0SW909Z
Revision Hip Joint, Right 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 | 9 Hip Joint, Right |
| 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, Right
The right hip joint is a major weight-bearing ball-and-socket articulation commonly replaced with a total or partial prosthesis to treat osteoarthritis, fracture, or avascular necrosis, and revision procedures on this joint address problems arising after that original replacement. A revision is coded here when an existing device, such as a femoral stem, acetabular cup, or liner, has loosened, worn, dislocated, or otherwise malfunctioned and requires correction without complete removal for a new prosthesis. Distinguishing revision from replacement depends on whether hardware already in place is being adjusted or repaired versus being taken out and substituted with a new device, and laterality must be confirmed since the right hip joint is a distinct body part from the left.
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.