0SU90BZ
Supplement Hip Joint, Right to No Qualifier with Resurfacing Device, Open Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | S Lower Joints |
| Operation | U Supplement |
| Body Part | 9 Hip Joint, Right |
| Approach | 0 Open |
| Device | B Resurfacing Device |
| Qualifier | Z No Qualifier |
Operation Definition
Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Procedure Overview
Supplement procedures add biological or synthetic material to reinforce or augment a lower joint that is still structurally present but needs additional support. Ligament reconstruction, such as an ACL or PCL graft in the knee, is the classic example, along with labral augmentation in the hip or cartilage grafting. Unlike replacement, the native joint stays in place; the surgery strengthens a weakened or torn portion of it.
Grafts can come from the patient's own tissue, a donor, or synthetic material, and the choice often depends on age, activity level, and the structure being reinforced. These procedures are common after athletic injuries, aiming to restore stability so the joint can withstand normal or athletic loads again.
Anatomy & Axis Detail
Hip Joint, Right
The right hip joint is the ball-and-socket articulation where the femoral head meets the acetabulum of the pelvis, one of the body's largest weight-bearing joints. Supplement procedures at this joint involve placing material, such as bone graft to fill a defect, or a synthetic liner or spacer, to reinforce existing joint structures without removing and replacing the femoral head or acetabular surface as a whole, which would instead be coded as replacement. This approach is used for localized cartilage or bone stock deficiency, revision cases needing augmentation before definitive reconstruction, or repair of periacetabular defects encountered during other hip procedures. Because the hip joint has separate body part values for the general joint and for the acetabular surface specifically, operative documentation should indicate precisely which component was augmented.
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: Resurfacing Device
A Resurfacing Device is used to cap or recontour a joint surface while preserving more of the native bone than a total replacement, as in hip resurfacing where a metal cap is fitted over the femoral head instead of removing it. This bone-conserving approach contrasts with full Synthetic Substitute devices that replace the entire joint component, and with a Liner, which is an internal wear surface rather than a surface-capping implant.
Coding & Documentation
Coders assign Supplement when documentation shows material was added to reinforce an existing body part rather than substitute for it, which requires confirming the native structure was not removed. Graft type, whether autograft, allograft, or synthetic, factors into the device value. A recurring mistake is coding a ligament reconstruction as Repair when a formal graft was placed, or conversely coding Supplement when the graft actually replaced a joint surface rather than reinforcing intact tissue.