0SWB09Z
Revision Hip Joint, Left to No Qualifier with Liner, Open Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | S Lower Joints |
| Operation | W Revision |
| Body Part | B Hip Joint, Left |
| Approach | 0 Open |
| Device | 9 Liner |
| Qualifier | Z No Qualifier |
Operation Definition
Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Procedure Overview
Revision procedures correct a malfunctioning device already implanted in a lower joint, or reposition a device that has shifted out of place, without necessarily removing and replacing the whole implant. Examples include tightening a loosened hip component, adjusting a worn knee liner, or repositioning a dislocated joint implant back into alignment. The reason for surgery is a problem with hardware from an earlier operation rather than new injury to native tissue.
These procedures are often needed years after an initial joint replacement, as components can loosen, wear, or shift with normal use. Surgeons aim to fix the specific mechanical problem while preserving as much of the existing implant and surrounding bone as possible, since more extensive revisions carry greater surgical risk and longer recovery.
Anatomy & Axis Detail
Hip Joint, Left
The left hip joint bears substantial mechanical load as the primary connection between the pelvis and lower limb, and is often the site of a total or partial prosthetic replacement placed to manage advanced arthritis, femoral neck fracture, or avascular necrosis. A revision procedure at this joint corrects a previously implanted device, for instance addressing a loosened femoral stem or a worn liner, without removing the hardware entirely for a new implant. Because the left hip joint is coded as a distinct body part from the right, and because revision differs meaningfully from replacement in terms of whether existing components are corrected versus exchanged, the operative note should clearly document laterality and the specific nature of the hardware problem being addressed.
Approach: Open
Open approach means the surgeon cuts through skin, mucous membrane, or other tissue layers to physically expose the target site to view before performing the procedure. It gives direct visualization and hands-on access, distinguishing it from Percutaneous approaches where instruments pass through a small puncture without exposing the site. Open is typical for procedures needing wide access, such as most laparotomies.
Device: Liner
A Liner in Medical and Surgical procedures is an insert placed within a prosthetic component, commonly the polyethylene or ceramic sleeve fitted inside an acetabular cup during hip arthroplasty, providing a wear surface between the shell and femoral head. It is typically part of a modular replacement rather than the entire joint substitute. It differs from a Resurfacing Device, which caps existing bone surfaces rather than lining an implanted shell.
Coding & Documentation
Documentation needs to identify that an existing device was the target of correction, whether through repositioning, adjustment, or partial component exchange, and that the fix did not amount to a full swap of the entire prosthesis. Notes describing loosening, malposition, or component wear typically support Revision. A common error arises when a full component exchange occurs during a documented revision surgery; if the entire device is replaced, the correct root operation is Replacement, even though the surgeon may call it revision arthroplasty.