What is the icd 10 cm and pcs codes? Case Study: The patient is a 62-year-old male who presents with bilateral knee osteoarthritis confirmed on x-rays and clinical examinations. The patient has severe varus deformities to both knees secondary to his primary localized knee osteoarthritis. He has had two sets of cortisone injections to both knees and hyaluronic acid injections to both knees. He has been prescribed nonsteroidal anti-inflammatory medications, pain medications, and bracing. Despite all of this conservative management the patient continues to have pain and disability, causing severe limitation of his activities of daily living and requiring the use of a walker for ambulation on most days. He was given the options of unilateral or bilateral total knee replacements. He elected to have his left knee replaced first as it was the most painful. It is expected the right knee will be replaced within the next year. He was informed of the risks and complications of total knee replacement including infection, bleeding, neurovascular injury, need for follow-up procedures or operations, deep vein thrombosis, pulmonary emboli, and the remote chance of life-threatening conditions, including death. The patient is a robust, healthy man with no medical conditions present other than the osteoarthritis of his knees. The patient is admitted to the hospital for the surgical procedure. OPERATIVE REPORT PREOPERATIVE DIAGNOSIS: Severe osteoarthritis, both knees, worse on left side POSTOPERATIVE DIAGNOSIS: Severe osteoarthritis, both knees, worse on left side PROCEDURE PERFORMED: Left knee replacement DEVICES USED: Smith and Nephew Genesis II system with the OrthoSensor alignment guide. The size was 6 PS femur, size 6 tibia, size 13 constrained polyethylene and a 38 mm anatomic patella. TOURNIQUET TIME: Approximately 75 minutes ESTIMATED BLOOD LOSS: Approximately 100 mL ANESTHESIA: General anesthetic with adductor nerve block and Exparel injection locally into the wound DESCRIPTION OF PROCEDURE: The patient was taken to the operating room and preoperative antibiotics were administered. Time-out was conducted and the left leg tourniquet was placed. The left leg was marked preoperatively by the patient. The left leg was cleaned and draped in the usual manner. A midline incision was made on the left knee joint followed by medial parapatellar approach to the knee. The patella was everted. The knee was then debrided, at which time, appropriate releases were then performed. The Visionaire cutting block was then placed. Appropriate femoral cut was made for a size 6 femur. We then turned our ¬attention to the tibia. Intramedullary guide was introduced. Appropriate cuts were then made, at which time, trial with a 6 femur, 6 tibia was then performed. Appropriate releases were then ¬conducted using the Orthosensor device with computer assistance. There was found to have a 13-mm poly obtained in excellent stability mediolaterally through a full range of motion. Patella was then cut, a 33-mm patella was placed, obtaining the balanced knee. The trial components were then removed. Pulsed lavage was then used for bony cut surfaces. They were dried. After drying, the three components of femur, tibia, and patella were then cemented in place at the same time. Excess cement was removed. Cement was allowed to harden, at which time, a permanent 13-mm constrained polyethylene was then placed, obtaining excellent medial and lateral stability through a full range of motion and centrally tracking patella. With this, Exparel was injected into the knee joint. The medial parapatella approach was then closed in standard fashion. The subcutaneous tissue was closed in standard fashion. The skin was closed in a standard fashion. The patient had sterile dressing applied to the left knee. In an effort to provide relief and improvement in the right knee, the physician harvests posterior iliac crest bone marrow, centrifuging it to obtain concentrated bone marrow, and then reinjecting it in the muscular area surrounding the right knee. The patient was taken to the recovery area in stable condition.
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[Solved]: What is the icd 10 cm and…