eight percent (38) underwent amputation as treatment for traumatic injury, 57% (79) for infection, and 15% (21) for malignancy (Table (Table1). 1). A total of 17% (23) had a final ... , Many real estate technology companies are developing technology that is in competition with, or could potentially replace, real estate agents. One startup that aims to help agents ..., Above‐the-Knee Amputation. Aortoiliac occlusive disease with inadequate femoral artery flow to heal an AKA wound. Osteomyelitis of the proximal femur, femoral head, or acetabulum. Cardiopulmonary disease and inability to tolerate surgery (relative contraindications)., INTRODUCTION. Neuroma-related residual limb pain and phantom limb pain (PLP) following amputation remain a challenge. 7 Neuromas represent a cut nerve’s attempt at regeneration, which without a receptive end organ results in disorganized axonal sprouting. 8 PLP is the perception that the missing limb is still present and is experiencing various painful sensations., Benign-appearing ulcer at the BKA stump. It was excised, debrided, and closed primarily. DETAILS OF THE PROCEDURE: The patient is a 68-year-old female with prior below-knee amputation, developed a necrotic wound and ulcer. She was consented for surgery, brought to OR in supine position, sedated, and intubated without complication. …, CPT ® 27889, Under Amputation Procedures on the Leg (Tibia and Fibula) and Ankle Joint The Current Procedural Terminology (CPT ® ) code 27889 as maintained by American Medical Association, is a medical procedural code under the range - Amputation Procedures on the Leg (Tibia and Fibula) and Ankle Joint. , Physical Therapist's Guide to Below-Knee Amputation. Lower-limb amputation is a surgical procedure performed to remove a limb that has been damaged due to trauma or disease. Below-knee or "trans-tibial" amputation comprises 23% of lower-limb amputations. Amputation is possible in any age group, but the prevalence is highest among people aged 65 ..., The average Medicare reimbursement for 15853 and 15854 is $11.52 and $16.27, respectively. While not as common in family medicine settings, when suture or staple removal requires either moderate ..., The lateral aspect of the left BKA stump was prepped with Betadine and draped in sterile fashion. The point of maximal tenderness was identified with palpation just below the level of the fibular head. The area was then injected with a mixture of 2cc of 0.25% Marcaine mixed with 1mL of 40 mg/mL Kenalog. The injection was performed with a 25 ..., , BKA surgery, defined as need for surgical revision, unplanned conver-sion to above-knee amputation (AKA), or mortality within six weeks. Secondary end points included postoperative complications and time to discharge. Results: Of 205 limbs among 198 patients in the study, 100 (48.8%) underwent single-stage BKA and 105 (51.2%) …, In the world of medical billing and coding, accuracy is crucial. One small error in assigning a Current Procedural Terminology (CPT) code can lead to significant consequences, incl..., Implantable Hand and Feet Prosthetics. L8670-L8670. Vascular Implants. L8678-L8689. Implantable Neurostimulators and Components. L8690-L9900. Miscellaneous Orthotic and Prosthetic Services and Supplies. HCPCS Code range (L5000-L9900), Prosthetic Procedures, contains HCPCS codes for prosthetic procedures, Partial foot,shoe insert with ..., Keep the requisition on the counter so that staff knows a limb is awaiting gross examination the next day. Once grossing is complete, place the dissected limb back in original bag (if not torn) with the patient label visible. Return the limb to the refrigerator. After Hours: If the OR calls/pages after hours and asks for someone to pick up an ..., The HCPCS codes range Prosthetic Sheaths, Socks, and Shrinkers L8400-L8485 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims. , Information provided in this policy article relates to determinations other than those based on Social Security Act §1862 (a) (1) (A) provisions (i.e. “reasonable and necessary”). Lower limb prostheses are covered under the Medicare Artificial Legs, Arms and Eyes benefit (Social Security Act §1861 (s) (9)). In order for a beneficiary's ..., Jul 31, 2013 · Revision 118635009. Revision of below knee amputation stump 609217001. SNOMED CT Concept 138875005. Procedure 71388002. Procedure by method 128927009. Limb operation 363187007. Surgical procedure on lower extremity 107784002. Operative procedure on lower leg 545001. Revision of below knee amputation stump 609217001.